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2023: Two-year Impact Factor: 2.4
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CiteScore (2023):7.1
 
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Health Promot Perspect. 2023;13(3): 219-226.
doi: 10.34172/hpp.2023.27
PMID: 37808944
PMCID: PMC10558966
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Original Article

Dietary linoleic acid intake in relation to breast cancer: A case-control study

Muhammad Reza Joya 1,2 ORCID logo, Sina Naghshi 3, Omid Sadeghi 1, Sanaz Benisi-Kohansal 1, Leila Azadbakht 1, Keyhan Lotfi 1, Alireza Ostadrahimi 4, Helda Tutunchi 5 ORCID logo, Ahmad Esmaillzadeh 1,6,7* ORCID logo

1 Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
2 Nutrition Department, Kabul University of Medical Sciences, Kabul, Afghanistan
3 Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
4 Nutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran
5 Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
6 Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular -Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
7 Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Author: Ahmad Esmaillzadeh, Email: a.esmaillzadeh@gmail.com

Abstract

Background: The present study aimed to investigate the association between dietary linoleic acid (LA) intake and breast cancer in women.

Methods: In this population-based case-control study, we enrolled 350 pathologically confirmed breast cancer cases and 700 controls which were matched with cases in terms of age and socioeconomic status. Dietary intakes were assessed using a 106-item Willett-format semi-quantitative dish-based food frequency questionnaire (DS-FFQ). Odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) were estimated.

Results: A significant inverse association was found between LA intake and odds of breast cancer (OR: 0.41, 95% CI: 0.30-0.56). After adjusting for potential confounders, women in the highest tertile of dietary LA intake were 48% less likely to have breast cancer compared with those in the lowest tertile (OR: 0.52, 95% CI: 0.28-0.95). Such a significant inverse association was also seen among normal-weight women (OR: 0.29, 95% CI: 0.14-0.63), and premenopausal women (OR: 0.15, 95% CI: 0.02-0.95).

Conclusion: The findings of current study provide evidence for a protective role of LA against breast cancer particularly among normal-weight and premenopausal women. Prospective studies are needed to confirm this association.

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Submitted: 07 May 2023
Revision: 02 Jul 2023
Accepted: 04 Jul 2023
ePublished: 11 Sep 2023
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