Systematic Reviews and Meta Analysis
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Effect of mediterranean diet on breast cancer: meta-analysis

Year 2024, Volume: 22 Issue: 3, 327 - 338
https://doi.org/10.20518/tjph.1526990

Abstract

Objective: In this meta-analysis, we have assessed the effects of Mediterranean Diet on breast cancer.

Methods: Case-control and cross-sectional studies were searched using PubMED, SpringerLink, and Taylor & Francis databases for inclusion in the meta-analysis. We confined our search to the studies conducted and published after year 2000. From all the included studies, geography, sample size, study design, study evaluation method, outcome, risk factors (lowest and highest limit and OR values), and 95% confidence interval data were extracted. Eleven studies with 26361 participants were included of which 10 were case-control studies and 1 was cross-sectional study.

Results: Following the analysis according to the random effects model, it was observed that compliance with the Mediterranean Diet or the high consumption amount of olive oil, seafood, whole grains, vegetables, and fruits in the Mediterranean Diet has a positive effect on breast cancer. The effect size was found to be OR 0.77 (0.68-0.88).

Conclusion: This meta-analysis, including the studies evaluating the effect of Mediterranean diet on breast cancer, concluded that the Mediterranean Diet has positive effects on breast cancer. The risk of breast cancer was found to be decreased with the increased compliance of the Mediterranean Diet.

References

  • Ferlay J, Colombet M, Soerjomataram I, et al. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int J Cancer. 2019;144(8):1941-1953.
  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of in-cidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.
  • Nindrea RD, Aryandono T, Lazuardi L. Breast cancer risk from modifiable and non-modifiable risk factors among women in Southeast Asia: a meta-analysis. Asian Pac J Cancer Prev. 2017;18(12):3201-3206.
  • Winters S, Martin C, Murphy D, Shokar NK. Breast Cancer Epidemiology, Prevention, and Screening. Prog Mol Biol Transl Sci. 2017;151:1-32.
  • Ferlay JF. GLOBOCAN 2000. Cancer incidence, mortality and prevalence worldwide, version 1.0. IARC Cancerbase. 2001.
  • Howlader N, Noone AM, Krapcho M, et al. SEER cancer statistics review, 1975–2018. National Cancer Institute. 2021.
  • Turnbull C, Rahman N. Genetic predisposition to breast cancer: past, present, and future. Annu Rev Genomics Hum Genet. 2008;9:321-345.
  • Key T, Appleby P, Barnes I, Reeves G; Endogenous Hormones and Breast Cancer Collaborative Group. Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies. J Natl Cancer Inst. 2002;94(8):606-616.
  • De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients. 2019;11(7):1514.
  • Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer. 2015;112(3):580-593.
  • Seitz HK, Pelucchi C, Bagnardi V, La Vecchia C. Epidemiology and pathophysiology of alcohol and breast cancer: Update 2012. Alcohol Alcohol. 2012;47(3):204-212.
  • American Institute for Cancer Research. Diet, Nutrition, Physical Activity and Breast Cancer. 2017. wcrf.org/breast-cancer-2017 (accessed December 7th 2017).
  • Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB. Diet and breast cancer: a review of the prospec-tive observational studies. Cancer. 2007;109(12 Suppl):2712-2749.
  • United Nations Educational, Scientific and Cultural Organization (2010). Representative list of the intangible cultural her-itage of humanity. www.unesco.org/culture/ich/index.php?lg=en&pg =00011&RL=00394 (accessed December 7th 2017).
  • Carruba G, Granata OM, Pala V, et al. A traditional Mediterranean diet decreases endogenous estrogens in healthy post-menopausal women. Nutr Cancer. 2006;56(2):253-259.
  • Wu AH, Yu MC, Tseng CC, Stanczyk FZ, Pike MC. Dietary patterns and breast cancer risk in Asian American women. Am J Clin Nutr. 2009;89(4):1145-1154.
  • Visioli F, Grande S, Bogani P, Galli C. The role of antioxidants in the mediterranean diets: focus on cancer. Eur J Cancer Prev. 2004;13(4):337-343.
  • World Cancer Research Fund, American Institute for Cancer Research. Food, nutrition, physical activity, and the preven-tion of cancer: a global perspective. Amer Inst for Cancer Research. 2007.
  • Mitjavila MT, Fandos M, Salas-Salvadó J, et al. The Mediterranean diet improves the systemic lipid and DNA oxidative damage in metabolic syndrome individuals. A randomized, controlled, trial. Clin Nutr. 2013;32(2):172-178.
  • Warleta F, Campos M, Allouche Y, et al. Squalene protects against oxidative DNA damage in MCF10A human mammary epithelial cells but not in MCF7 and MDA-MB-231 human breast cancer cells. Food Chem Toxicol. 2010;48(4):1092-1100.
  • Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74-108.
  • Buckland G, Travier N, Cottet V, et al. Adherence to the Mediterranean diet and risk of breast cancer in the European pro-spective investigation into cancer and nutrition cohort study. Int J Cancer. 2013;132(12):2918-2927.
  • Demetriou CA, Hadjisavvas A, Loizidou MA, et al. The mediterranean dietary pattern and breast cancer risk in Greek-Cypriot women: a case-control study. BMC Cancer. 2012;12:113.
  • Freeman PR. Statistical Methods for Meta-Analysis. 1986:454-454
  • Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Introduction to meta-analysis. John Wiley & Sons; 2021.
  • Cooper H, Hedges LV, Valentine JC, editors. The handbook of research synthesis and meta-analysis. Russell Sage Founda-tion; 2019.
  • Zhang CX, Ho SC, Fu JH, Cheng SZ, Chen YM, Lin FY. Dietary patterns and breast cancer risk among Chinese women. Can-cer Causes Control. 2011;22(1):115-124.
  • Bessaoud F, Daurès JP, Gerber M. Dietary factors and breast cancer risk: a case control study among a population in Southern France. Nutr Cancer. 2008;60(2):177-187.
  • Mourouti N, Kontogianni MD, Papavagelis C, et al. Adherence to the Mediterranean diet is associated with lower likeli-hood of breast cancer: a case-control study. Nutr Cancer. 2014;66(5):810-817.
  • Cottet V, Touvier M, Fournier A, et al. Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospec-tive cohort study. Am J Epidemiol. 2009;170(10):1257-1267.
  • Turati F, Carioli G, Bravi F, et al. Mediterranean Diet and Breast Cancer Risk. Nutrients. 2018;10(3):326.
  • Shelby LB, Vaske JJ. Understanding meta-analysis: A review of the methodological literature. Leis Sci. 2008;30(2):96-110.
  • Schwingshackl L, Schwedhelm C, Galbete C, Hoffmann G. Adherence to Mediterranean Diet and Risk of Cancer: An Up-dated Systematic Review and Meta-Analysis. Nutrients. 2017;9(10):1063.
  • Menendez JA, Vellon L, Colomer R, Lupu R. Oleic acid, the main monounsaturated fatty acid of olive oil, suppresses Her-2/neu (erbB-2) expression and synergistically enhances the growth inhibitory effects of trastuzumab (Herceptin) in breast cancer cells with Her-2/neu oncogene amplification. Ann Oncol. 2005;16(3):359-371.
  • García-Arenzana N, Navarrete-Muñoz EM, Lope V, et al. Calorie intake, olive oil consumption and mammographic density among Spanish women. Int J Cancer. 2014;134(8):1916-1925.
  • García-Segovia P, Sánchez-Villegas A, Doreste J, Santana F, Serra-Majem L. Olive oil consumption and risk of breast cancer in the Canary Islands: a population-based case-control study. Public Health Nutr. 2006;9(1A):163-167.
  • Sealy N, Hankinson SE, Houghton SC. Olive oil and risk of breast cancer: a systematic review and dose-response meta-analysis of observational studies. Br J Nutr. 2021;125(10):1148-1156.
  • Zheng JS, Hu XJ, Zhao YM, Yang J, Li D. Intake of fish and marine n-3 polyunsaturated fatty acids and risk of breast cancer: meta-analysis of data from 21 independent prospective cohort studies. BMJ. 2013;346:f3706.
  • Manson JE, Cook NR, Lee IM, et al. Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer. N Engl J Med. 2019;380(1):23-32.
  • Kim J, Lim SY, Shin A, et al. Fatty fish and fish omega-3 fatty acid intakes decrease the breast cancer risk: a case-control study. BMC Cancer. 2009;9:216.
  • Mourouti N, Kontogianni MD, Papavagelis C, et al. Whole Grain Consumption and Breast Cancer: A Case-Control Study in Women. J Am Coll Nutr. 2016;35(2):143-149.
  • Castelló A, Pollán M, Buijsse B, et al. Spanish Mediterranean diet and other dietary patterns and breast cancer risk: case-control EpiGEICAM study. Br J Cancer. 2014;111(7):1454-1462.
  • Castelló A, Ascunce N, Salas-Trejo D, et al. Association between western and mediterranean dietary patterns and mam-mographic density. Obstet Gynecol. 2016;128(3):574-581.
  • Buck K, Vrieling A, Flesch-Janys D, Chang-Claude J. Dietary patterns and the risk of postmenopausal breast cancer in a German case-control study. Cancer Causes Control. 2011;22(2):273-282.
  • Schwingshackl L, Hoffmann G. Adherence to Mediterranean diet and risk of cancer: a systematic review and meta-analysis of observational studies. Int J Cancer. 2014;135(8):1884-1897.
  • Khodarahmi M, Azadbakht L. The association between different kinds of fat intake and breast cancer risk in women. Int J Prev Med. 2014;5(1):6-15.
  • Cho YA, Kim J, Shin A, Park KS, Ro J. Dietary patterns and breast cancer risk in Korean women. Nutr Cancer. 2010;62(8):1161-1169.
  • van den Brandt PA, Schulpen M. Mediterranean diet adherence and risk of postmenopausal breast cancer: results of a cohort study and meta-analysis. Int J Cancer. 2017;140(10):2220-2231.
  • Voevodina O, Billich C, Arand B, Nagel G. Association of Mediterranean diet, dietary supplements and alcohol consump-tion with breast density among women in South Germany: a cross-sectional study. BMC Public Health. 2013;13:203.
Year 2024, Volume: 22 Issue: 3, 327 - 338
https://doi.org/10.20518/tjph.1526990

Abstract

References

  • Ferlay J, Colombet M, Soerjomataram I, et al. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int J Cancer. 2019;144(8):1941-1953.
  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of in-cidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.
  • Nindrea RD, Aryandono T, Lazuardi L. Breast cancer risk from modifiable and non-modifiable risk factors among women in Southeast Asia: a meta-analysis. Asian Pac J Cancer Prev. 2017;18(12):3201-3206.
  • Winters S, Martin C, Murphy D, Shokar NK. Breast Cancer Epidemiology, Prevention, and Screening. Prog Mol Biol Transl Sci. 2017;151:1-32.
  • Ferlay JF. GLOBOCAN 2000. Cancer incidence, mortality and prevalence worldwide, version 1.0. IARC Cancerbase. 2001.
  • Howlader N, Noone AM, Krapcho M, et al. SEER cancer statistics review, 1975–2018. National Cancer Institute. 2021.
  • Turnbull C, Rahman N. Genetic predisposition to breast cancer: past, present, and future. Annu Rev Genomics Hum Genet. 2008;9:321-345.
  • Key T, Appleby P, Barnes I, Reeves G; Endogenous Hormones and Breast Cancer Collaborative Group. Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies. J Natl Cancer Inst. 2002;94(8):606-616.
  • De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients. 2019;11(7):1514.
  • Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer. 2015;112(3):580-593.
  • Seitz HK, Pelucchi C, Bagnardi V, La Vecchia C. Epidemiology and pathophysiology of alcohol and breast cancer: Update 2012. Alcohol Alcohol. 2012;47(3):204-212.
  • American Institute for Cancer Research. Diet, Nutrition, Physical Activity and Breast Cancer. 2017. wcrf.org/breast-cancer-2017 (accessed December 7th 2017).
  • Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB. Diet and breast cancer: a review of the prospec-tive observational studies. Cancer. 2007;109(12 Suppl):2712-2749.
  • United Nations Educational, Scientific and Cultural Organization (2010). Representative list of the intangible cultural her-itage of humanity. www.unesco.org/culture/ich/index.php?lg=en&pg =00011&RL=00394 (accessed December 7th 2017).
  • Carruba G, Granata OM, Pala V, et al. A traditional Mediterranean diet decreases endogenous estrogens in healthy post-menopausal women. Nutr Cancer. 2006;56(2):253-259.
  • Wu AH, Yu MC, Tseng CC, Stanczyk FZ, Pike MC. Dietary patterns and breast cancer risk in Asian American women. Am J Clin Nutr. 2009;89(4):1145-1154.
  • Visioli F, Grande S, Bogani P, Galli C. The role of antioxidants in the mediterranean diets: focus on cancer. Eur J Cancer Prev. 2004;13(4):337-343.
  • World Cancer Research Fund, American Institute for Cancer Research. Food, nutrition, physical activity, and the preven-tion of cancer: a global perspective. Amer Inst for Cancer Research. 2007.
  • Mitjavila MT, Fandos M, Salas-Salvadó J, et al. The Mediterranean diet improves the systemic lipid and DNA oxidative damage in metabolic syndrome individuals. A randomized, controlled, trial. Clin Nutr. 2013;32(2):172-178.
  • Warleta F, Campos M, Allouche Y, et al. Squalene protects against oxidative DNA damage in MCF10A human mammary epithelial cells but not in MCF7 and MDA-MB-231 human breast cancer cells. Food Chem Toxicol. 2010;48(4):1092-1100.
  • Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74-108.
  • Buckland G, Travier N, Cottet V, et al. Adherence to the Mediterranean diet and risk of breast cancer in the European pro-spective investigation into cancer and nutrition cohort study. Int J Cancer. 2013;132(12):2918-2927.
  • Demetriou CA, Hadjisavvas A, Loizidou MA, et al. The mediterranean dietary pattern and breast cancer risk in Greek-Cypriot women: a case-control study. BMC Cancer. 2012;12:113.
  • Freeman PR. Statistical Methods for Meta-Analysis. 1986:454-454
  • Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Introduction to meta-analysis. John Wiley & Sons; 2021.
  • Cooper H, Hedges LV, Valentine JC, editors. The handbook of research synthesis and meta-analysis. Russell Sage Founda-tion; 2019.
  • Zhang CX, Ho SC, Fu JH, Cheng SZ, Chen YM, Lin FY. Dietary patterns and breast cancer risk among Chinese women. Can-cer Causes Control. 2011;22(1):115-124.
  • Bessaoud F, Daurès JP, Gerber M. Dietary factors and breast cancer risk: a case control study among a population in Southern France. Nutr Cancer. 2008;60(2):177-187.
  • Mourouti N, Kontogianni MD, Papavagelis C, et al. Adherence to the Mediterranean diet is associated with lower likeli-hood of breast cancer: a case-control study. Nutr Cancer. 2014;66(5):810-817.
  • Cottet V, Touvier M, Fournier A, et al. Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospec-tive cohort study. Am J Epidemiol. 2009;170(10):1257-1267.
  • Turati F, Carioli G, Bravi F, et al. Mediterranean Diet and Breast Cancer Risk. Nutrients. 2018;10(3):326.
  • Shelby LB, Vaske JJ. Understanding meta-analysis: A review of the methodological literature. Leis Sci. 2008;30(2):96-110.
  • Schwingshackl L, Schwedhelm C, Galbete C, Hoffmann G. Adherence to Mediterranean Diet and Risk of Cancer: An Up-dated Systematic Review and Meta-Analysis. Nutrients. 2017;9(10):1063.
  • Menendez JA, Vellon L, Colomer R, Lupu R. Oleic acid, the main monounsaturated fatty acid of olive oil, suppresses Her-2/neu (erbB-2) expression and synergistically enhances the growth inhibitory effects of trastuzumab (Herceptin) in breast cancer cells with Her-2/neu oncogene amplification. Ann Oncol. 2005;16(3):359-371.
  • García-Arenzana N, Navarrete-Muñoz EM, Lope V, et al. Calorie intake, olive oil consumption and mammographic density among Spanish women. Int J Cancer. 2014;134(8):1916-1925.
  • García-Segovia P, Sánchez-Villegas A, Doreste J, Santana F, Serra-Majem L. Olive oil consumption and risk of breast cancer in the Canary Islands: a population-based case-control study. Public Health Nutr. 2006;9(1A):163-167.
  • Sealy N, Hankinson SE, Houghton SC. Olive oil and risk of breast cancer: a systematic review and dose-response meta-analysis of observational studies. Br J Nutr. 2021;125(10):1148-1156.
  • Zheng JS, Hu XJ, Zhao YM, Yang J, Li D. Intake of fish and marine n-3 polyunsaturated fatty acids and risk of breast cancer: meta-analysis of data from 21 independent prospective cohort studies. BMJ. 2013;346:f3706.
  • Manson JE, Cook NR, Lee IM, et al. Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer. N Engl J Med. 2019;380(1):23-32.
  • Kim J, Lim SY, Shin A, et al. Fatty fish and fish omega-3 fatty acid intakes decrease the breast cancer risk: a case-control study. BMC Cancer. 2009;9:216.
  • Mourouti N, Kontogianni MD, Papavagelis C, et al. Whole Grain Consumption and Breast Cancer: A Case-Control Study in Women. J Am Coll Nutr. 2016;35(2):143-149.
  • Castelló A, Pollán M, Buijsse B, et al. Spanish Mediterranean diet and other dietary patterns and breast cancer risk: case-control EpiGEICAM study. Br J Cancer. 2014;111(7):1454-1462.
  • Castelló A, Ascunce N, Salas-Trejo D, et al. Association between western and mediterranean dietary patterns and mam-mographic density. Obstet Gynecol. 2016;128(3):574-581.
  • Buck K, Vrieling A, Flesch-Janys D, Chang-Claude J. Dietary patterns and the risk of postmenopausal breast cancer in a German case-control study. Cancer Causes Control. 2011;22(2):273-282.
  • Schwingshackl L, Hoffmann G. Adherence to Mediterranean diet and risk of cancer: a systematic review and meta-analysis of observational studies. Int J Cancer. 2014;135(8):1884-1897.
  • Khodarahmi M, Azadbakht L. The association between different kinds of fat intake and breast cancer risk in women. Int J Prev Med. 2014;5(1):6-15.
  • Cho YA, Kim J, Shin A, Park KS, Ro J. Dietary patterns and breast cancer risk in Korean women. Nutr Cancer. 2010;62(8):1161-1169.
  • van den Brandt PA, Schulpen M. Mediterranean diet adherence and risk of postmenopausal breast cancer: results of a cohort study and meta-analysis. Int J Cancer. 2017;140(10):2220-2231.
  • Voevodina O, Billich C, Arand B, Nagel G. Association of Mediterranean diet, dietary supplements and alcohol consump-tion with breast density among women in South Germany: a cross-sectional study. BMC Public Health. 2013;13:203.
There are 49 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Systematic Reviews and Meta Analysis
Authors

Ülkü Demirci 0000-0002-2842-920X

Rabia Melda Karaağaç 0000-0003-2022-2404

Çağla Pınarlı Falakacılar 0000-0002-8733-8148

Ayşegül Yıldırım Kaptanoğlu 0000-0001-6030-5824

Early Pub Date December 8, 2024
Publication Date
Submission Date August 2, 2024
Acceptance Date November 8, 2024
Published in Issue Year 2024 Volume: 22 Issue: 3

Cite

APA Demirci, Ü., Karaağaç, R. M., Pınarlı Falakacılar, Ç., Yıldırım Kaptanoğlu, A. (2024). Effect of mediterranean diet on breast cancer: meta-analysis. Turkish Journal of Public Health, 22(3), 327-338. https://doi.org/10.20518/tjph.1526990
AMA Demirci Ü, Karaağaç RM, Pınarlı Falakacılar Ç, Yıldırım Kaptanoğlu A. Effect of mediterranean diet on breast cancer: meta-analysis. TJPH. December 2024;22(3):327-338. doi:10.20518/tjph.1526990
Chicago Demirci, Ülkü, Rabia Melda Karaağaç, Çağla Pınarlı Falakacılar, and Ayşegül Yıldırım Kaptanoğlu. “Effect of Mediterranean Diet on Breast Cancer: Meta-Analysis”. Turkish Journal of Public Health 22, no. 3 (December 2024): 327-38. https://doi.org/10.20518/tjph.1526990.
EndNote Demirci Ü, Karaağaç RM, Pınarlı Falakacılar Ç, Yıldırım Kaptanoğlu A (December 1, 2024) Effect of mediterranean diet on breast cancer: meta-analysis. Turkish Journal of Public Health 22 3 327–338.
IEEE Ü. Demirci, R. M. Karaağaç, Ç. Pınarlı Falakacılar, and A. Yıldırım Kaptanoğlu, “Effect of mediterranean diet on breast cancer: meta-analysis”, TJPH, vol. 22, no. 3, pp. 327–338, 2024, doi: 10.20518/tjph.1526990.
ISNAD Demirci, Ülkü et al. “Effect of Mediterranean Diet on Breast Cancer: Meta-Analysis”. Turkish Journal of Public Health 22/3 (December 2024), 327-338. https://doi.org/10.20518/tjph.1526990.
JAMA Demirci Ü, Karaağaç RM, Pınarlı Falakacılar Ç, Yıldırım Kaptanoğlu A. Effect of mediterranean diet on breast cancer: meta-analysis. TJPH. 2024;22:327–338.
MLA Demirci, Ülkü et al. “Effect of Mediterranean Diet on Breast Cancer: Meta-Analysis”. Turkish Journal of Public Health, vol. 22, no. 3, 2024, pp. 327-38, doi:10.20518/tjph.1526990.
Vancouver Demirci Ü, Karaağaç RM, Pınarlı Falakacılar Ç, Yıldırım Kaptanoğlu A. Effect of mediterranean diet on breast cancer: meta-analysis. TJPH. 2024;22(3):327-38.

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