title: Dietary Fat Intake During Adolescence and Breast Density Among Young Women.
abstract: Lack of association between fat intake and breast cancer risk in cohort studies might be attributed to the disregard of temporal effects during adolescence when breasts develop and are particularly sensitive to stimuli. We prospectively examined associations between adolescent fat intakes and breast density.
  
  
  
  Among 177 women who participated in the Dietary Intervention Study in Children, dietary intakes at ages 10-18 years were assessed on five occasions by 24-hour recalls and averaged. We calculated geometric mean and 95% confidence intervals for MRI-measured breast density at ages 25-29 years across quartiles of fat intake using linear mixed-effect regression.
  
  
  
  Comparing women in the extreme quartiles of adolescent fat intakes, percent dense breast volume (%DBV) was positively associated with saturated fat (mean = 16.4% vs. 21.5%; Ptrend < 0.001). Conversely, %DBV was inversely associated with monounsaturated fat (25.0% vs. 15.8%; Ptrend < 0.001) and the ratio of polyunsaturated fat to saturated fat (P/S ratio; 19.1% vs. 14.3%; Ptrend < 0.001). When examining intake by pubertal stages, %DBV was inversely associated with intake of polyunsaturated fat (20.8% vs. 16.4%; Ptrend = 0.04), long-chain omega-3 fat (17.8% vs. 15.8%; Ptrend < 0.001), and P/S ratio (22.5% vs. 16.1%; Ptrend < 0.001) before menarche, but not after. These associations observed with %DBV were consistently observed with absolute dense breast volume but not with absolute nondense breast volume.
  
  
  
  In our study, adolescent intakes of higher saturated fat and lower mono- and polyunsaturated fat are associated with higher breast density measured approximately 15 years later.
  
  
  
  The fat subtype composition in adolescent diet may be important in early breast cancer prevention. Cancer Epidemiol Biomarkers Prev; 25(6); 918-26. ©2016 AACR.
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Seungyoun
authors.initials: S
authors.lastname: Jung
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Olga
authors.initials: O
authors.lastname: Goloubeva
authors.affiliation: Dangeard Group, Luynes, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Klifa
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, Oregon.
authors.forename: Erin S
authors.initials: ES
authors.lastname: LeBlanc
authors.affiliation: University of Iowa, Iowa City, Iowa.
authors.forename: Linda G
authors.initials: LG
authors.lastname: Snetselaar
authors.affiliation: Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
authors.forename: Linda
authors.initials: L
authors.lastname: Van Horn
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland. jdorgan@som.umaryland.edu.
authors.forename: Joanne F
authors.initials: JF
authors.lastname: Dorgan
mesh_terms: D000293:Adolescent; D000328:Adult; D001940:Breast / Q000000981:diagnostic imaging / Q000254:growth & development / Q000502:physiology*; D000071060:Breast Density; D002648:Child; D004041:Dietary Fats; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging
chemical_list: D004041:Dietary Fats