Alcohol intake and breast cancer in the European Prospective investigation into Cancer and Nutrition: Short title: Alcohol intake and breast cancer: Alcohol intake and breast cancer.
By: Isabelle Romieu, Chiara Scoccianti, Veronique Chajes, Jordi de Batlle, Carine Biessy, Laure Dossus, Laura Baglietto, Françoise Clavel-Chapelon, Kim Overvad, Anja Olsen, Anne Tjønneland, Rudolf Kaaks, Annie Lukanova, Heiner Boeing, Antonia Trichopoulou, Pagona Lagiou, Dimitrios Trichopoulos, Domenico Palli, Sabina Sieri, Rosario Tumino, Paolo Vineis, Salvatore Panico, H B As Bueno-de-Mesquita, Carla H Gils, Petra Peeters, Eiliv Lund, Guri Skeie, Elisabete Weiderpass, J Ramón Quirós, María-Dolores Chirlaque, Eva Ardanaz, María-José Sánchez, Eric J Duell, Pilar Amiano, Signe Borgquist, Elisabet Wirfält, Göran Hallmans, Ingegerd Johansson, Lena Maria Nilsson, Kay-Tee Khaw, Nick Wareham, Timothy J Key, Ruth C Travis, Neil Murphy, Petra A Wark, Pietro Ferrari, Elio Riboli

International Agency for Research on Cancer (IARC), Lyon, France.
2014-8-21; doi: 10.1002/ijc.29469
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 10g/day increase in alcohol intake the HR increased by 4.2% (95% CI: 2.7%-5.8%). Taking 0 to 5g/day as reference, alcohol intake of >5 to 15g/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. This article is protected by copyright. All rights reserved.



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PMID:25677034






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