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The number of breast cancer cases among women in Hong Kong increased from in to more than inand average incidence rate perwomen between and was Inthe lifetime risk of breast cancer was 1 in 20 women [ 2 ].
Breast cancer incidence was generally lower in Asia than in Europe in [ 3 ]; a key reason for this was the difference in dietary patterns between the East and the West [ 4 ]. The identification of reasonable dietary prevention methods and the development of corresponding inhibitors may be beneficial for breast cancer prevention [ 5 ]. However, little research has been conducted in this area. The dietary patterns of women in Hong Kong have been changing with western lifestyle in recent years [ 67 ].
The intake of foods with certain properties e. Although diet has been proposed as a possible cause of breast cancer [ 9 — 11 ], the incidence of breast cancer has not previously been related to Chinese medicine CM -defined dietary patterns. The properties of CM material medica cold, cool, hot, and warm can be used to classify diets as hot, neutral, or cold; these types of food have different functions in the body.
Under this classification, beef, shrimp, chicken, and even ice cream are hot foods Additional file 1. This study aimed to investigate the relationship between CM dietary patterns and the incidence of breast cancer among women in Hong Kong. Methods Study design and participants A retrospective cross-sectional survey was conducted.
The selection of study participants was based on geographic and sociodemographic variables described previously [ 689 ].The Interview Chen Xiao and Michelle Chen in The Condor Heroes 2014[Full]
The Minimum Standards of Reporting Checklist Additional file 3 contain details of the experimental design, and statistics, and resources used in this study. This study included female participants with breast cancer caseswho were compared with healthy women controls.
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The cases were recruited by advertisements in the local media, such as in newspapers, in booklets issued by the University of Hong Kong, on posters, and on the radio. Convenience sampling was used to recruit the control group from health workshops in clinics and communities in 15 Hong Kong districts.
All participants had to fulfill the following conditions: Controls were required to fulfill the following conditions: Case inclusion criteria were: Participants were excluded from the study if they had 1 other prior cancer diagnosis, 2 treatments with psychotropic drugs, 3 any medical conditions that limited their physical activity, and 4 not completed the questionnaire.
Sample size We conducted a pilot study with 37 participants whose total diet comprised mainly hot foods and an expected odds ratio OR of 2. For the pilot study, we invited 37 people from the oncology outpatient clinic and the general outpatient clinic in the School of Chinese Medicine, University of Hong Kong, to complete the questionnaire: After the pilot study, we analyzed the responses and calculated the consumption of 12 kinds of hot foods including beef, mutton, shrimp, soft drinks, and milk.
Of the breast cancer cases, The estimated sample size was calculated as about participants in each group. Taking into account the nullified questionnaires, participants were eventually included out of the total participants recruited in each group. Questionnaire A self-administered FFQ was used to collect the dietary intake information.
This questionnaire was adapted from the Fred Hutchinson Cancer Research Center Food Questionnaire, which is based on Western dietary patterns [ 1314 ]. Two CM experts and a group of laypeople approved the revised questionnaire as suitable to assess the average dietary patterns of Chinese women in Hong Kong.
The FFQ consisted of 74 food items Additional file 4. A commonly used portion size was specified for each food based on the conventional food intake and dietary patterns of Hong Kong women. The questionnaire consists of two sections.
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The first section assessed sociodemographic information, including age, working status, education level, weight, height, and marital status.
It was revealed that Baron will also have to undergo surgery and take several months of rest before returning to work. The situation seemed to have cost him a lot of financial loss.
Baron, who has already started filming a new movie with Huang Xiaoming, will have to be replaced by another actor, and cancel other jobs that he has taken for the upcoming months.
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Baron also revealed that he will have to walk with crutches for the time being, but promises to take good care of his health so that he can return to work as soon as possible. The year-old Taiwanese actor, who was wearing a mask, looked alert as he passed through the various security checks on his way back to Taiwan. Later, Taiwanese media reported that he had torn a ligament in his right knee while filming the reality show, Race The World, and is now unable to stand and walk normally.
It was also revealed that the cast were filming in Nanjing, China, on that day, with Baron attempting a challenge that required them to be hoisted up into the air.
After the on-site medical personnel had examined Baron, he went back to work until filming had finished for the day. Afterward, Baron headed to the hospital, where it was found that Baron had torn a ligament in his right knee, as well as his meniscus. The doctor recommended that he undergo surgery and refrain from any high-intensity work for the time being, so Baron decided to head back to Taiwan for treatment after discussing it with his family and company.