Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies

Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and...

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Veröffentlicht in:Breast cancer research and treatment 2012-07, Vol.134 (2), p.479-493
Hauptverfasser: Aune, D., Chan, D. S. M., Vieira, A. R., Rosenblatt, D. A. Navarro, Vieira, R., Greenwood, D. C., Norat, T.
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container_end_page 493
container_issue 2
container_start_page 479
container_title Breast cancer research and treatment
container_volume 134
creator Aune, D.
Chan, D. S. M.
Vieira, A. R.
Rosenblatt, D. A. Navarro
Vieira, R.
Greenwood, D. C.
Norat, T.
description Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80–0.99, I 2  = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86–0.98, I 2  = 9 %) for fruits, and 0.99 (95 % CI: 0.92–1.06, I 2  = 20 %) for vegetables. In dose–response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93–1.00, I 2  = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89–1.00, I 2  = 39 %) for fruits, and 1.00 (95 % CI: 0.95–1.06, I 2  = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
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subjects Biological and medical sciences
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer
Cancer research
Diet
Dose-response effects
Female
Fruit
Fruit - adverse effects
Fruits
Gynecology. Andrology. Obstetrics
Health aspects
Humans
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Prospective Studies
Review
Reviews
Risk Factors
Systematic review
Tumors
Vegetables
Vegetables - adverse effects
title Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies
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