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Adherence to Mediterranean Diet and Breast Cancer Risk: A Meta-Analysis of Prospective Observational Studies
Mehdi Karimi1,2, Omid Asbaghi2, Farnaz Hooshmand3
1Faculty of Medicine Bogomolets National Medical University (NMU) Kyiv Ukraine.
Health Science Reports
|April 21, 2025
Summary
Adhering to the Mediterranean diet (MD) significantly reduces breast cancer risk by 13%. This protective effect is most notable in postmenopausal women and Asian populations, highlighting the MD
Area of Science:
- Nutritional Epidemiology
- Oncology
- Preventive Medicine
Background:
- The Mediterranean diet (MD) is recognized for its health benefits, including potential protection against chronic diseases like cancer.
- Understanding the specific impact of MD adherence on breast cancer risk is crucial for public health initiatives.
- Previous research suggests a link, but a comprehensive meta-analysis is needed to quantify the association.
Purpose of the Study:
- To evaluate the association between adherence to the Mediterranean diet (MD) and the risk of developing breast cancer in women.
- To quantify the overall risk reduction and explore variations based on menopausal status, geographical region, and study design.
Main Methods:
- A systematic meta-analysis of cohort and case-control studies was performed, searching databases up to November 2024.
- A random-effects model was used to pool hazard ratios (HR), assessing heterogeneity with the I² statistic and publication bias.
- Multivariable-adjusted effect sizes were analyzed to determine the association between MD adherence and breast cancer risk.
Main Results:
- Overall adherence to the MD was associated with a significant 13% reduction in breast cancer risk (HR: 0.87).
- Postmenopausal women showed a significant 12% risk reduction (HR: 0.88), while premenopausal women had no significant association (HR: 0.98).
- The strongest risk reduction was observed in Asia (OR: 0.59), with moderate associations in America and Europe; case-control studies showed a stronger effect than cohort studies.
Conclusions:
- Adherence to the Mediterranean diet significantly lowers breast cancer risk, particularly in postmenopausal women and Asian populations.
- The MD may serve as a key dietary intervention for breast cancer prevention, with varying effectiveness across different populations and study types.
- Further research is warranted to confirm these findings across diverse study designs and geographical contexts.
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