Relationship between low ultraviolet B irradiance and higher breast cancer risk in 107 countries.

Epidemiological data show an inverse relationship between vitamin D levels and breast cancer incidence. This study investigates the relationship of modeled and measured serum 25-hydroxyvitamin D [25(OH)D] levels with age-standardized incidence rates of breast cancer in 107 countries. The hypothesis...

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Publicado en:Breast Journal Vol. 14; no. 3; pp. 255 - 261
Autores principales: Mohr SB, Garland CF, Gorham ED, Grant WB, Garland FC
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell May/Jun2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2008
      vid: 14
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        105692803
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        2009989052
        10.1111/j.1524-4741.2008.00571.x
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        105692803
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        atl: Relationship between low ultraviolet B irradiance and higher breast cancer risk in 107 countries.
      aug:
        au:
          Mohr SB
          Garland CF
          Gorham ED
          Grant WB
          Garland FC
        affil: Department of Family and Preventive Medicine, University of California San Diego, La Jolla, California 92093-0631, USA.
      sug:
        subj:
          Breast Neoplasms Epidemiology
          Ultraviolet Rays
          Vitamin D
          World Health
          Age Factors
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Diet
          Dose-Response Relationship
          Female
          Funding Source
          Multiple Regression
          P-Value
          Human
          Female
      ab: Epidemiological data show an inverse relationship between vitamin D levels and breast cancer incidence. This study investigates the relationship of modeled and measured serum 25-hydroxyvitamin D [25(OH)D] levels with age-standardized incidence rates of breast cancer in 107 countries. The hypothesis being tested is that breast cancer incidence is inversely related to geographically-dependent cutaneous sunlight exposure. A multiple regression approach was used to examine the contributions of ultraviolet B (UVB) irradiance to age-standardized incidence rates of breast cancer in the 107 countries with data on these covariates-total column ozone thickness, per capita intake of alcohol and energy from animal and vegetable sources, cigarettes, proportion of female population overweight, and total fertility. Age-standardized incidence rates were substantially higher at latitudes distant from the equator (R2 = 0.43, p < 0.0001). The dose-response gradient between modeled serum 25(OH)D levels and incidence rates of breast cancer followed a standard inverse dose-response curve. Increasing increments in serum 25(OH)D in the range above 22 ng/mL were associated with incrementally lower incidence rates of breast cancer. According to multiple regression, UVB irradiance adjusted for cloud cover was inversely associated with incidence rates (p = 0.04) after controlling for covariates. Intake of energy from animal sources was also positively associated with incidence rates (p < 0.01). The overall coefficient of determination, R2, was 0.81 (p < 0.0001). There was a protective effect of UVB irradiance on risk of breast cancer that was independent of fertility rate, proportion of the population overweight, alcohol intake, animal energy intake, and other covariates.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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