Association between novel dietary and lifestyle inflammation indices with risk of breast cancer (BrCa): a case-control study

Nutr J. 2022 Mar 2;21(1):14. doi: 10.1186/s12937-022-00766-0.

Abstract

Background: Pro-inflammatory diet and lifestyle factors lead to diseases related to chronically systemic inflammation. We examined the novel dietary/lifestyle indicators related to inflammation such dietary inflammation score (DIS), lifestyle inflammation score (LIS), empirical dietary inflammatory index (EDII) and, risk of Breast Cancer (BrCa) in Iranian woman.

Methods: In this hospital-based case-control study, 253 patients with BrCa and 267 non-BrCa controls were enrolled. Food consumption was recorded to calculate the DIS, LIS and EDII using a semi-quantitative Food Frequency Questionnaire (FFQ). We estimated odds ratios (ORs) and, 95% confidence intervals for the association of the inflammatory potential with risk of these cancers using binary logistic regression models modified for the case-control design.

Results: Mean ± SD of age and BMI of the study participants were 47.92 ± 10.33 years and 29.43 ± 5.51 kg/m2, respectively. After adjustment for confounders, individuals in highest compared to lowest quartile of DIS and EDII had significantly higher risk of BrCa (DIS: 2.13 (1.15 - 3.92), p-trends: 0.012), EDII: 2.17 (1.12 - 4.22), p-trends: 0.024). However, no significant association was observed for LIS (P-trends: 0.374).

Conclusion: Findings of this study suggested that higher DIS and EDI increased the risk of BrCa, but concerning LIS, further investigation is needed.

Keywords: Breast cancer; Carcinoma; Dietary inflammatory score; Lifestyle.

MeSH terms

  • Breast Neoplasms* / epidemiology
  • Case-Control Studies
  • Diet
  • Female
  • Humans
  • Inflammation
  • Iran / epidemiology
  • Life Style
  • Risk Factors