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ARTICLE |

High-Fat Diets and Breast Cancer Risk: Title and subTitle BreakThe Epidemiologic Evidence FREE

Geoffrey R. Howe, PhD
[+] Author Affiliations

Reprint requests to NCIC Epidemiology Unit, University of Toronto, McMurrich Building, 12 Queen's Park Crescent W, Toronto, Ontario, Canada M5S 1A8 (Dr Howe).


JAMA. 1992;268(15):2080-2081. doi:10.1001/jama.1992.03490150132039
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Breast cancer is one of the major public health problems for women in the United States—currently a woman has an average lifetime probability of about 10% of developing the disease. In terms of its etiology, although breast cancer is among the most widely studied of cancers, risk factors that have been identified to date, such as late age at first full-term pregnancy, are not readily amenable to modification and hence prevention. This has served to focus both public and scientific attention on the hypothesis that high dietary fat intake increases risk of breast cancer. Thus, the latest results addressing this hypothesis from the US Nurses' Health Study, which are reported in this issue of THE Journal,1 are of considerable interest.

See also p 2037.

Three types of epidemiologic studies have provided evidence on the postulated association between fat intake and breast cancer risk. Ecologic studies have shown that there

REFERENCES

Willett WC, Hunter DJ, Stampfer MJ, et al.  Dietary fat and fiber in relation to risk of breast cancer: an 8-year follow-up. JAMA . 1992;;268:2037-2044.
Prentice RL, Sheppard L.  Dietary fat and cancer: consistency of the epidemiology data, and disease prevention that may follow from a practical reduction in fat consumption. Cancer Causes Control . 1990;;1:81-97.
Howe GR, Hirohata T, Hislop TG, et al.  Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst . 1990;;82:561-569.
Graham S, Marshall J, Mettlin C, et al.  Diet in the epidemiology of breast cancer. Am J Epidemiol . 1982;;116:68-75.
Ewertz M, Caroline G.  Dietary factors and breast cancer risk in Denmark. Int J Epidemiol . 1990;;46:779-784.
Van't Veer P, Kok FJ, Brants HAM, et al.  Dietary fat and the risk of breast cancer. Int J Epidemiol . 1990;;19:12-18.
Graham S, Hellman R, Marshall J, et al.  Nutritional epidemiology of postmenopausal breast cancer in Western New York. Am J Epidemiol . 1991;;134:552-566.
Giovannucci E, Stampfer MJ, Colditz GA, et al.  A comparison of prospective and retrospective assessments of diet in the study of breast cancer. Am J Epidemiol . 1991;;134:714. Abstract.
Friedenreich CM, Howe GR, Miller AB.  The effect of recall bias on the association of calorie-providing nutrients and breast cancer. Epidemiology . 1991;;2:424-429.
Jones DY, Schatzkin A, Green SB, et al.  Dietary fat and breast cancer in the National Health and Nutrition Examination Survey I epidemiologic follow-up study. J Natl Cancer Inst . 1987;;79:465-471.
Knekt P, Albanes D, Seppanen R, et al.  Dietary fat and risk of breast cancer. Am J Clin Nutr . 1990;;52:903-908.
Howe GR, Friedenreich CM, Jain M, et al.  A cohort study of fat intake and risk of breast cancer. J Natl Cancer Inst . 1991;;83:336-340.
Kushi LH, Sellers TA, Potter JG, et al.  Dietary fat, breast cancer, adjustment for energy intake and categorization of risk. Am J Epidemiol . 1991;;134:714. Abstract.
Cancer Facts and Figures 1992 . Atlanta, Ga: American Cancer Society; 1992;.
Committee on Diet and Health, National Research Council. Implications for Reducing Chronic Disease Risk . Washington, DC: National Academy Press; 1989;.

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Willett WC, Hunter DJ, Stampfer MJ, et al.  Dietary fat and fiber in relation to risk of breast cancer: an 8-year follow-up. JAMA . 1992;;268:2037-2044.
Prentice RL, Sheppard L.  Dietary fat and cancer: consistency of the epidemiology data, and disease prevention that may follow from a practical reduction in fat consumption. Cancer Causes Control . 1990;;1:81-97.
Howe GR, Hirohata T, Hislop TG, et al.  Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst . 1990;;82:561-569.
Graham S, Marshall J, Mettlin C, et al.  Diet in the epidemiology of breast cancer. Am J Epidemiol . 1982;;116:68-75.
Ewertz M, Caroline G.  Dietary factors and breast cancer risk in Denmark. Int J Epidemiol . 1990;;46:779-784.
Van't Veer P, Kok FJ, Brants HAM, et al.  Dietary fat and the risk of breast cancer. Int J Epidemiol . 1990;;19:12-18.
Graham S, Hellman R, Marshall J, et al.  Nutritional epidemiology of postmenopausal breast cancer in Western New York. Am J Epidemiol . 1991;;134:552-566.
Giovannucci E, Stampfer MJ, Colditz GA, et al.  A comparison of prospective and retrospective assessments of diet in the study of breast cancer. Am J Epidemiol . 1991;;134:714. Abstract.
Friedenreich CM, Howe GR, Miller AB.  The effect of recall bias on the association of calorie-providing nutrients and breast cancer. Epidemiology . 1991;;2:424-429.
Jones DY, Schatzkin A, Green SB, et al.  Dietary fat and breast cancer in the National Health and Nutrition Examination Survey I epidemiologic follow-up study. J Natl Cancer Inst . 1987;;79:465-471.
Knekt P, Albanes D, Seppanen R, et al.  Dietary fat and risk of breast cancer. Am J Clin Nutr . 1990;;52:903-908.
Howe GR, Friedenreich CM, Jain M, et al.  A cohort study of fat intake and risk of breast cancer. J Natl Cancer Inst . 1991;;83:336-340.
Kushi LH, Sellers TA, Potter JG, et al.  Dietary fat, breast cancer, adjustment for energy intake and categorization of risk. Am J Epidemiol . 1991;;134:714. Abstract.
Cancer Facts and Figures 1992 . Atlanta, Ga: American Cancer Society; 1992;.
Committee on Diet and Health, National Research Council. Implications for Reducing Chronic Disease Risk . Washington, DC: National Academy Press; 1989;.
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