Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study

Abstract Background Breast cancer (BrCa) is one of the leading causes of cancer-related deaths. There are several factors for getting BrCa, including some changeable factors related to lifestyle like unhealthy dietary patterns, so modifying them can prevent one third of the complications and deaths...

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Main Authors: Navideh Khodadadi, Mohammad Hassan Sohouli, Mojtaba Ghadiani, Hamid Rezvani, Mahdi Tabarraee, Hamid Reza Ahadi, Sina Salari, Hamide Rahmani Seraji
Format: Article
Language:English
Published: BMC 2024-10-01
Series:BMC Women's Health
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Online Access:https://doi.org/10.1186/s12905-024-03411-6
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author Navideh Khodadadi
Mohammad Hassan Sohouli
Mojtaba Ghadiani
Hamid Rezvani
Mahdi Tabarraee
Hamid Reza Ahadi
Sina Salari
Hamide Rahmani Seraji
author_facet Navideh Khodadadi
Mohammad Hassan Sohouli
Mojtaba Ghadiani
Hamid Rezvani
Mahdi Tabarraee
Hamid Reza Ahadi
Sina Salari
Hamide Rahmani Seraji
author_sort Navideh Khodadadi
collection DOAJ
description Abstract Background Breast cancer (BrCa) is one of the leading causes of cancer-related deaths. There are several factors for getting BrCa, including some changeable factors related to lifestyle like unhealthy dietary patterns, so modifying them can prevent one third of the complications and deaths caused by BrCa. Therefore, we decided to investigate the relationship between Healthy Beverage Index (HBI) and the risk of BrCa. Methods In this hospital-based case–control study, 253 patients with BrCa and 267 non-BrCa controls were enrolled. Food consumption was recorded to calculate the HBI score using a semi-quantitative Food Frequency Questionnaire (FFQ). Additionally, by using binary logistic regression analysis with adjustment for confounders, the relationship between HBI and the risk of BrCa were assessed. HBI was established by Duffey et al. and is used to evaluate the overall quality of beverage intake and identify changes in consumption. Results Mean ± SD of age and BMI of the study participants were 47.92 ± 10.33 years and 29.43 ± 5.51 kg/m2, respectively. Patients with BrCa considerably outperformed controls in terms of waist circumference (WC), age at first pregnancy, history of abortion, and number of children(Pvalue < 0.05). Compared with those in the lowest quartile of HBI, subjects in the highest quartile had higher intake of energy, carbohydrate, protein, fat, fiber, sodium, potassium, calcium, magnesium, zinc, vitamin C, E, B9, fruits, vegetables, fish and nut as well as lower BMI and WC (Pvalue < 0.05). After adjustment for potential confounders, individuals in highest compared to lowest quartile of HBI had significantly lower risk of BrCa for total population (odds ratio (OR): 0.40; 95% confidence interval (95%CI): 0.21–0.76, Pvalue < 0.05), premenopausal (OR: 0.38; 95% CI: 0.16–0.92, Pvalue = 0.013), and postmenopausal (OR: 0.27; 95% CI: 0.10–0.78, Pvalue = 0.023). Conclusion Findings of this study suggested that higher HBI score decreased the risk of BrCa. However, further investigation is needed.
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spelling doaj-art-8f6e2a00916547dba8b14a21c50072dc2025-08-20T02:12:03ZengBMCBMC Women's Health1472-68742024-10-012411810.1186/s12905-024-03411-6Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control studyNavideh Khodadadi0Mohammad Hassan Sohouli1Mojtaba Ghadiani2Hamid Rezvani3Mahdi Tabarraee4Hamid Reza Ahadi5Sina Salari6Hamide Rahmani Seraji7Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Science and Food Technology, Shahid Beheshti University of Medical Sciences Pediatric Gastroenterology and Hepatology Research Center, Pediatrics Centre of Excellence, Children’s Medical Center, Tehran University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesDepartment of Hematology and Oncology, Taleghani Hospital, Shahid Beheshti University of Medical SciencesAbstract Background Breast cancer (BrCa) is one of the leading causes of cancer-related deaths. There are several factors for getting BrCa, including some changeable factors related to lifestyle like unhealthy dietary patterns, so modifying them can prevent one third of the complications and deaths caused by BrCa. Therefore, we decided to investigate the relationship between Healthy Beverage Index (HBI) and the risk of BrCa. Methods In this hospital-based case–control study, 253 patients with BrCa and 267 non-BrCa controls were enrolled. Food consumption was recorded to calculate the HBI score using a semi-quantitative Food Frequency Questionnaire (FFQ). Additionally, by using binary logistic regression analysis with adjustment for confounders, the relationship between HBI and the risk of BrCa were assessed. HBI was established by Duffey et al. and is used to evaluate the overall quality of beverage intake and identify changes in consumption. Results Mean ± SD of age and BMI of the study participants were 47.92 ± 10.33 years and 29.43 ± 5.51 kg/m2, respectively. Patients with BrCa considerably outperformed controls in terms of waist circumference (WC), age at first pregnancy, history of abortion, and number of children(Pvalue < 0.05). Compared with those in the lowest quartile of HBI, subjects in the highest quartile had higher intake of energy, carbohydrate, protein, fat, fiber, sodium, potassium, calcium, magnesium, zinc, vitamin C, E, B9, fruits, vegetables, fish and nut as well as lower BMI and WC (Pvalue < 0.05). After adjustment for potential confounders, individuals in highest compared to lowest quartile of HBI had significantly lower risk of BrCa for total population (odds ratio (OR): 0.40; 95% confidence interval (95%CI): 0.21–0.76, Pvalue < 0.05), premenopausal (OR: 0.38; 95% CI: 0.16–0.92, Pvalue = 0.013), and postmenopausal (OR: 0.27; 95% CI: 0.10–0.78, Pvalue = 0.023). Conclusion Findings of this study suggested that higher HBI score decreased the risk of BrCa. However, further investigation is needed.https://doi.org/10.1186/s12905-024-03411-6Breast cancerHealthy beverage indexDietLifestyleCase-control
spellingShingle Navideh Khodadadi
Mohammad Hassan Sohouli
Mojtaba Ghadiani
Hamid Rezvani
Mahdi Tabarraee
Hamid Reza Ahadi
Sina Salari
Hamide Rahmani Seraji
Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
BMC Women's Health
Breast cancer
Healthy beverage index
Diet
Lifestyle
Case-control
title Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
title_full Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
title_fullStr Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
title_full_unstemmed Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
title_short Associations of the Healthy Beverage Index (HBI) and the risk of Breast Cancer (BrCa): a case–control study
title_sort associations of the healthy beverage index hbi and the risk of breast cancer brca a case control study
topic Breast cancer
Healthy beverage index
Diet
Lifestyle
Case-control
url https://doi.org/10.1186/s12905-024-03411-6
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