Proanthocyanidins and other flavonoids in relation to endometrial cancer risk: a case–control study in Italy
Identifieur interne : 001F27 ( Main/Exploration ); précédent : 001F26; suivant : 001F28Proanthocyanidins and other flavonoids in relation to endometrial cancer risk: a case–control study in Italy
Auteurs : M. Rossi [Italie] ; V. Edefonti [Italie] ; M. Parpinel [Italie] ; P. Lagiou [Grèce, États-Unis] ; M. Franchi [Italie] ; M. Ferraroni [Italie] ; A. Decarli [Italie] ; A. Zucchetto [Italie] ; D. Serraino [Italie] ; L. Dal Maso [Italie] ; E. Negri [Italie] ; C. La Vecchia [Italie]Source :
- British Journal of Cancer [ 0007-0920 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Anthocyanes (administration et posologie), Comportement alimentaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Flavanones (administration et posologie), Flavones (administration et posologie), Flavonols (administration et posologie), Humains, Isoflavones (administration et posologie), Italie, Jeune adulte, Proanthocyanidines (administration et posologie), Sujet âgé, Tumeurs de l'endomètre (), Études cas-témoins.
- MESH :
- administration et posologie : Anthocyanes, Flavanones, Flavones, Flavonols, Isoflavones, Proanthocyanidines.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement alimentaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Italie, Jeune adulte, Sujet âgé, Tumeurs de l'endomètre, Études cas-témoins.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Anthocyanins (administration & dosage), Case-Control Studies, Endometrial Neoplasms (prevention & control), Feeding Behavior, Female, Flavanones (administration & dosage), Flavones (administration & dosage), Flavonols (administration & dosage), Humans, Isoflavones (administration & dosage), Italy, Middle Aged, Proanthocyanidins (administration & dosage), Risk Factors, Surveys and Questionnaires, Young Adult.
- MESH :
- chemical , administration & dosage : Anthocyanins, Flavanones, Flavones, Flavonols, Isoflavones, Proanthocyanidins.
- prevention & control : Endometrial Neoplasms.
- Adolescent, Adult, Aged, Case-Control Studies, Feeding Behavior, Female, Humans, Italy, Middle Aged, Risk Factors, Surveys and Questionnaires, Young Adult.
Abstract
Because of their antioxidant and antimutagenic properties, flavonoids may reduce cancer risk. Some flavonoids have antiestrogenic effects that can inhibit the growth and proliferation of endometrial cancer cells.
In order to examine the relation between dietary flavonoids and endometrial cancer, we analysed data from an Italian case–control study including 454 incident, histologically confirmed endometrial cancers and 908 hospital-based controls. Information was collected through a validated food-frequency questionnaire. We applied data on food and beverage composition to estimate the intake of flavanols, flavanones, flavonols, anthocyanidins, flavones, isoflavones, and proanthocyanidins. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated from multiple logistic regression models conditioned on age and study centre and adjusted for major confounding factors.
Women in the highest quartile category of proanthocyanidins with ⩾3 mers
High consumption of selected proanthocyanidins may reduce endometrial cancer risk.
Url:
DOI: 10.1038/bjc.2013.447
PubMed: 23922105
PubMed Central: 3790154
Affiliations:
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Rossi</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology, IRCCS Istituto di Ricerche Farmacologiche Mario Negri</institution>, via G. La Masa, 19, 20156 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Edefonti, V" sort="Edefonti, V" uniqKey="Edefonti V" first="V" last="Edefonti">V. Edefonti</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Parpinel, M" sort="Parpinel, M" uniqKey="Parpinel M" first="M" last="Parpinel">M. Parpinel</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Unit of Hygiene and Epidemiology, Department of Biological and Medical Sciences, University of Udine</institution>, ple Kolbe 4, 33100 Udine,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lagiou, P" sort="Lagiou, P" uniqKey="Lagiou P" first="P" last="Lagiou">P. Lagiou</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School</institution>, 75 M Asias Street, Goudi GR-115-27 Athens,<country>Greece</country></nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Epidemiology, Harvard School of Public Health</institution>, 677 Huntington Avenue, Boston, MA 02115,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Franchi, M" sort="Franchi, M" uniqKey="Franchi M" first="M" last="Franchi">M. Franchi</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology, IRCCS Istituto di Ricerche Farmacologiche Mario Negri</institution>, via G. La Masa, 19, 20156 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ferraroni, M" sort="Ferraroni, M" uniqKey="Ferraroni M" first="M" last="Ferraroni">M. Ferraroni</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Decarli, A" sort="Decarli, A" uniqKey="Decarli A" first="A" last="Decarli">A. Decarli</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>S. C. Statistica Medica, Biometria e Bioinformatica, Fondazione IRCSS Istituto Nazionale Tumori di Milano</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zucchetto, A" sort="Zucchetto, A" uniqKey="Zucchetto A" first="A" last="Zucchetto">A. Zucchetto</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Centro di Riferimento Oncologico IRCCS, Unit of Epidemiology and Biostatistics</institution>, via F. Gallini 2, 33081 Aviano,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Serraino, D" sort="Serraino, D" uniqKey="Serraino D" first="D" last="Serraino">D. Serraino</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Centro di Riferimento Oncologico IRCCS, Unit of Epidemiology and Biostatistics</institution>, via F. Gallini 2, 33081 Aviano,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dal Maso, L" sort="Dal Maso, L" uniqKey="Dal Maso L" first="L" last="Dal Maso">L. Dal Maso</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Centro di Riferimento Oncologico IRCCS, Unit of Epidemiology and Biostatistics</institution>, via F. Gallini 2, 33081 Aviano,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Negri, E" sort="Negri, E" uniqKey="Negri E" first="E" last="Negri">E. Negri</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology, IRCCS Istituto di Ricerche Farmacologiche Mario Negri</institution>, via G. La Masa, 19, 20156 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C" last="La Vecchia">C. La Vecchia</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology, IRCCS Istituto di Ricerche Farmacologiche Mario Negri</institution>, via G. La Masa, 19, 20156 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Clinical Sciences and Community Health, University of Milan</institution>, via G. Venezian 1, 20133 Milan,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">British Journal of Cancer</title><idno type="ISSN">0007-0920</idno><idno type="eISSN">1532-1827</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Anthocyanins (administration & dosage)</term><term>Case-Control Studies</term><term>Endometrial Neoplasms (prevention & control)</term><term>Feeding Behavior</term><term>Female</term><term>Flavanones (administration & dosage)</term><term>Flavones (administration & dosage)</term><term>Flavonols (administration & dosage)</term><term>Humans</term><term>Isoflavones (administration & dosage)</term><term>Italy</term><term>Middle Aged</term><term>Proanthocyanidins (administration & dosage)</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anthocyanes (administration et posologie)</term><term>Comportement alimentaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Flavanones (administration et posologie)</term><term>Flavones (administration et posologie)</term><term>Flavonols (administration et posologie)</term><term>Humains</term><term>Isoflavones (administration et posologie)</term><term>Italie</term><term>Jeune adulte</term><term>Proanthocyanidines (administration et posologie)</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre ()</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Anthocyanins</term><term>Flavanones</term><term>Flavones</term><term>Flavonols</term><term>Isoflavones</term><term>Proanthocyanidins</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Anthocyanes</term><term>Flavanones</term><term>Flavones</term><term>Flavonols</term><term>Isoflavones</term><term>Proanthocyanidines</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Feeding Behavior</term><term>Female</term><term>Humans</term><term>Italy</term><term>Middle Aged</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement alimentaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Italie</term><term>Jeune adulte</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Because of their antioxidant and antimutagenic properties, flavonoids may reduce cancer risk. Some flavonoids have antiestrogenic effects that can inhibit the growth and proliferation of endometrial cancer cells.</p></sec><sec><title>Methods:</title><p>In order to examine the relation between dietary flavonoids and endometrial cancer, we analysed data from an Italian case–control study including 454 incident, histologically confirmed endometrial cancers and 908 hospital-based controls. Information was collected through a validated food-frequency questionnaire. We applied data on food and beverage composition to estimate the intake of flavanols, flavanones, flavonols, anthocyanidins, flavones, isoflavones, and proanthocyanidins. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated from multiple logistic regression models conditioned on age and study centre and adjusted for major confounding factors.</p></sec><sec><title>Results:</title><p>Women in the highest quartile category of proanthocyanidins with ⩾3 mers <italic>vs</italic> the first three quartile categories had an OR for endometrial cancer of 0.66 (95% CI=0.48–0.89). For no other class of flavonoids, a significant overall association was found. There was a suggestion of an inverse association for flavanones and isoflavones among women with body mass index <25 kg m<sup>−2</sup>, and, for flavanones, among parous or non-users of hormone-replacement therapy women.</p></sec><sec><title>Conclusion:</title><p>High consumption of selected proanthocyanidins may reduce endometrial cancer risk.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adami, H" uniqKey="Adami H">H Adami</name></author><author><name sortKey="Hunter, D" uniqKey="Hunter D">D Hunter</name></author><author><name sortKey="Trichopoulos, D" uniqKey="Trichopoulos D">D Trichopoulos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bagchi, D" uniqKey="Bagchi D">D Bagchi</name></author><author><name sortKey="Bagchi, M" uniqKey="Bagchi M">M Bagchi</name></author><author><name sortKey="Stohs, Sj" uniqKey="Stohs S">SJ Stohs</name></author><author><name sortKey="Das, Dk" uniqKey="Das 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Rossi</name></noRegion><name sortKey="Dal Maso, L" sort="Dal Maso, L" uniqKey="Dal Maso L" first="L" last="Dal Maso">L. Dal Maso</name><name sortKey="Decarli, A" sort="Decarli, A" uniqKey="Decarli A" first="A" last="Decarli">A. Decarli</name><name sortKey="Decarli, A" sort="Decarli, A" uniqKey="Decarli A" first="A" last="Decarli">A. Decarli</name><name sortKey="Edefonti, V" sort="Edefonti, V" uniqKey="Edefonti V" first="V" last="Edefonti">V. Edefonti</name><name sortKey="Ferraroni, M" sort="Ferraroni, M" uniqKey="Ferraroni M" first="M" last="Ferraroni">M. Ferraroni</name><name sortKey="Franchi, M" sort="Franchi, M" uniqKey="Franchi M" first="M" last="Franchi">M. Franchi</name><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C" last="La Vecchia">C. La Vecchia</name><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C" last="La Vecchia">C. La Vecchia</name><name sortKey="Negri, E" sort="Negri, E" uniqKey="Negri E" first="E" last="Negri">E. Negri</name><name sortKey="Parpinel, M" sort="Parpinel, M" uniqKey="Parpinel M" first="M" last="Parpinel">M. Parpinel</name><name sortKey="Rossi, M" sort="Rossi, M" uniqKey="Rossi M" first="M" last="Rossi">M. Rossi</name><name sortKey="Serraino, D" sort="Serraino, D" uniqKey="Serraino D" first="D" last="Serraino">D. Serraino</name><name sortKey="Zucchetto, A" sort="Zucchetto, A" uniqKey="Zucchetto A" first="A" last="Zucchetto">A. Zucchetto</name><name sortKey="Zucchetto, A" sort="Zucchetto, A" uniqKey="Zucchetto A" first="A" last="Zucchetto">A. Zucchetto</name></country><country name="Grèce"><noRegion><name sortKey="Lagiou, P" sort="Lagiou, P" uniqKey="Lagiou P" first="P" last="Lagiou">P. Lagiou</name></noRegion></country><country name="États-Unis"><noRegion><name sortKey="Lagiou, P" sort="Lagiou, P" uniqKey="Lagiou P" first="P" last="Lagiou">P. 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