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Reduced dietary fat intake may decrease breast cancer recurrence

) compared with 51 g/day (29.2% of total calories) in the control group. The difference between the two groups was maintained throughout the trial. Average body weight was similar before the trial started, but 5 years later, the women in the intervention group weighed an average of 6 pounds less than the women in the control group.

Ninety-six of 975 women (9.8%) in the intervention group had some form of relapse, compared with 181 of 1462 women (12.4%) in the control group. The researchers calculate that 38 women would need to adopt such a dietary fat reduction plan to prevent one breast cancer recurrence. "Women in the dietary intervention group had a 24% lower risk of relapse than those in the control group," the authors write.

Their data also suggest that women with hormone receptornegative breast cancers may have had the most benefit from the dietary fat reduction, but those results werent statistically significant and will require further confirmation. The authors plan to address these and other questions in ongoing follow-up studies of the women.

They caution that the study relied on self-reports of dietary fat intake. Also, the reduction in body weight in the dietary intervention group may have had an effect on breast cancer recurrence, rather than dietary fat intake on its own.

"The WINS results indicate that a lifestyle intervention designed to reduce dietary fat intake can be successfully implemented in women with early-stage, resected breast cancer receiving conventional cancer management in a multicenter clinical trial setting," the authors write.

In an editorial, Anne C.M. Thiebaut, Victor Kipnis, and colleagues at the National Cancer Institute highlight the studys limitations and note the questions that it raises. They also point out the difficulty of conducting clinical trials of such drastic lifestyle changes. "WINS demonstrates that such trials can be successfully conducted The totality of this ev
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Contact: Andrea Widener
jncimedia@oxfordjournals.org
301-841-1287
Journal of the National Cancer Institute
16-Dec-2006


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