Background
Little is known about fish intake throughout the life course and the
risk of breast cancer.
Methods
We used data on the first residence of 9,340 women born
1908–1935 in the Reykjavik Study as well as food frequency data for
different periods of life from a subgroup of the cohort entering the
AGES-Reykjavik Study (n = 2,882).
Results
During a mean follow-up of 27.3 years, 744 women were diagnosed with
breast cancer in the Reykjavik Study. An inverse association of breast
cancer was observed among women who lived through the puberty period in
coastal villages, compared with women residing in the capital area (HR =
0.78, 95% CI: 0.61, 0.99). In the subgroup analysis of this
Icelandic population, generally characterized by high fish intake, we found
an indication of lower risk of breast cancer among women with high fish
consumption (more than 4 portions per week) in adolescence (HR 0.71,
95% CI, 0.44, 1.13) and midlife (HR 0.46, 95% CI, 0.22,
0.97), compared with low consumers (2 portions per week or less). No
association was found for fish liver oil consumption in any time period
which could be due to lack of a reference group with low omega-3 fatty acids
intake in the study group.
Conclusion
Our findings suggest that very high fish consumption in early to
midlife may be associated with a reduced risk of breast cancer.
Impact
Very high fish consumption in early adulthood to midlife may be
associated with decreased risk of breast cancer.