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dc.contributor.authorCastelló Pastor, Adela 
dc.contributor.authorBoldo, Elena 
dc.contributor.authorPerez-Gomez, Beatriz 
dc.contributor.authorLope Carvajal, Virginia 
dc.contributor.authorAltzibar, Jone M
dc.contributor.authorMartín, Vicente
dc.contributor.authorCastaño-Vinyals, Gemma
dc.contributor.authorGuevara, Marcela
dc.contributor.authorDierssen-Sotos, Trinidad
dc.contributor.authorTardón, Adonina
dc.contributor.authorMoreno, Víctor
dc.contributor.authorPuig-Vives, Montserrat
dc.contributor.authorLlorens-Ivorra, Cristóbal
dc.contributor.authorAlguacil, Juan
dc.contributor.authorGómez-Acebo, Inés
dc.contributor.authorCastilla Catalán, Jesús
dc.contributor.authorGràcia-Lavedan, Esther
dc.contributor.authorDávila-Batista, Verónica
dc.contributor.authorKogevinas, Manolis
dc.contributor.authorAragones, Nuria 
dc.contributor.authorAmiano, Pilar
dc.contributor.authorPollan-Santamaria, Marina 
dc.date.accessioned2019-11-06T08:12:26Z
dc.date.available2019-11-06T08:12:26Z
dc.date.issued2017-09
dc.identifier.citationMaturitas. 2017 Sep;103:8-15.es_ES
dc.identifier.issn03785122es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/8559
dc.description.abstractOBJECTIVE: To externally validate the previously identified effect on breast cancer risk of the Western, Prudent and Mediterranean dietary patterns. STUDY DESIGN: MCC-Spain is a multicase-control study that collected epidemiological information on 1181 incident cases of female breast cancer and 1682 healthy controls from 10 Spanish provinces. Three dietary patterns derived in another Spanish case-control study were analysed in the MCC-Spain study. These patterns were termed Western (high intakes of fatty and sugary products and red and processed meat), Prudent (high intakes of low-fat dairy products, vegetables, fruits, whole grains and juices) and Mediterranean (high intake of fish, vegetables, legumes, boiled potatoes, fruits, olives, and vegetable oil, and a low intake of juices). Their association with breast cancer was assessed using logistic regression models with random province-specific intercepts considering an interaction with menopausal status. Risk according to tumour subtypes - based on oestrogen (ER), progesterone (PR) and human epidermal growth factor 2 (HER2) receptors (ER+/PR+ & HER2-; HER2+; ER-/PR- & HER2-) - was evaluated with multinomial regression models. MAIN OUTCOME MEASURES: Breast cancer and histological subtype. RESULTS: Our results confirm most of the associations found in the previous case-control study. A high adherence to the Western dietary pattern seems to increase breast cancer risk in both premenopausal women (OR4thvs.1stquartile (95% CI):1.68 (1.02;2.79); OR1SD-increase (95% CI):1.19 (1.02;1.40)) and postmenopausal women (OR4thvs.1stquartile(95% CI):1.48(1.07;2.05); OR1SD-increase(95% CI): 1.14 (1.01;1.29)). While high adherence to the Prudent pattern did not show any effect on breast cancer, the Mediterranean dietary pattern seemed to be protective, but only among postmenopausal women (OR4thvs.1stquartile (95% CI): 0.72 (95% CI 0.53;0.98); p-int=0.075). There were no significant differences by tumour subtype. CONCLUSION: Dietary recommendations based on a departure from the Western dietary pattern in favour of the Mediterranean diet could reduce breast cancer risk in the general population.es_ES
dc.language.isoenges_ES
dc.publisherElsevier es_ES
dc.type.hasVersionSMURes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectBreast neoplasmses_ES
dc.subjectMediterranean dietes_ES
dc.subjectPopulation attributable fractiones_ES
dc.subjectPrevention and controles_ES
dc.subjectWestern dietes_ES
dc.subject.meshAdult es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshBreast Neoplasms es_ES
dc.subject.meshCase-Control Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshLogistic Models es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshPostmenopause es_ES
dc.subject.meshPremenopause es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSpain es_ES
dc.subject.meshYoung Adult es_ES
dc.subject.meshDiet es_ES
dc.titleAdherence to the Western, Prudent and Mediterranean dietary patterns and breast cancer risk: MCC-Spain studyes_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID28778338es_ES
dc.format.volume103es_ES
dc.format.page8-15es_ES
dc.identifier.doi10.1016/j.maturitas.2017.06.020es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1873-4111es_ES
dc.relation.publisherversionhttps://doi.org/10.1016/j.maturitas.2017.06.020es_ES
dc.identifier.journalMaturitases_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional