Dietary fiber and breast cancer risk: a systematic review and meta-analysis of prospective studies

Evidence from case–control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies. PubMed was searched for prospective s...

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Published inAnnals of oncology Vol. 23; no. 6; pp. 1394 - 1402
Main Authors Aune, D., Chan, D.S.M., Greenwood, D.C., Vieira, A.R., Rosenblatt, D.A. Navarro, Vieira, R., Norat, T.
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.06.2012
Oxford University Press
Subjects
Antineoplastic agents
Biological and medical sciences
Breast cancer
Breast Neoplasms - prevention & control
Cancer
cancer prevention
Diet
dietary fiber
Dietary Fiber - administration & dosage
Diets
Dose-Response Relationship, Drug
Edible Grain
Female
Fibers
Fruit
Fruits
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Medical sciences
meta-analysis
Pharmacology. Drug treatments
Prospective Studies
Reviews
Risk
Tumors
Vegetables
meta-analysis
breast cancer
diet
cancer prevention
dietary fiber
Breast disease
Nutrition
Systematic review
Breast cancer
Review
Malignant tumor
Feeding
Metaanalysis
Prospective
Prevention
Mammary gland diseases
Diet
Risk factor
Dietary fiber
Cancer
Food
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Abstract Evidence from case–control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies. PubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs). Sixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89–0.98, I2 = 0%] for dietary fiber, 0.95 (95% CI 0.86–1.06, I2 = 4%) for fruit fiber, 0.99 (95% CI 0.92–1.07, I2 = 1%) for vegetable fiber, 0.96 (95% CI 0.90–1.02, I2 = 5%) for cereal fiber, 0.91 (95% CI 0.84–0.99, I2 = 7%) for soluble fiber and 0.95 (95% CI 0.89–1.02, I2 = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91–0.98, I2 = 0%, Pheterogeneity = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range (≥13 g/day) or high level of intake (≥25 g/day). In this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.
AbstractList Evidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies.BACKGROUNDEvidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies.PubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs).METHODSPubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs).Sixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89-0.98, I(2) = 0%] for dietary fiber, 0.95 (95% CI 0.86-1.06, I(2) = 4%) for fruit fiber, 0.99 (95% CI 0.92-1.07, I(2) = 1%) for vegetable fiber, 0.96 (95% CI 0.90-1.02, I(2) = 5%) for cereal fiber, 0.91 (95% CI 0.84-0.99, I(2) = 7%) for soluble fiber and 0.95 (95% CI 0.89-1.02, I(2) = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91-0.98, I(2) = 0%, P(heterogeneity) = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range (≥13 g/day) or high level of intake (≥25 g/day).RESULTSSixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89-0.98, I(2) = 0%] for dietary fiber, 0.95 (95% CI 0.86-1.06, I(2) = 4%) for fruit fiber, 0.99 (95% CI 0.92-1.07, I(2) = 1%) for vegetable fiber, 0.96 (95% CI 0.90-1.02, I(2) = 5%) for cereal fiber, 0.91 (95% CI 0.84-0.99, I(2) = 7%) for soluble fiber and 0.95 (95% CI 0.89-1.02, I(2) = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91-0.98, I(2) = 0%, P(heterogeneity) = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range (≥13 g/day) or high level of intake (≥25 g/day).In this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.CONCLUSIONIn this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.
Evidence from case–control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies. PubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs). Sixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89–0.98, I2 = 0%] for dietary fiber, 0.95 (95% CI 0.86–1.06, I2 = 4%) for fruit fiber, 0.99 (95% CI 0.92–1.07, I2 = 1%) for vegetable fiber, 0.96 (95% CI 0.90–1.02, I2 = 5%) for cereal fiber, 0.91 (95% CI 0.84–0.99, I2 = 7%) for soluble fiber and 0.95 (95% CI 0.89–1.02, I2 = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91–0.98, I2 = 0%, Pheterogeneity = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range (≥13 g/day) or high level of intake (≥25 g/day). In this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.
Background: Evidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies. Methods: PubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs). Results: Sixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89-0.98, I super(2) = 0%] for dietary fiber, 0.95 (95% CI 0.86-1.06, I super(2) = 4%) for fruit fiber, 0.99 (95% CI 0.92-1.07, I super(2) = 1%) for vegetable fiber, 0.96 (95% CI 0.90-1.02, I super(2) = 5%) for cereal fiber, 0.91 (95% CI 0.84-0.99, I super(2) = 7%) for soluble fiber and 0.95 (95% CI 0.89-1.02, I super(2) = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91-0.98, I super(2) = 0%, P sub(heterogeneity) = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range ( greater than or equal to 13 g/day) or high level of intake ( greater than or equal to 25 g/day). Conclusion: In this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.
Evidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by prospective data. We conducted a systematic review and meta-analysis of the evidence from prospective studies. PubMed was searched for prospective studies of fiber intake and breast cancer risk until 31st August 2011. Random effects models were used to estimate summary relative risks (RRs). Sixteen prospective studies were included. The summary RR for the highest versus the lowest intake was 0.93 [95% confidence interval (CI) 0.89-0.98, I(2) = 0%] for dietary fiber, 0.95 (95% CI 0.86-1.06, I(2) = 4%) for fruit fiber, 0.99 (95% CI 0.92-1.07, I(2) = 1%) for vegetable fiber, 0.96 (95% CI 0.90-1.02, I(2) = 5%) for cereal fiber, 0.91 (95% CI 0.84-0.99, I(2) = 7%) for soluble fiber and 0.95 (95% CI 0.89-1.02, I(2) = 0%) for insoluble fiber. The summary RR per 10 g/day of dietary fiber was 0.95 (95% CI 0.91-0.98, I(2) = 0%, P(heterogeneity) = 0.82). In stratified analyses, the inverse association was only observed among studies with a large range (≥13 g/day) or high level of intake (≥25 g/day). In this meta-analysis of prospective studies, there was an inverse association between dietary fiber intake and breast cancer risk.
Author Vieira, R.
Rosenblatt, D.A. Navarro
Aune, D.
Chan, D.S.M.
Greenwood, D.C.
Vieira, A.R.
Norat, T.
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  surname: Vieira
  fullname: Vieira, A.R.
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ID FETCH-LOGICAL-c443t-b308ad3d38b27d56b0795ed10d11b67177d0a685eb6384b5cc3a38e383e9ac8e3
ISSN 0923-7534
1569-8041
IngestDate Fri Jul 11 05:32:55 EDT 2025
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IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 6
Keywords meta-analysis
breast cancer
diet
cancer prevention
dietary fiber
Breast disease
Nutrition
Systematic review
Breast cancer
Review
Malignant tumor
Feeding
Metaanalysis
Prospective
Prevention
Mammary gland diseases
Diet
Risk factor
Dietary fiber
Cancer
Food
Language English
License http://www.elsevier.com/open-access/userlicense/1.0
https://www.elsevier.com/tdm/userlicense/1.0
CC BY 4.0
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c443t-b308ad3d38b27d56b0795ed10d11b67177d0a685eb6384b5cc3a38e383e9ac8e3
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SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
ObjectType-Undefined-4
ObjectType-Article-2
ObjectType-Feature-1
OpenAccessLink https://dx.doi.org/10.1093/annonc/mdr589
PMID 22234738
PQID 1017616068
PQPubID 23479
PageCount 9
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crossref_citationtrail_10_1093_annonc_mdr589
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PublicationDate 2012-06-01
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  year: 2012
  text: 2012-06-01
  day: 01
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PublicationTitle Annals of oncology
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PublicationYear 2012
Publisher Elsevier Ltd
Oxford University Press
Publisher_xml – name: Elsevier Ltd
– name: Oxford University Press
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Snippet Evidence from case–control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by...
Evidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is supported by...
Background: Evidence from case-control studies suggest that dietary fiber may be inversely related to breast cancer risk, but it is unclear if this is...
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SubjectTerms Antineoplastic agents
Biological and medical sciences
Breast cancer
Breast Neoplasms - prevention & control
Cancer
cancer prevention
Diet
dietary fiber
Dietary Fiber - administration & dosage
Diets
Dose-Response Relationship, Drug
Edible Grain
Female
Fibers
Fruit
Fruits
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Medical sciences
meta-analysis
Pharmacology. Drug treatments
Prospective Studies
Reviews
Risk
Tumors
Vegetables
Title Dietary fiber and breast cancer risk: a systematic review and meta-analysis of prospective studies
URI https://dx.doi.org/10.1093/annonc/mdr589
https://www.ncbi.nlm.nih.gov/pubmed/22234738
https://www.proquest.com/docview/1017616068
https://www.proquest.com/docview/1093470608
Volume 23
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