PMID- 34534393 OWN - NLM STAT- MEDLINE DCOM- 20211231 LR - 20211231 IS - 1742-1241 (Electronic) IS - 1368-5031 (Linking) VI - 75 IP - 12 DP - 2021 Dec TI - Dietary insulin index and load with risk of breast cancer in a case-control study. PG - e14883 LID - 10.1111/ijcp.14883 [doi] AB - OBJECTIVE: Circulating insulin levels have been positively associated with risk of breast cancer (BrCa); however, it remains unclear whether a diet inducing an elevated insulin response influences Breast risk. METHODS: In this study, 250 newly diagnosed breast cancer patients and 250 hospitalised controls were recruited using convenience sampling. The dietary insulin index (DII) was calculated by dividing the dietary insulin load by the total energy intake. RESULTS: Compared with those in the lowest tertiles of DII and dietary insulin load (DIL), subjects in the highest tertile were more likely to be overweight, have a family history of breast and other types of cancer and a history of benign breast diseases. After controlling for multiple potential confounders, a significantly increased BrCa odds was observed in the highest tertiles of DII and DIL score compared with the lowest tertiles (odds ratio (OR): 1.46; 95% CI: 0.67-3.19, P = .006) and (OR: 1.87; 95% CI: 0.92-3.80, P = .038), respectively. CONCLUSIONS: Our findings suggest that a diet that induces an elevated postprandial insulin response, indicated by higher DII and DIL scores, may increase the odds of BrCa, especially among women. CI - (c) 2021 John Wiley & Sons Ltd. FAU - Akbari, Atieh AU - Akbari A AD - Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Sohouli, Mohammad Hassan AU - Sohouli MH AD - Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AD - Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Deliu Lozovanu, Oana AU - Deliu Lozovanu O AD - Normandie Universite Caen, Normandie, France. FAU - Lotfi, Mojtaba AU - Lotfi M AD - Department of Pediatric Endocrinology and Metabolism, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Nabavizadeh, Raheleh AU - Nabavizadeh R AD - Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Saeidi, Reza AU - Saeidi R AD - Department of Pediatric Endocrinology and Metabolism, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Faculty of Medicine, Mofid Children's Hospital, Neonatal Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20211005 PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Insulin) SB - IM MH - *Breast Neoplasms/epidemiology/etiology MH - Case-Control Studies MH - Diet/adverse effects MH - Female MH - Humans MH - Inflammation MH - *Insulin MH - Odds Ratio MH - Risk Factors EDAT- 2021/09/18 06:00 MHDA- 2022/01/01 06:00 CRDT- 2021/09/17 17:31 PHST- 2021/09/10 00:00 [revised] PHST- 2021/04/21 00:00 [received] PHST- 2021/09/13 00:00 [accepted] PHST- 2021/09/18 06:00 [pubmed] PHST- 2022/01/01 06:00 [medline] PHST- 2021/09/17 17:31 [entrez] AID - 10.1111/ijcp.14883 [doi] PST - ppublish SO - Int J Clin Pract. 2021 Dec;75(12):e14883. doi: 10.1111/ijcp.14883. Epub 2021 Oct 5.