Association of Mediterranean diet, dietary supplements and alcohol consumption with breast density among women in South Germany: a cross-sectional study

Voevodina, Olga; Billich, Christian; Arand, B; Nagel, Gabriële

doi:10.1186/1471-2458-13-203

Cited by 27 publications

(36 citation statements)

References 29 publications

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“…We failed to identify a significant association between smoking habits and mammographic density in premenopausal women; however, certain observations warrant cautious consideration because of the extremely low percentage of women in our study population who smoked. Alcohol intake is believed to increase the risk of breast cancer, and several previous studies have associated alcohol drinking with increased mammographic density (Masala et al, 2006;Cabanes et al, 2011;Voevodina et al, 2013), but other studies on Asian populations failed to find a correlation between alcohol drinking and mammographic density (Ishihara et al, 2013;Dai et al, 2014). Our result indicated that drinking habits had no effect on breast density in premenopausal women.…”

Section: Discussioncontrasting

confidence: 48%

Influence of factors on mammographic density in premenopausal Chinese women

Yang

Liu²,

Gu³

et al. 2016

European Journal of Cancer Prevention

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Mammographic density is an independent strong risk factor for breast cancer. However, the influence of factors on mammographic density in premenopausal women remains unclear. In the Southern Professional Women Breast Cancer Screening Project, we assessed the associations between mammographic density and its influential factors using multivariate logistic regression in premenopausal women adjusting for BMI, age, duration of breastfeeding, number of live births, and breast size. A total of 1699 premenopausal women aged 27 to 57 years, who had been screened by mammography, were enrolled in this cross-sectional study. Overall, 85.2% were categorized as having dense breasts (BI-RADS density 3 and 4) and 14.8% as having fatty breasts (BI-RADS density 1 and 2). In multivariate and logistic regression analysis, only BMI and age were significantly negatively correlated with mammographic density in premenopausal women (P<0.001). No significant associations between mammographic density and number of deliveries, breastfeeding duration, education level, family history of breast cancer, as well as breast size and sleep quality, were identified in the study. Age and BMI are negatively associated with mammographic density in premenopausal Chinese women. Information on the influential factors of mammographic density in premenopausal women might provide meaningful insights into breast cancer prevention.

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Section: Discussioncontrasting

confidence: 48%

Influence of factors on mammographic density in premenopausal Chinese women

Yang

Liu²,

Gu³

et al. 2016

European Journal of Cancer Prevention

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“…Alcohol intake was expressed variously as g/day (17,24,25,27,29,34), no alcohol use versus alcohol use times/year (19), servings/week (20), drinks/week (21-23) g/week (26,30), drinks/month (28), and tertiles of intake (35).…”

Section: Measurement Of Alcohol Consumptionmentioning

confidence: 99%

“…[31][32][33][34][35][36]. Three studies (32,35,36) used Wolfe's classification of parenchymal patterns and three (31,33,34) used the BIRADS classification of PBD. Three of the six studies reported positive statistically significant associations between alcohol consumption and PBD.…”

Section: Group 3: Meta-analysis Of Studies Using Qualitative Measuresmentioning

confidence: 99%

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The Association between Alcohol Consumption and Breast Density: A Systematic Review and Meta-analysis

Ziembicki

Zhu

Tse

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Percent breast density (PBD) is a strong risk factor for breast cancer that is influenced by several other risk factors for the disease. Alcohol consumption is associated with an increased risk of breast cancer with an uncertain association with PBD. We have carried out a systematic review and metaanalysis to examine the association of alcohol consumption with PBD.Methods: We searched nine databases to identify all relevant studies on the association between alcohol intake and breast density. Two independent investigators evaluated and selected 20 studies that were included in our analyses. We divided the studies into three groups according to the methods used to measure and analyze the association of breast density with alcohol consumption.

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“…Ca: β = −1.8 postmenopausal women alone (P < .05) 92 and the other demonstrating higher BD in premenopausal women but not in postmenopausal women (Table 4). 24 …”

Section: • •mentioning

confidence: 91%

Relationship Between Breast Density and Selective Estrogen-Receptor Modulators, Aromatase Inhibitors, Physical Activity, and Diet

et al. 2016

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Background. Lower breast density (BD) is associated with lower risk of breast cancer and may serve as a biomarker for the efficacy of chemopreventive strategies. This review explores parameters that are thought to be associated with lower BD. We conducted a systematic review of articles published to date using the PRISMA strategy. Articles that assessed change in BD with estrogen-receptor modulators (tamoxifene [TAM], raloxifene [RLX], and tibolone) and aromatase inhibitors (AIs), as well as cross-sectional and longitudinal studies (LSs) that assessed association between BD and physical activity (PA) or diet were reviewed. Results. Ten studies assessed change in BD with TAM; all reported TAM-mediated BD decreases. Change in BD with RLX was assessed by 11 studies; 3 reported a reduction in BD. Effect of tibolone was assessed by 5 RCTs; only 1 reported change in BD. AI-mediated BD reduction was reported by 3 out of 10 studies. The association between PA and BD was assessed by 21 studies; 4 reported an inverse association. The relationship between diet and BD was assessed in 34 studies. All studies on calcium and vitamin D as well as vegetable intake reported an inverse association with BD in premenopausal women. Two RCTs demonstrated BD reduction with a low-fat, high-carbohydrate intervention. Conclusion. TAM induces BD reduction; however, the effect of RLX, tibolone, and AIs on BD is unclear. Although data on association between diet and BD in adulthood are contradictory, intake of vegetables, vitamin D, and calcium appear to be associated with lower BD in premenopausal women.

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Association of Mediterranean diet, dietary supplements and alcohol consumption with breast density among women in South Germany: a cross-sectional study

Cited by 27 publications

References 29 publications

Influence of factors on mammographic density in premenopausal Chinese women

Influence of factors on mammographic density in premenopausal Chinese women

The Association between Alcohol Consumption and Breast Density: A Systematic Review and Meta-analysis

Relationship Between Breast Density and Selective Estrogen-Receptor Modulators, Aromatase Inhibitors, Physical Activity, and Diet

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