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ABSTRACT This study investigated the relation of diet quality indexes (DQI) with breast cancer incidence among women from the Multiethnic Cohort (MEC). Participants completed a questionnaire
with a validated food frequency questionnaire. Scores for Healthy Eating Index 2015 (HEI-2015), Alternate Healthy Eating Index 2010 (AHEI-2010), alternate Mediterranean diet score (aMED),
and Dietary Approaches to Stop Hypertension (DASH) were divided into quintiles (Q1–Q5). Cox regression was applied to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for DQIs
and breast cancer risk adjusted for known risk factors. The respective HRs for Q5 vs. Q1 were: 1.06 (95% CI, 0.98–1.14) for HEI-2015, 0.96 (95% CI, 0.90–1.04) for AHEI-2010, 1.01 (95% CI,
0.94–1.09) for aMED, and 0.95 (95% CI, 0.88–1.02) for DASH (_p_trend > 0.05 for all). However, overweight and obesity were significantly associated with breast cancer incidence. Despite
the null association for DQIs, diet quality may lower breast cancer risk through its positive influence on weight status. Access through your institution Buy or subscribe This is a preview
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DIET QUALITY AND POSTMENOPAUSAL BREAST CANCER RISK IN FIVE FINNISH COHORT STUDIES Article Open access 18 August 2021 ASSOCIATION BETWEEN HEALTHY EATING INDEX-2020, ALTERNATIVE MEDITERRANEAN
DIET SCORES, AND GASTROINTESTINAL CANCER RISK IN NHANES 2005–2018 Article Open access 01 February 2025 LOW-FAT DIETARY PATTERN AND BREAST CANCER MORTALITY BY METABOLIC SYNDROME COMPONENTS: A
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https://doi.org/10.1017/S0007114509992893. Article CAS PubMed Google Scholar Download references ACKNOWLEDGEMENTS This work was supported by the following grants from the National Cancer
Institute: U01 CA164973, R03 CA223890, and U54 CA143727 (fellowship for RDC). AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * University of Hawaii Cancer Center, Honolulu, HI, USA Rica Dela
Cruz, Song-Yi Park, Yurii B. Shvetsov, Carol J. Boushey, Loïc Le Marchand & Gertraud Maskarinec * Department of Preventive Medicine, University of Southern California, Los Angeles, CA,
USA Kristine R. Monroe Authors * Rica Dela Cruz View author publications You can also search for this author inPubMed Google Scholar * Song-Yi Park View author publications You can also
search for this author inPubMed Google Scholar * Yurii B. Shvetsov View author publications You can also search for this author inPubMed Google Scholar * Carol J. Boushey View author
publications You can also search for this author inPubMed Google Scholar * Kristine R. Monroe View author publications You can also search for this author inPubMed Google Scholar * Loïc Le
Marchand View author publications You can also search for this author inPubMed Google Scholar * Gertraud Maskarinec View author publications You can also search for this author inPubMed
Google Scholar CORRESPONDING AUTHOR Correspondence to Rica Dela Cruz. ETHICS DECLARATIONS CONFLICT OF INTEREST All authors declare no conflict of interest in this research study. ADDITIONAL
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permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Dela Cruz, R., Park, SY., Shvetsov, Y.B. _et al._ Diet Quality and Breast Cancer Incidence in the Multiethnic Cohort. _Eur J Clin Nutr_ 74,
1743–1747 (2020). https://doi.org/10.1038/s41430-020-0627-2 Download citation * Received: 16 January 2020 * Revised: 25 March 2020 * Accepted: 30 March 2020 * Published: 14 April 2020 *
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