Dietary patterns, cooking methods and breast cancer risk in Mexico: An exploratory case-control study

Elisa Pineda; María I Ortega-Vélez; Martin Preciado-Rodríguez; Socorro Saucedo-Tamayo; Graciela Caire-Juvera

doi:10.1177/02601060221119260

Dietary patterns, cooking methods and breast cancer risk in Mexico: An exploratory case-control study

Nutr Health. 2022 Aug 15:2601060221119260. doi: 10.1177/02601060221119260. Online ahead of print.

Authors

Elisa Pineda^{1

2

3}, María I Ortega-Vélez¹, Martin Preciado-Rodríguez⁴, Socorro Saucedo-Tamayo¹, Graciela Caire-Juvera¹

Affiliations

¹ Department of Nutrition, 42575Food and Development Research Center [Centro de Investigación en Alimentación y Desarrollo (CIAD) A.C.], Hermosillo, Sonora, México.
² School of Public Health, 4615Imperial College London, London, UK.
³ Centre for Health Economics & Policy Innovation, 4615Imperial College London, London, UK.
⁴ Regional Development Department, 42575Food and Development Research Center [Centro de Investigación en Alimentación y Desarrollo (CIAD) A.C.], Hermosillo, Sonora, México.

PMID: 35971312
DOI: 10.1177/02601060221119260

Abstract

Background: Nutrition has an important influence on the risk of developing breast cancer (BC). Dietary patterns can capture the complex interplay of nutrients and cooking methods can contribute to the presence of heterocyclic amines, which are potent mammary carcinogens. Research on dietary patterns, cooking methods, and their association with BC in Mexican women is scarce. Aim: To evaluate the association of dietary patterns and cooking methods with BC risk among women from the Northwest region of Mexico. Methods: This case-control study included 120 women. Eligible cases (n = 60) were diagnosed and biopsy-confirmed in the past 2 years. Control subjects (n = 60) were hospital and population-based. Dietary intake and cooking methods were respectively assessed through a food frequency questionnaire (FFQ) and the National Cancer Institute survey. We obtained dietary patterns from a K-means cluster analysis (CA), and multivariate logistic regression tested the association of dietary patterns and cooking methods with BC risk. Results: Prudent and caloric dietary patterns were identified. The caloric pattern was associated with BC risk (Model 1: OR_adj: 5.07, 95%CI:1.44-17.84, p = 0.011; Model 2: OR_adj: 4.99 (95%CI:1.39-17.92, p = 0.014). Intense frying, meat grilling and poultry resulted in a significant BC risk (Model 1: OR_adj: 5.54,95%CI: 2.13-14.41), p < 0.001; Model 2: OR_adj: 5.12, 95%CI: 1.83-14.31, p = 0.002). At Oestrogen exposure of <32 years, there was an association between dietary patterns and BC risk (OR_adj: 4.69, 95%CI: 1.01-21.92, p = 0.049). The relationship between BC risk and cooking intensity was found in both strata of exposure to oestrogens: <32 years (OR_adj: 3.72, 95%CI:1.04-13.33, p = 0.044), and ≥32 years (OR_adj: 6.06, 95%CI:1.34-27.42, p = 0.019). Conclusions: A caloric dietary pattern rich in refined carbohydrates and saturated fat, and intense meat product cooking may increase the risk of BC in Mexican women.

Keywords: Breast cancer; cluster analysis; cooking methods; dietary patterns; mexican women.