The mediterranean dietary pattern and breast cancer risk in Greek-Cypriot women: a case-control study

Background: Diet has long been suspected to impact on breast cancer risk. In this study we evaluated whether the degree of adherence to a Mediterranean diet pattern modifies breast cancer risk amongst Greek-Cypriot women. Methods: Subjects included 935 cases and 817 controls, all participating in the MASTOS case-control study in Cyprus. The study was approved by the Cyprus National Bioethics Committee. Information on dietary intakes was collected using an interviewer administered 32-item Food Frequency Questionnaire. Information on demographic, anthropometric, lifestyle, and other confounding factors was also collected. Adherence to the Mediterranean Diet pattern was assessed using two a-priory defined diet scores. In addition, dietary patterns specific to our population were derived using Principal Component Analysis (PCA). Logistic regression models were used to assess the association between the dietary patters and breast cancer risk. Results: There was no association with breast cancer risk for either score, however, higher consumptions of vegetables, fish and olive oil, were independently associated with decreased risk. In addition, the PCA derived component which included vegetables, fruit, fish and legumes was shown to significantly reduce risk of breast cancer (ORs across quartiles of increasing levels of consumption: 0.89 95%CI: 0.65-1.22, 0.64 95%CI: 0.47-0.88, 0.67 95%CI: 0.49-0.92, P trend < 0.0001), even after adjustment for relevant confounders. Conclusions: Our results suggest that adherence to a diet pattern rich in vegetables, fish, legumes and olive oil may favorably influence the risk of breast cancer. This study is the first investigation of dietary effects on breast cancer risk in Cyprus, a country whose population has traditionally adhered to the Mediterranean diet

Museums and cultural sustainability: stakeholders, forces, and cultural policies

This paper explores the relationship between museums, cultural sustainability, and cultural policies. Specifically, it offers a theoretical model for the sustainable development of museums and a process for designing appropriate cultural policies for museums with cultural sustainability in mind. The case of Cyprus is used to demonstrate how strengths and gaps in cultural sustainability can be identified within a broader museum environment. The study examines the main stakeholders (the state, municipalities/ communities, and individuals), types of museums (archaeological, art, ethnographic, etc.) they establish and the forces influencing their decisions (such as politics, a sense of national identity, cultural tourism, economic revitalization, and personal agendas) in order to map the Cypriot museum environment and identify the emphasis placed on different parameters of cultural sustainability. By identifying cultural sustainability strengths and gaps on a national level, it becomes easier for cultural policy-makers to design appropriate cultural policies for museums