Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies

Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and...

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Published inBreast cancer research and treatment Vol. 134; no. 2; pp. 479 - 493
Main Authors Aune, D., Chan, D. S. M., Vieira, A. R., Rosenblatt, D. A. Navarro, Vieira, R., Greenwood, D. C., Norat, T.
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.07.2012
Springer
Springer Nature B.V
Subjects
Biological and medical sciences
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer
Cancer research
Diet
Dose-response effects
Female
Fruit
Fruit - adverse effects
Fruits
Gynecology. Andrology. Obstetrics
Health aspects
Humans
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Prospective Studies
Review
Reviews
Risk Factors
Systematic review
Tumors
Vegetables
Vegetables - adverse effects
Systematic review
Breast cancer
Vegetables
Fruits
Meta-analysis
Breast disease
Fruit
Nutrition
Malignant tumor
Review
Feeding
Metaanalysis
Prospective
Mammary gland diseases
Diet
Risk factor
Cancer
Food
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Abstract Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80–0.99, I 2  = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86–0.98, I 2  = 9 %) for fruits, and 0.99 (95 % CI: 0.92–1.06, I 2  = 20 %) for vegetables. In dose–response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93–1.00, I 2  = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89–1.00, I 2  = 39 %) for fruits, and 1.00 (95 % CI: 0.95–1.06, I 2  = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
AbstractList Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80-0.99, I (2) = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86-0.98, I (2) = 9 %) for fruits, and 0.99 (95 % CI: 0.92-1.06, I (2) = 20 %) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93-1.00, I (2) = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89-1.00, I (2) = 39 %) for fruits, and 1.00 (95 % CI: 0.95-1.06, I (2) = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80-0.99, I (2) = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86-0.98, I (2) = 9 %) for fruits, and 0.99 (95 % CI: 0.92-1.06, I (2) = 20 %) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93-1.00, I (2) = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89-1.00, I (2) = 39 %) for fruits, and 1.00 (95 % CI: 0.95-1.06, I (2) = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80-0.99, I super(2) = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86-0.98, I super(2) = 9 %) for fruits, and 0.99 (95 % CI: 0.92-1.06, I super(2) = 20 %) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93-1.00, I super(2) = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89-1.00, I super(2) = 39 %) for fruits, and 1.00 (95 % CI: 0.95-1.06, I super(2) = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95% confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95% CI: 0.80-0.99, [I.sup.2] = 0%) for fruits and vegetables combined, 0.92 (95% CI: 0.86-0.98, [I.sup.2] = 9%) for fruits, and 0.99 (95% CI: 0.92-1.06, [I.sup.2] = 20%) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95% CI: 0.93-1.00, [I.sup.2] = 2%) for fruits and vegetables combined, 0.94 (95% CI: 0.89-1.00, [I.sup.2] = 39%) for fruits, and 1.00 (95% CI: 0.95-1.06, [I.sup.2] = 17%) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer. Keywords Fruits * Vegetables * Breast cancer * Systematic review * Meta-analysis
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95% confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95% CI: 0.80-0.99, [I.sup.2] = 0%) for fruits and vegetables combined, 0.92 (95% CI: 0.86-0.98, [I.sup.2] = 9%) for fruits, and 0.99 (95% CI: 0.92-1.06, [I.sup.2] = 20%) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95% CI: 0.93-1.00, [I.sup.2] = 2%) for fruits and vegetables combined, 0.94 (95% CI: 0.89-1.00, [I.sup.2] = 39%) for fruits, and 1.00 (95% CI: 0.95-1.06, [I.sup.2] = 17%) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80-0.99, I ^sup 2^ = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86-0.98, I ^sup 2^ = 9 %) for fruits, and 0.99 (95 % CI: 0.92-1.06, I ^sup 2^ = 20 %) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93-1.00, I ^sup 2^ = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89-1.00, I ^sup 2^ = 39 %) for fruits, and 1.00 (95 % CI: 0.95-1.06, I ^sup 2^ = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.[PUBLICATION ABSTRACT]
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80-0.99, I (2) = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86-0.98, I (2) = 9 %) for fruits, and 0.99 (95 % CI: 0.92-1.06, I (2) = 20 %) for vegetables. In dose-response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93-1.00, I (2) = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89-1.00, I (2) = 39 %) for fruits, and 1.00 (95 % CI: 0.95-1.06, I (2) = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic review and meta-analysis of the evidence from prospective studies. We searched PubMed for prospective studies of fruit and vegetable intake and breast cancer risk until April 30, 2011. We included fifteen prospective studies that reported relative risk estimates and 95 % confidence intervals (CIs) of breast cancer associated with fruit and vegetable intake. Random effects models were used to estimate summary relative risks. The summary relative risk (RR) for the highest versus the lowest intake was 0.89 (95 % CI: 0.80–0.99, I 2  = 0 %) for fruits and vegetables combined, 0.92 (95 % CI: 0.86–0.98, I 2  = 9 %) for fruits, and 0.99 (95 % CI: 0.92–1.06, I 2  = 20 %) for vegetables. In dose–response analyses, the summary RR per 200 g/day was 0.96 (95 % CI: 0.93–1.00, I 2  = 2 %) for fruits and vegetables combined, 0.94 (95 % CI: 0.89–1.00, I 2  = 39 %) for fruits, and 1.00 (95 % CI: 0.95–1.06, I 2  = 17 %) for vegetables. In this meta-analysis of prospective studies, high intake of fruits, and fruits and vegetables combined, but not vegetables, is associated with a weak reduction in risk of breast cancer.
Audience Academic
Author Vieira, R.
Aune, D.
Greenwood, D. C.
Vieira, A. R.
Norat, T.
Chan, D. S. M.
Rosenblatt, D. A. Navarro
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  givenname: D. A. Navarro
  surname: Rosenblatt
  fullname: Rosenblatt, D. A. Navarro
  organization: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London
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  organization: Biostatistics Unit, Centre for Epidemiology and Biostatistics, University of Leeds
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  surname: Norat
  fullname: Norat, T.
  organization: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London
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https://www.ncbi.nlm.nih.gov/pubmed/22706630$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Springer Science+Business Media, LLC. 2012
2015 INIST-CNRS
COPYRIGHT 2012 Springer
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Issue 2
Keywords Systematic review
Breast cancer
Vegetables
Fruits
Meta-analysis
Breast disease
Fruit
Nutrition
Malignant tumor
Review
Feeding
Metaanalysis
Prospective
Mammary gland diseases
Diet
Risk factor
Cancer
Food
Language English
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CC BY 4.0
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PublicationDate 2012-07-01
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  day: 01
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PublicationTitle Breast cancer research and treatment
PublicationTitleAbbrev Breast Cancer Res Treat
PublicationTitleAlternate Breast Cancer Res Treat
PublicationYear 2012
Publisher Springer US
Springer
Springer Nature B.V
Publisher_xml – name: Springer US
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Snippet Evidence for an association between fruit and vegetable intake and breast cancer risk is inconclusive. To clarify the association, we conducted a systematic...
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SubjectTerms Biological and medical sciences
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer
Cancer research
Diet
Dose-response effects
Female
Fruit
Fruit - adverse effects
Fruits
Gynecology. Andrology. Obstetrics
Health aspects
Humans
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Prospective Studies
Review
Reviews
Risk Factors
Systematic review
Tumors
Vegetables
Vegetables - adverse effects
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Title Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies
URI https://link.springer.com/article/10.1007/s10549-012-2118-1
https://www.ncbi.nlm.nih.gov/pubmed/22706630
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Volume 134
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