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Diet and Breast Cancer Videos

Marilyn Tseng, PhD, an author of this study, answers the following questions:

What makes the Shanghai population of women important to study?

What trends are emerging involving breast cancer?

What are some hypotheses as to why breast cancer rates are increasing among Shanghai women?

What is a meat-sweet diet?

What is a vegetable-soy diet?

When you looked at the eating habits of these women and then examined rates of breast cancer, what did you find?

How does this study apply to American women?

What are estrogen receptor positive cancers? Why were these subtypes of cancer important in this study?

Were diet and obesity related in this study? Did both have an effect on breast cancer?

What makes this study different from other studies examining diet?

Western Diet Linked To Increased Risk of Breast Cancer in Postmenopausal Asian Women

The findings mark the first association between a Western diet and breast cancer in Asian women.

PHILADELPHIA (July 11, 2007) — Postmenopausal Asian women who eat a "meat-sweet" or Western diet are at greater risk of developing breast cancer than those who eat a "vegetable-soy" diet, according to a new study. The findings mark the first time an association between a Western diet and breast cancer has been identified in Asian women.

The study, published in the July issue of Cancer Epidemiology, Biomarkers & Prevention, involved women in the Shanghai Breast Cancer Study. Eligible cases included all women 25 to 64 years of age who with a new diagnosis of breast cancer from August 1996 to March 1998. Controls were selected from the Shanghai Resident Registry of permanent residents in urban Shanghai.

"The issue [of diet] is of particular relevance to women in Asia, for whom breast cancer rates are traditionally low but increasing steadily in recent years," explained Marilyn Tseng, Ph.D., an associate member in the population science division at Fox Chase Cancer Center in Philadelphia.

The transition in breast cancer risk has been attributed to environmental factors, possibly the incorporation of Western dietary pattern foods into traditional dietary habits as a part of broader, societal socioeconomic changes. However, the association of dietary patterns with breast cancer risk has not been studied previously in Asian women.

Through in-person interviews with the Shanghai study participants and residents of Shanghai, researchers established the existence of two primary dietary patterns-the "meat-sweet" diet and a "vegetable-soy" diet. The "meat-sweet" diet includes various meats-primarily pork but also poultry, organ meats, beef and lamb and with saltwater fish, shrimp and other shellfish as well as candy, dessert, bread and milk. The "vegetable-soy" pattern is associated with different vegetables, soy-based products, and freshwater fish.

Of 1,602 eligible breast cancer cases identified during the study period, in-person interviews were completed for 1,459 (91.1%). In-person interviews were completed for 1,556 (90.3%) of the 1,724 eligible controls.

The "meat-sweet" pattern was significantly associated with increased risk of breast cancer among overweight postmenopausal women. Specifically, high intake of the "meat-sweet" pattern was associated with a greater than twofold increased risk of estrogen-receptor-positive (ER+) breast cancer among these women. The results showed no overall association of breast cancer risk with the "vegetable-soy" pattern.

"Our study suggests the possibility that the "meat-sweet" pattern increased breast cancer risk by increasing obesity, Tseng said. "Low consumption of a Western dietary pattern plus successful weight control may protect against breast cancer in a traditionally low-risk Asian population that is poised to more broadly adopt foods characteristic of Western societies."

Grants from the National Institutes of Health, the American Cancer Society, and the Commonwealth of Pennsylvania supported this research.

Tseng's co-authors include Xiaohui Cui at Fox Chase, a graduate student from the department of epidemiology of the Harvard School of Public Health; Yu-Tang Gao, MD, from the Shanghai Cancer Institute; and Qi Dai, MD, PhD, Xiao-Ou Shu, MD, MPH, PhD, and Wei Zheng, MD, PhD, MPH, from the School of Medicine and the Vanderbilt-Ingram Cancer Center at Vanderbilt University.


Fox Chase Cancer Center, part of the Temple University Health System, is one of the leading cancer research and treatment centers in the United States. Founded in 1904 in Philadelphia as one of the nation’s first cancer hospitals, Fox Chase was also among the first institutions to be designated a National Cancer Institute Comprehensive Cancer Center in 1974. Fox Chase researchers have won the highest awards in their fields, including two Nobel Prizes. Fox Chase physicians are also routinely recognized in national rankings, and the Center’s nursing program has received the Magnet recognition for excellence four consecutive times. Today, Fox Chase conducts a broad array of nationally competitive basic, translational, and clinical research, with special programs in cancer prevention, detection, survivorship, and community outreach.  For more information, call 1-888-FOX CHASE or (1-888-369-2427).

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