Alcohol intake and breast cancer in the European prospective investigation into cancer and nutrition
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Published version
Author(s)
Type
Journal Article
Abstract
Alcohol intake has been associated to breast cancer in pre and postmenopausal women; however results are inconclusive regarding tumor hormonal receptor status, and potential modifying factors like age at start drinking. Therefore, we investigated the relation between alcohol intake and the risk of breast cancer using prospective observational data from the European Prospective Investigation into Cancer and Nutrition (EPIC). Up to 334,850 women, aged 35–70 years at baseline, were recruited in ten European countries and followed up an average of 11 years. Alcohol intake at baseline and average lifetime alcohol intake were calculated from country-specific dietary and lifestyle questionnaires. The study outcomes were the Hazard ratios (HR) of developing breast cancer according to hormonal receptor status. During 3,670,439 person-years, 11,576 incident breast cancer cases were diagnosed. Alcohol intake was significantly related to breast cancer risk, for each 10 g/day increase in alcohol intake the HR increased by 4.2% (95% CI: 2.7–5.8%). Taking 0 to 5 g/day as reference, alcohol intake of >5 to 15 g/day was related to a 5.9% increase in breast cancer risk (95% CI: 1–11%). Significant increasing trends were observed between alcohol intake and ER+/PR+, ER−/PR−, HER2− and ER−/PR−HER2− tumors. Breast cancer risk was stronger among women who started drinking prior to first full-time pregnancy. Overall, our results confirm the association between alcohol intake and both hormone receptor positive and hormone receptor negative breast tumors, suggesting that timing of exposure to alcohol drinking may affect the risk. Therefore, women should be advised to control their alcohol consumption.
Date Issued
2015-07-14
Date Acceptance
2014-11-03
Citation
International Journal of Cancer, 2015, 137 (8), pp.1921-1930
ISSN
1097-0215
Publisher
Wiley
Start Page
1921
End Page
1930
Journal / Book Title
International Journal of Cancer
Volume
137
Issue
8
Copyright Statement
© 2015 The Authors. Published by Wiley Periodicals, Inc. on behalf of UICC.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor
Commission of the European Communities
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000359350600019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
313010
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
alcohol consumption
breast cancer
prospective study
HORMONE-RECEPTOR STATUS
POSTMENOPAUSAL WOMEN
PREMENOPAUSAL WOMEN
ESTROGEN-RECEPTORS
RISK
CONSUMPTION
DRINKING
HEALTH
Adult
Aged
Alcohol Drinking
Breast Neoplasms
Europe
Female
Humans
Middle Aged
Postmenopause
Proportional Hazards Models
Prospective Studies
Receptor, ErbB-2
Receptors, Estrogen
Receptors, Progesterone
Risk Factors
Surveys and Questionnaires
Receptor, erbB-2
Oncology & Carcinogenesis
1112 Oncology And Carcinogenesis
Publication Status
Published