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dc.contributor.authorCastello, Adela 
dc.contributor.authorAscunce, Nieves
dc.contributor.authorSalas-Trejo, Dolores
dc.contributor.authorVidal, Carmen
dc.contributor.authorSánchez-Contador, Carmen
dc.contributor.authorSantamariña, Carmen
dc.contributor.authorPedraz-Pingarrón, Carmen
dc.contributor.authorMoreno, Maria Pilar
dc.contributor.authorPerez-Gomez, Beatriz 
dc.contributor.authorLope, Virginia 
dc.contributor.authorAragones, Nuria 
dc.contributor.authorVioque, Jesus
dc.contributor.authorPollan-Santamaria, Marina
dc.identifier.citationObstet Gynecol. 2016 Sep;128(3):574-81.es_ES
dc.description.abstractOBJECTIVE: To examine the association between two dietary patterns (Western and Mediterranean), previously linked to breast cancer risk, and mammographic density. METHODS: This cross-sectional study included 3,584 women attending population-based breast cancer screening programs and recruited between October 7, 2007, and July 14, 2008 (participation rate 74.5%). Collected data included anthropometric measurements; demographic, obstetric, and gynecologic characteristics; family and personal health history; and diet in the preceding year. Mammographic density was blindly assessed by a single radiologist and classified into four categories: less than 10%, 10-25%, 25-50%, and greater than 50%. The association between adherence to either a Western or a Mediterranean dietary pattern and mammographic density was explored using multivariable ordinal logistic regression models with random center-specific intercepts. Models were adjusted for age, body mass index, parity, menopause, smoking, family history, hormonal treatment, and calorie and alcohol intake. Differences according to women's characteristics were tested including interaction terms. RESULTS: Women with a higher adherence to the Western dietary pattern were more likely to have high mammographic density (n=242 [27%]) than women with low adherence (n=169 [19%]) with a fully adjusted odds ratio (ORQ4vsQ1) of 1.25 (95% confidence interval [CI] 1.03-1.52). This association was confined to overweight-obese women (adjusted ORQ4vsQ1 [95% CI] 1.41 [1.13-1.76]). No association between Mediterranean dietary pattern and mammographic density was observed. CONCLUSION: The Western dietary pattern was associated with increased mammographic density among overweight-obese women. Our results might inform specific dietary recommendations for women with high mammographic density.es_ES
dc.publisherLippincott, Williams & Wilkinses_ES
dc.subject.meshAged es_ES
dc.subject.meshBody Mass Index es_ES
dc.subject.meshBreast es_ES
dc.subject.meshBreast Neoplasms es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshDiet, Western es_ES
dc.subject.meshEarly Detection of Cancer es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshObesity es_ES
dc.subject.meshOdds Ratio es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSurveys and Questionnaires es_ES
dc.subject.meshBreast Density es_ES
dc.subject.meshDiet, Mediterranean es_ES
dc.subject.meshMammography es_ES
dc.titleAssociation Between Western and Mediterranean Dietary Patterns and Mammographic Densityes_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.identifier.journalObstetrics and gynecologyes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES

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