A prospective cohort study of dietary indices and incidence of epithelial ovarian cancer

Journal of Ovarian Research

Shelley S Tworoger⁵  Walter C Willett²  Bernard A Rosner⁴  Teresa T Fung¹  Kathryn L Terry³  Elizabeth M Poole⁵  Jing Xie⁵ 

[1] Department of Nutrition, Simmons College, Boston, MA, USA;Department of Nutrition, Harvard School of Public Health, Boston, MA, USA;Obstetrics and Gynecology Epidemiology Center, Department of Obstetrics and Gynecology, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA;Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA;Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA

关键词: Epidemiology;    Prospective cohort;    Ovarian cancer;    Dietary pattern;    Mediterranean diet score;    Healthy eating index;    Alternative healthy eating index;   

Others  :  1151615
DOI  :  10.1186/s13048-014-0112-4

 received in 2014-09-16, accepted in 2014-11-26,  发布年份 2014

【 摘 要 】

Background

Several dietary indices have been developed to measure overall diet quality, including the Healthy Eating Index-2005 (HEI-2005), which measures adherence to the 2005 Dietary Guidelines from the USDA; the Alternative Healthy Eating Index-2010 (AHEI-2010), which is based on foods and nutrients predictive of chronic disease risk; and the Alternate Mediterranean Diet Score (aMDS), which is an index that characterizes traditional food patterns of Mediterranean countries. Few studies have evaluated diet quality and ovarian cancer risk.

Methods

We assessed the associations of the HEI-2005, AHEI-2010, and aMDS with risk of epithelial ovarian cancer prospectively among women in the Nurses’ Health Study. We used Cox proportional hazards models, adjusting for known ovarian cancer risk factors.

Results

During 24 years of follow-up, we documented 696 incident epithelial ovarian cancer cases among 82,948 women with diet information. The multivariate adjusted hazard ratios (95% confidence interval; Ptrend) of epithelial ovarian cancer comparing the highest with the lowest quintile were 1.03 (0.80-1.34; 0.77) for the AHEI-2010, 0.85 (0.65-1.12; 0.57) for the HEI-2005, and 0.91 (0.71-1.18; 0.44) for the aMDS.

Conclusions

We did not observe any clear association of three diet quality scores with ovarian cancer risk. Further work should other metrics of evaluating diet quality that may be more relevant cancer risk.

【 授权许可】

   
2014 Xie et al.; licensee BioMed Central Ltd.

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