NDLI: Dietary fat, fiber, and carbohydrate intake in relation to risk of endometrial cancer.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cui, Xiaohui Rosner, Bernard Willett, Walter C. Hankinson, Susan E.
Description	Country affiliation: United States Author Affiliation: Cui X ( Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. nhxxc@channing.harvard.edu)
Abstract	BACKGROUND: Macronutrients such as fat and fiber have been hypothesized to play a role in the etiology of endometrial cancer. METHODS: To investigate these associations, the authors analyzed data from the Nurses' Health Study. From 1980 to 2006, 669 invasive adenocarcinoma cases were identified over 1.3 million person-years of follow-up. Dietary intake was assessed in 1980 and updated every 2-4 years. Cox proportional hazard models were used to calculate relative risks (RRs), controlling for total energy and other risk factors. RESULTS: Overall, the authors found no significant associations between most dietary factors and endometrial cancer risk. Total fat was associated with a borderline significant decreased risk (top vs. bottom quintile RR = 0.78; 95% CI = 0.60-0.99; P(trend) = 0.18). Findings for animal fat were similar. No inverse associations between dietary fibers and cancer risk were observed. Cereal fiber was modestly positively associated with risk (top vs. bottom quintile RR = 1.38, 95% CI = 1.07-1.79; P(trend) = 0.05). The inverse association with animal fat intake and a positive association with carbohydrate intake were observed among premenopausal but not among postmenopausal women. CONCLUSIONS: In this large prospective study, no overall association was observed between dietary fat, fiber, and carbohydrates with endometrial cancer risk, although several of the relationships may vary by menopausal status. IMPACT: Dietary fat and fiber intake do not seem to play a major role in endometrial cancer etiology overall. However, further evaluation of these associations, particularly in premenopausal women, is needed.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-10-1089
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	5
Volume Number	20
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2011-05-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology Dietary Carbohydrates Adverse Effects Dietary Fats Dietary Fiber Endometrial Neoplasms Chemically Induced Diagnosis Nurses Statistics & Numerical Data Postmenopause Prognosis Prospective Studies Risk Factors Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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