Total dietary antioxidant capacity, individual antioxidant intake and breast cancer risk: The rotterdam study.
By: Athanasios Pantavos, Rikje Ruiter, Edith Feskens, Catherine E deKeyser, Albert Hofman, Bruno H Stricker, Oscar H Franco, Jessica C Kiefte-deJong

1Department of Epidemiology, Erasmus MC, Netherlands.
2014-5-6; doi: 10.1002/ijc.29249
Abstract

Some studies suggest a favorable role of antioxidants on breast cancer risk but this is still inconclusive. The aim of this study was to assess whether overall dietary antioxidant capacity, as assessed by dietary ferric reducing antioxidant potential (FRAP), and individual dietary antioxidant intake were associated with breast cancer risk. Data was used from women participating in the Rotterdam Study, a prospective cohort study among subjects aged 55 years and older (N=3209). FRAP scores and antioxidant intake (i.e. vitamin A, C, E, selenium, flavonoids, and carotenoids) was assessed at baseline by a food frequency questionnaire. Incident cases of breast cancer were confirmed through medical reports. During a median follow-up of 17 years, 199 cases with breast cancer were identified. High dietary FRAP score was associated with a lower risk of breast cancer (HR: 0.68; 95% CI: 0.49, 0.96). No overall association between individual antioxidant intake and breast cancer risk was found. However, low intake of alpha carotene and beta carotene was associated with a higher risk of breast cancer among smokers (HR: 2.48; 95% CI: 1.21, 5.12 and HR: 2.31; 95% CI: 1.12, 4.76 for alpha and beta carotene respectively) and low intake of flavonoids was associated with breast cancer risk in women over the age of 70 (HR: 1.80; 95% CI: 1.09, 2.99). These results suggest that high overall dietary antioxidant capacity are associated with a lower risk of breast cancer. Individual effects of dietary carotenoids and dietary flavonoids may be restricted to subgroups such as smokers and elderly. © 2014 Wiley Periodicals, Inc.



Copyright © 2014 UICC.

PMID:25284450






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