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3479623 
Journal Article 
Phthalate exposure, flavonoid consumption and breast cancer risk among Mexican women 
Mérida-Ortega, Á; Hernández-Alcaraz, C; Hernández-Ramírez, RU; García-Martínez, A; Trejo-Valdivia, B; Salinas-Rodríguez, A; Svensson, K; Cebrián, ME; Franco-Marina, F; López-Carrillo, L 
2016 
Yes 
Environment International
ISSN: 0160-4120
EISSN: 1873-6750 
ELSEVIER IRELAND LTD 
CLARE 
96 
167-172 
English 
Objective: To evaluate if selected phthalate exposure and flavonoid intake interact on breast cancer (BC) risk.

Material and methods: Interviews and urine samples were obtained from 233 women with histologically confirmed BC and 221 healthy controls matched by age and place of residence, from various states of northern Mexico. Urinary metabolites concentrations of diethyl phthalate (DEP), butyl benzyl phthalate (BBzP) and dioctyl phthalate (DOP) were determined by solid-phase extraction coupled with high-performance liquid chromatography/isotope dilution/tandem mass spectrometry. Using a semiquantitative food frequency questionnaire, consumption of five types of flavonoids (anthocyanidins, flavan-3-ols, flavanones, flavones and flavonols) was estimated according to three food groups: vegetables, fruits and legumes-oil seeds.

Results: A higher intake of anthocyanidins and flavan-3-ols (from vegetables), synergistically increased the negative association between BBzP and BC. No other significant flavonoid-phthalate multiplicative interactions on the risk for BC were found.

Conclusion: The consumption of some flavonoids may interact with exposure to phthalates on the risk of BC. Epidemiological and underlying mechanisms information is still insufficient and requires further investigations. 
Phthalates; Flavonoids; Breast cancer risk 
14th International Congress of Toxicology in conjunction with the 10th Mexican Congress of Toxicology 
Merida, MEXICO 
IRIS
• BBP (Butyl benzyl phthalate)
     Literature Search
          Literature Search: July 2016 - January 2017
               PubMed
               WOS
     Excluded: No Primary Data on Health Effects
          Exposure levels
• Diethyl phthalate (DEP)
     Database searches
          Jan 2017 update
               Considered new
               PubMed
               Web of Science
          Jan 2020 update
               PubMed
               Web of Science
               New for this project
     Primary source of health effects
          Human health effects studies
• Phthalates – Targeted Search for Epidemiological Studies
     Source – all searches
          Other
     Included
          BBP
          DEP
     Source - Dec 2016 Update (Private)
          Other