卡路里限制和乳腺癌的发病率
Karin B Michels1, Anders Ekbom
1Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02115, USA. kmichels@rics.bwh.harvard.edu
JAMA
|March 11, 2004
概括
在人类中,严重的热量限制,例如神经性厌食症,可以显著降低侵袭性乳腺癌的风险. 这种保护作用似乎更强烈,在产前早期生命限制.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 卡路里限制 (CR) 延长寿命,并减少动物模型中的瘤发病率.
- 对CR对癌症风险,特别是乳腺癌的影响的人类研究有限.
- 神经性厌食症 (AN) 在生命早期涉及严重的热量限制.
研究的目的:
- 调查由于精神性厌食症而导致的早期热量限制与随后侵袭性乳腺癌风险之间的联系.
- 为了确定相对于分娩的卡路里限制时间是否会影响乳腺癌风险.
主要方法:
- 使用瑞典国家登记册 (住院病人,癌症,死亡,生育) 的回顾性队列研究.
- 包括7303名在40岁之前因精神性厌食症住院的妇女 (1965-1998).
- 排除已有癌症诊断的妇女.
主要成果:
- 与普通人群相比,因AN住院的妇女患侵袭性乳腺癌的发病率降低了53%.
- 无卵性女性患有AN的发病率降低了23%.
- 有AN的女性表现出更实质性的76%的乳腺癌发病率降低.
结论:
- 在人类中,严重的热量限制,以AN为例,可能会提供对侵袭性乳腺癌的保护.
- 孕期前的早期热量限制,然后是怀孕,与显著更大的乳腺癌风险降低有关.
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