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Table 2

n-3 PUFA and breast cancer risk: Case-control studies.

YearCountrySubjects CharacteristicsMethod of Assessmentn-3/n-6 PUFA SourceBC RiskReference
2007Japan103 incident BC cases 309 controlserythrocyte membrane FFQdietary food intake including soy and meat products, fish and other seafood, vegetables↑ dietary intake of n-3 fatty acids ↓ BC risk ↑ long chain n-3 PUFA in erythrocyte ↓ BC risk ↑ saturated fatty ↑ BC risk[46]
2007China322 incident BC cases 1030 controlserythrocyte membrane ↑ total n-3 fatty acids and EPA ↓ BC risk[47]
2009China155 NPFC 1 185 PFC 2 241 BC, 1030 controlserythrocyte membrane FFQdietary food intake↑ EPA ↓ risk of NPFC ↓ progression of PFC to BC ↑ γ-linolenic acid ↑ risk of NPFC, PFC and BC[38]
2002US73 BC patients 74 controlsbreast adipose tissue ↑ EPA and DHA ↓ n-6/n-3 PUFA ratio ↓ BC risk ↑ n-6 PUFA ↑ BC risk[18]
2003US565 incident BC 554 controlsFFQdaily fat intaken-6/n-3 PUFA ratio ↓ BC risk (premenopausal) ↑EPA, DHA ↓ BC risk (21% and 18%, respectively)[41]
2009Denmark463 BC cases 1098 controlsGluteal adipose tissue biopsydietary food intakeNo association between total or individual marine n-3 PUFA in adipose tissue and risk of BC[44]
2002France241 invasive BC cases 88 controls-benign breast diseasebreast adipose tissue ↑ ALA ↑ DHA ↓ n-6/n-3 PUFA ratio ↓ BC risk[45]
2012Mexican1000 incident BC cases 1074 controlsInterview and FFQdietary food intaken-3 PUFA ↓ BC risk (obese women) ↑ n-6 PUFA ↑ BC risk (premenopausal)[19]
2009South Korea358 incident BC patients 360 controlsFFQfatty and lean fish↑ fatty fish consumption ↓ BC risk ↑EPA and DHA derived from fish ↓ BC risk[39]
1 Benign proliferative fibrocystic conditions (PFC);
2 non-proliferative fibrocystic conditions (NPFC);
↑: increase;
↓: decrease.