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Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

Identifieur interne : 002645 ( PubMed/Curation ); précédent : 002644; suivant : 002646

Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

Auteurs : Cecilie Kyr [Danemark] ; Raul Zamora-Ros [France] ; Augustin Scalbert [France] ; Anne Tj Nneland [Danemark] ; Laure Dossus [France] ; Christoffer Johansen [Danemark] ; Pernille Envold Bidstrup [Danemark] ; Elisabete Weiderpass [Norvège] ; Jane Christensen [Danemark] ; Heather Ward [Royaume-Uni] ; Dagfinn Aune [Royaume-Uni] ; Elio Riboli [Royaume-Uni] ; Mathilde His [France] ; Françoise Clavel-Chapelon [France] ; Laura Baglietto [France] ; Verena Katzke [Allemagne] ; Tilman Kühn [Allemagne] ; Heiner Boeing [Allemagne] ; Anna Floegel [Allemagne] ; Kim Overvad [Danemark] ; Cristina Lasheras [Espagne] ; Noémie Travier [Espagne] ; Maria-José Sánchez [Espagne] ; Pilar Amiano [Espagne] ; Maria-Dolores Chirlaque [Espagne] ; Eva Ardanaz [Espagne] ; Kay-Tee Khaw [Royaume-Uni] ; Nick Wareham [Royaume-Uni] ; Aurora Perez-Cornago [Royaume-Uni] ; Antonia Trichopoulou [Grèce] ; Pagona Lagiou [Grèce] ; Effie Vasilopoulou [Grèce] ; Giovanna Masala [Italie] ; Sara Grioni [Italie] ; Franco Berrino [Italie] ; Rosario Tumino [Italie] ; Carlotta Sacerdote [Italie] ; Amalia Mattiello [Italie] ; H Bas Bueno-De-Mesquita [Royaume-Uni] ; Petra H. Peeters [Royaume-Uni] ; Carla Van Gils [Pays-Bas] ; Signe Borgquist [Suède] ; Salma Butt [Suède] ; Anne Zeleniuch-Jacquotte [États-Unis] ; Malin Sund [Suède] ; Anette Hjart Ker [Norvège] ; Guri Skeie [Norvège] ; Anja Olsen [Danemark] ; Isabelle Romieu [France]

Source :

RBID : pubmed:26531755

Descripteurs français

English descriptors

Abstract

The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.

DOI: 10.1007/s10549-015-3595-9
PubMed: 26531755

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pubmed:26531755

Le document en format XML

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<name sortKey="Bidstrup, Pernille Envold" sort="Bidstrup, Pernille Envold" uniqKey="Bidstrup P" first="Pernille Envold" last="Bidstrup">Pernille Envold Bidstrup</name>
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<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
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<nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
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<name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
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<name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="His, Mathilde" sort="His, Mathilde" uniqKey="His M" first="Mathilde" last="His">Mathilde His</name>
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<name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
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<name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
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<name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
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<name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
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<name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
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<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea>
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<name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
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<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea>
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<name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
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<nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus</wicri:regionArea>
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<name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
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<nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
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<nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
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<name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
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<name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
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<wicri:regionArea>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
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<name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
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<nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, University of Cambridge, Cambridge</wicri:regionArea>
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<name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
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<nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
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<name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
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<nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford</wicri:regionArea>
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<author>
<name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hellenic Health Foundation, Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<author>
<name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<author>
<name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
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<nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence</wicri:regionArea>
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<author>
<name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan</wicri:regionArea>
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<name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan</wicri:regionArea>
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<name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
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<nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa</wicri:regionArea>
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<author>
<name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
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<nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin</wicri:regionArea>
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</author>
<author>
<name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
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<nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples</wicri:regionArea>
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<author>
<name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peeters, Petra H" sort="Peeters, Petra H" uniqKey="Peeters P" first="Petra H" last="Peeters">Petra H. Peeters</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van Gils, Carla" sort="Van Gils, Carla" uniqKey="Van Gils C" first="Carla" last="Van Gils">Carla Van Gils</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht</wicri:regionArea>
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<nlm:affiliation>Department of Population Health, NYU School of Medicine, New York, NY, USA.</nlm:affiliation>
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<country xml:lang="fr">Norvège</country>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
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<title xml:lang="en">Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</title>
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<name sortKey="Kyr, Cecilie" sort="Kyr, Cecilie" uniqKey="Kyr C" first="Cecilie" last="Kyr">Cecilie Kyr</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</nlm:affiliation>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>International Agency for Research on Cancer (WHO-IARC), Lyon</wicri:regionArea>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>International Agency for Research on Cancer (WHO-IARC), Lyon</wicri:regionArea>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
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<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen</wicri:regionArea>
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<name sortKey="Bidstrup, Pernille Envold" sort="Bidstrup, Pernille Envold" uniqKey="Bidstrup P" first="Pernille Envold" last="Bidstrup">Pernille Envold Bidstrup</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen</wicri:regionArea>
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<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
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<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø</wicri:regionArea>
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<name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen</wicri:regionArea>
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<name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
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<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London</wicri:regionArea>
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<name sortKey="Aune, Dagfinn" sort="Aune, Dagfinn" uniqKey="Aune D" first="Dagfinn" last="Aune">Dagfinn Aune</name>
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<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London</wicri:regionArea>
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<name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London</wicri:regionArea>
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<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif</wicri:regionArea>
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<author>
<name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
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<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif</wicri:regionArea>
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<author>
<name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
<affiliation wicri:level="1">
<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif</wicri:regionArea>
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<author>
<name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
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<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg</wicri:regionArea>
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<author>
<name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
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<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg</wicri:regionArea>
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<author>
<name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea>
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<name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
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<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal</wicri:regionArea>
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<name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
<affiliation wicri:level="1">
<nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus</wicri:regionArea>
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<name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
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<nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias</wicri:regionArea>
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<author>
<name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
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<nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona</wicri:regionArea>
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<name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
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<nlm:affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada</wicri:regionArea>
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<name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
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<name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
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<name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid</wicri:regionArea>
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<author>
<name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Public Health and Primary Care, University of Cambridge, Cambridge</wicri:regionArea>
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<author>
<name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
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<nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>MRC Epidemiology Unit, University of Cambridge, Cambridge</wicri:regionArea>
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<author>
<name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
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<nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford</wicri:regionArea>
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<name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hellenic Health Foundation, Athens</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hellenic Health Foundation, Athens</wicri:regionArea>
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<author>
<name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Hellenic Health Foundation, Athens</wicri:regionArea>
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<author>
<name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
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<nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
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<nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
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<nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin</wicri:regionArea>
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<name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
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<nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples</wicri:regionArea>
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<name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
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<name sortKey="Olsen, Anja" sort="Olsen, Anja" uniqKey="Olsen A" first="Anja" last="Olsen">Anja Olsen</name>
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<name sortKey="Romieu, Isabelle" sort="Romieu, Isabelle" uniqKey="Romieu I" first="Isabelle" last="Romieu">Isabelle Romieu</name>
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<title level="j">Breast cancer research and treatment</title>
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<term>Adult</term>
<term>Aged</term>
<term>Biomarkers, Tumor</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (etiology)</term>
<term>Breast Neoplasms (mortality)</term>
<term>Diet</term>
<term>Dietary Supplements</term>
<term>Europe (epidemiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Life Style</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Nutrition Surveys</term>
<term>Polyphenols (administration & dosage)</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Compléments alimentaires</term>
<term>Enquêtes de santé</term>
<term>Enquêtes nutritionnelles</term>
<term>Europe (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grading des tumeurs</term>
<term>Humains</term>
<term>Marqueurs biologiques tumoraux</term>
<term>Mode de vie</term>
<term>Modèles de hasards proportionnels</term>
<term>Mortalité</term>
<term>Polyphénols (administration et posologie)</term>
<term>Régime alimentaire</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
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<term>Tumeurs du sein (mortalité)</term>
<term>Tumeurs du sein (épidémiologie)</term>
<term>Tumeurs du sein (étiologie)</term>
<term>Études de suivi</term>
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<term>Polyphenols</term>
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<term>Breast Neoplasms</term>
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<term>Breast Neoplasms</term>
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<term>Tumeurs du sein</term>
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<term>Europe</term>
<term>Tumeurs du sein</term>
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<term>Tumeurs du sein</term>
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<term>Adult</term>
<term>Aged</term>
<term>Diet</term>
<term>Dietary Supplements</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Life Style</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
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<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
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<term>Enquêtes de santé</term>
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<term>Facteurs de risque</term>
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<term>Grading des tumeurs</term>
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<term>Marqueurs biologiques tumoraux</term>
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<term>Mortalité</term>
<term>Régime alimentaire</term>
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<front>
<div type="abstract" xml:lang="en">The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</div>
</front>
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<PMID Version="1">26531755</PMID>
<DateCreated>
<Year>2015</Year>
<Month>11</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>11</Month>
<Day>10</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1573-7217</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>154</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2015</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Breast cancer research and treatment</Title>
<ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation>
</Journal>
<ArticleTitle>Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</ArticleTitle>
<Pagination>
<MedlinePgn>389-401</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s10549-015-3595-9</ELocationID>
<Abstract>
<AbstractText>The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</AbstractText>
</Abstract>
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<ForeName>Cecilie</ForeName>
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<Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France. ceciliek@cancer.dk.</Affiliation>
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<AffiliationInfo>
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<Affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Research, Cancer Registry of Norway, Institute of Population Based Cancer Research, Oslo, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
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<AffiliationInfo>
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<AffiliationInfo>
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<AffiliationInfo>
<Affiliation>Cancer Epidemiology Centre, Cancer Council of Victoria, Melbourne, VIC, Australia.</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia, Spain.</Affiliation>
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