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Lifetime alcohol consumption and breast cancer: a case–control study in Finland

Published online by Cambridge University Press:  02 January 2007

Satu Männistö*
Affiliation:
National Public Health Institute, Department of Nutrition, Mannerheimintie 166, 00300 Helsinki, Finland.
Mikko Virtanen
Affiliation:
National Public Health Institute, Department of Nutrition, Mannerheimintie 166, 00300 Helsinki, Finland.
Vesa Kataja
Affiliation:
Kuopio University Hospital, Department of Oncology, 70211 Kuopio, Finland.
Matti Uusitupa
Affiliation:
University of Kuopio, Department of Clinical Nutrition, 70211 Kuopio, Finland.
Pirjo Pietinen
Affiliation:
National Public Health Institute, Department of Nutrition, Mannerheimintie 166, 00300 Helsinki, Finland.
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

To study the association between lifetime alcohol consumption and the risk of breast cancer.

Design and setting

A case–control study carried out in eastern Finland. Information about alcohol consumption was obtained by two methods: a self-administered food frequency questionnaire (FFQ) including alcohol consumption during the previous 12 months, and a lifetime alcohol consumption questionnaire (AQ) which was administered by the study nurse.

Subjects

The study consisted of 301 breast cancer cases (25–75 years old) and 443 population controls.

Results

The subjects reported higher current alcohol consumption in the AQ compared to the FFQ. According to the AQ, premenopausal cases consumed on average 28 g and controls 24 g alcohol week−1; in postmenopausal women the values were 15 and 14 g, respectively. About 30% of premenopausal and 60% of postmenopausal women were classified as non-drinkers. The correlation for current alcohol consumption between the FFQ and the AQ was 0.80 in premenopausal women but only 0.40 in postmenopausal women. Current alcohol consumption seemed to influence the reporting of total lifetime alcohol consumption. Current alcohol consumption was not associated with the risk of breast cancer either in premenopausal or postmenopausal women; neither were associations found between alcohol consumption at age of first use, use before the age of 30, or total lifetime alcohol consumption and the risk of breast cancer.

Conclusions

On average, one to three drinks per week did not increase the risk of breast cancer in this study. Consumption levels were, however, too low to exclude increased risk with high regular consumption. Further research is necessary on lifetime alcohol consumption.

Type
Research Article
Copyright
Copyright © CABI Publishing 2000

References

1Longnecker, MP. Alcoholic beverage consumption in relation to risk of breast cancer: meta-analysis and review. Cancer Causes Control 1994; 5: 7382.CrossRefGoogle ScholarPubMed
2Willett, WC, Stampfer, MJ, Colditz, GA, Rosner, BA, Hennekens, CH, Speizer, FE. Moderate alcohol consumption and the risk of breast cancer. N. Engl. J. Med. 1987; 316: 1174–80.CrossRefGoogle ScholarPubMed
3Garfinkel, L, Boffetta, P and Stellman, SD. Alcohol and breast cancer: a cohort study. Prev. Med. 1988; 17: 686–93CrossRefGoogle ScholarPubMed
4Howe, G, Rohan, T, Decarli, A, et al. The association between alcohol and breast cancer risk: evidence from the combined analysis of six dietary case-control studies. Int. J. Cancer 1991; 47: 707–10.CrossRefGoogle ScholarPubMed
5Smith-Warner, SA, Spiegelman, D and Shiaw-Shyuan, Y, et al. Alcohol and breast cancer in women. A pooled analysis of cohort studies. JAMA (1998) 279: 535–40.CrossRefGoogle ScholarPubMed
6Reichman, ME, Judd, JT, Longcope, C, et al. Effects of alcohol consumption on plasma and urinary hormone concentrations in premenopausal women. J. Natl. Cancer Inst. 1993 85: 722–7.CrossRefGoogle ScholarPubMed
7Katsouyanni, K, Trichopoulou, A, Stuver, S, et al. Ethanol and breast cancer: an association that may be both confounded and causal. Int. J. Cancer 1994; 58: 356–61.CrossRefGoogle ScholarPubMed
8Seidell, JC. Environmental influences on regional fat distribution. Int. J. Obesity 1991; 15: 31–5.Google ScholarPubMed
9Van't Veer, P, Kok, FJ, Hermus, RJSturmans, F.Alcohol dose, frequency and age at first exposure in relation to the risk of breast cancer. Int. J. Epidemiol. 1989; 18: 511–17.CrossRefGoogle Scholar
10Nasca, PC, Baptiste, MS, Field, NA, et al. An epidemiological case–control study of breast cancer and alcohol consumption. Int. J. Epidemiol. 1990; 19: 532–8.CrossRefGoogle ScholarPubMed
11Bowlin, SJ, Leske, MC, Varma, A, Nasca, P, Weinstein, A, Caplan, L.Breast cancer risk and alcohol consumption: results from a large case–control study. Int. J. Epidemiol. 1997; 26: 915–23.CrossRefGoogle ScholarPubMed
12Longnecker, MP, Newcomb, PA, Mittendorf, R, et al. Risk of breast cancer in relation to lifetime alcohol consumption. J. Natl. Cancer Inst. 1995; 87: 923–9.CrossRefGoogle ScholarPubMed
13Swanson, CA, Coates, RJ, Malone, KE, et al. Alcohol consumption and breast cancer risk among women under age 45 years. Epidemiology 1997; 8: 231–7.CrossRefGoogle ScholarPubMed
14Hankinson, SE, Willett, WC. Alcohol and breast cancer: is there a conclusion? Nutrition 1995; 11: 320–1.Google ScholarPubMed
15Männistö, S, Pietinen, P, Virtanen, M, Kataja, V, Uusitupa, M.Diet and the risk of breast cancer in a case–control study: does the threat of disease have an influence on recall bias? J. Clin. Epidemiol. 1999; 52: 429–39.CrossRefGoogle Scholar
16Männistö, S, Pietinen, P, Pyy, M, Palmgren, J, Eskelinen, M, Uusitupa, M.Body-size indicators and risk of breast cancer according to menopause and estrogen-receptor status. Int. J. Cancer 1996; 68: 813.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
17Ovaskainen, M-L, Valsta, LM, Lauronen, J.The compilation of food analysis values as a database for dietary studies – the Finnish experience. Food. Chem. 1996; 57: 133–6.CrossRefGoogle Scholar
18Männistö, S, Virtanen, P, Mikkonen, T, Pietinen, P.Reproducibility and validity of a food frequency questionnaire in a case–control study on breast cancer. J. Clin. Epidemiol. 1996; 49: 401–9.CrossRefGoogle Scholar
19Willett, W. Nutritional Epidemiology, 2nd edn.New York: Oxford University Press, 1998.CrossRefGoogle Scholar
20Van den Brandt, PA, Goldbohm, A, van't Veer, P.Alcohol and breast cancer: results from the Netherlands Cohort Study. Am. J. Epidemiol. 1995; 141: 907–15.CrossRefGoogle ScholarPubMed
21Friedenreich, CM, Howe, GR, Miller, AB, Jain, MG. A cohort study of alcohol consumption and risk of breast cancer. Am. J. Epidemiol. 1993; 137: 512–20.CrossRefGoogle ScholarPubMed
22Gapstur, SM, Potter, JD, Sellers, TA, Folsom, AR. Increased risk of breast cancer with alcohol consumption in postmenopausal women. Am. J. Epidemiol. 1992; 136; 1221–31.CrossRefGoogle ScholarPubMed
23Graham, S, Zielezny, M, Marshall, J, et al. Diet in the epidemiology of postmenopausal breast cancer in the New York State Cohort. Am. J. Epidemiol. 1992; 136: 1327–37.CrossRefGoogle ScholarPubMed
24Holmberg, L, Ohlander, EM, Byers, T, et al. Diet and breast cancer risk: results from a population–based, case–control study in Sweden. Arch. Intern. Med. 1994; 154; 1805–11.CrossRefGoogle ScholarPubMed
25Ferraroni, M, Decarli, A, Franceschi, S, La Vecchia, C.Alcohol consumption and risk of breast cancer – a multicentre Italian case–control study. Eur. J. Cancer 1998; 34: 1403–9.CrossRefGoogle ScholarPubMed
26Royo-Bordonada, MA, Martin-Moreno, JM, Guallar, E, et al. Alcohol intake and risk of breast cancer: the Euramic Study. Neoplasma 1997; 44; 150–6.Google ScholarPubMed
27Adelstein, A, White, G.Alcoholism and mortality. Popul. Trends 1976; 6; 713.Google Scholar
28Adami, H-O, McLaughlin, JK, Hsing, AW, et al. Alcoholism and cancer risk: a population-based cohort study. Cancer Causes Control 1992; 3; 419–25.CrossRefGoogle Scholar
29Uusitalo, U, Pietinen, P, Leino, U. Food and Nutrient Intake Among Adults in East and Southwest Finland – A Dietary Survey of the Finmonica Project in 1982. Publications of the National Public Health Institute No. B1/1987. Helsinki: Government Printing Centre, 1987.Google Scholar
30Kleemola, P, Virtanen, M, Pietinen, P. The 1992 Dietary Survey of Finnish Adults. Publications of the National Public Health Institute No. B2/1994. Helsinki: Helsinki University Printing House, 1994.Google Scholar
31Simpura, J, Paakkanen, P, Mustonen, H.New beverages, new drinking contexts? Signs of modernization in Finnish drinking habits from 1984 to 1992, compared with trends in the European Community. Addiction 1995; 90; 673–83.CrossRefGoogle ScholarPubMed
32Feunekes, GIJ, van't Veer, HP, van Staveren, WA, Kok, FJ. Alcohol intake assessment: the sober facts. Am. J. Epidemiol. 1999; 150; 105–12.CrossRefGoogle ScholarPubMed
33Colditz, GA. Fat, estrogen, and the time frame for prevention of breast cancer. Epidemiol. 1995; 6: 209–11.Google ScholarPubMed
34Holmberg, L, Baron, JA, Byers, T, et al. Alcohol intake and breast cancer risk: effects of exposure from 15 years of age. Cancer Epidemiol. Biomark. Prev. 1995; 4: 843–7.Google Scholar
35Hiatt, RA, Klatsky, AL, Armstrong, MA. Alcohol consumption and the risk of breast cancer in a prepaid health plan. Cancer Res. 1988; 48: 2284–7.Google Scholar
36Freudenheim, JL, Marshall, JR, Graham, S, et al. Lifetime alcohol consumption and risk of breast cancer. Nutr. Cancer 1995; 23: 111.CrossRefGoogle ScholarPubMed
37Harvey, EB, Schairer, C, Briton, LA, et al. Alcohol consumption and breast cancer. J. Natl. Cancer Inst. 1987; 78: 657–61.Google ScholarPubMed
38Dwyer, JT, Garnder, J, Halvorsen, K, et al. Memory of food intake in the distant past. Am. J. Epidemiol. 1989; 130: 1033–46.CrossRefGoogle ScholarPubMed
39Liu, S, Serdula, MK, Byers, T, Williamson, DF, Mokdad, AH, Flanders, WD. Reliability of alcohol intake as recalled from 10 years in the past. Am. J. Epidemiol. 1996; 143: 177–86.CrossRefGoogle ScholarPubMed
40World Cancer Research Fund and American Institute for Cancer Research. Food, Nutrition and the Prevention of Cancer: A Global Perspective. Menasha: Banta Book Group, 1997.Google Scholar