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Adherence to the dietary guidelines for Americans and endometrial cancer risk

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Abstract

The Healthy Eating Index (HEI) was developed by the US Department of Agriculture with the goal of quantifying adherence to the Dietary Guidelines for Americans. The purpose of this study was to evaluate the impact of the HEI-2005 score and each of its components on endometrial cancer risk in a population-based case–control study in New Jersey. A total of 424 cases and 398 controls completed a Food Frequency Questionnaire, which was used to derive the HEI-2005 score. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using unconditional logistic regression while adjusting for potential covariates, which included all major endometrial cancer risk factors. The adjusted OR for women in the highest quartile when compared to the lowest quartile was 0.83 (95% CI: 0.52–1.34). For the meat and beans component comprising meat, eggs, poultry, fish, and beans, the OR was 0.70 (95% CI: 0.45–1.11; p for trend: 0.07), with little evidence of an association with any of the individual foods. There was no indication of an association for any of the other components of the HEI or of effect modification by body mass index. This study suggested limited value for the HEI-2005 in predicting endometrial cancer risk.

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Acknowledgments

We thank the interviewers and students who were involved in this study, the New Jersey Department of Health and Senior Services personnel, as well as all the participants who generously donated their time to the study.

Funding

This work was funded by NIH-K07 CA095666 and R01CA83918.

Author information

Authors and Affiliations

  1. The Cancer Institute of New Jersey, Robert Wood Johnson Medical School, 195 Little Albany St., New Brunswick, NJ, 08903, USA

    Urmila Chandran, Elisa V. Bandera & Melony G. Williams-King

  2. School of Public Health, University of Medicine and Dentistry of New Jersey, Piscataway, NJ, USA

    Urmila Chandran, Elisa V. Bandera & Melony G. Williams-King

  3. Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Camelia Sima, Sharon Bayuga, Katherine Pulick, Ann G. Zauber & Sara H. Olson

  4. New Jersey Department of Health and Senior Services, Trenton, NJ, USA

    Homer Wilcox

Authors
  1. Urmila Chandran
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  2. Elisa V. Bandera
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  3. Melony G. Williams-King
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  4. Camelia Sima
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  5. Sharon Bayuga
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  6. Katherine Pulick
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  7. Homer Wilcox
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  8. Ann G. Zauber
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  9. Sara H. Olson
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Corresponding author

Correspondence to Elisa V. Bandera.

Appendix 1

Appendix 1

See Table 4.

Table 4 Healthy Eating Index 2005—components and standards for scoring [10]
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Chandran, U., Bandera, E.V., Williams-King, M.G. et al. Adherence to the dietary guidelines for Americans and endometrial cancer risk. Cancer Causes Control 21, 1895–1904 (2010). https://doi.org/10.1007/s10552-010-9617-3

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  • DOI: https://doi.org/10.1007/s10552-010-9617-3

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