Skip to main content
Top
Published in: BMC Women's Health 1/2017

Open Access 01-12-2017 | Research article

Lifelong vegetarianism and breast cancer risk: a large multicentre case control study in India

Authors: Toral Gathani, Isobel Barnes, Raghib Ali, Rajkumar Arumugham, Raju Chacko, Raghunadharao Digumarti, Parimal Jivarajani, Ravi Kannan, Dasappa Loknatha, Hemant Malhotra, Beela S. Mathew, on behalf of the INDOX Cancer Research Network Collaborators

Published in: BMC Women's Health | Issue 1/2017

Login to get access

Abstract

Background

The lower incidence of breast cancer in Asian populations where the intake of animal products is lower than that of Western populations has led some to suggest that a vegetarian diet might reduce breast cancer risk.

Methods

Between 2011 and 2014 we conducted a multicentre hospital based case—control study in eight cancer centres in India. Eligible cases were women aged 30–70 years, with newly diagnosed invasive breast cancer (ICD10 C50). Controls were frequency matched to the cases by age and region of residence and chosen from the accompanying attendants of the patients with cancer or those patients in the general hospital without cancer. Information about dietary, lifestyle, reproductive and socio-demographic factors were collected using an interviewer administered structured questionnaire. Multivariate logistic regression models were used to estimate the odds ratio (OR) and 95% confidence intervals for the risk of breast cancer in relation to lifelong vegetarianism, adjusting for known risk factors for the disease.

Results

The study included 2101 cases and 2255 controls. The mean age at recruitment was similar in cases (49.7 years (SE 9.7)) and controls (49.8 years (SE 9.1)). About a quarter of the population were lifelong vegetarians and the rates varied significantly by region. On multivariate analysis, with adjustment for known risk factors for the disease, the risk of breast cancer was not decreased in lifelong vegetarians (OR 1.09 (95% CI 0.93-1.29)).

Conclusions

Lifelong exposure to a vegetarian diet appears to have little, if any effect on the risk of breast cancer.
Literature
1.
go back to reference Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet].
3.
go back to reference Travis R, Allen N, Appleby P, Spencer E, Roddam A, Key T. A prospective study of vegetarianism and isoflavone intake in relation to breast cancer risk in British women. Int J Cancer. 2007;122:705–10.CrossRef Travis R, Allen N, Appleby P, Spencer E, Roddam A, Key T. A prospective study of vegetarianism and isoflavone intake in relation to breast cancer risk in British women. Int J Cancer. 2007;122:705–10.CrossRef
4.
go back to reference Collaborative Group on Hormonal Factors in Breast Cancer. Alcohol, tobacco and breast cancer--collaborative reanalysis of individual data from 53 epidemiological studies, including 58,515 women with breast cancer and 95,067 women without the disease. Br J Cancer. 2002;87(11):1234–45.CrossRefPubMedCentral Collaborative Group on Hormonal Factors in Breast Cancer. Alcohol, tobacco and breast cancer--collaborative reanalysis of individual data from 53 epidemiological studies, including 58,515 women with breast cancer and 95,067 women without the disease. Br J Cancer. 2002;87(11):1234–45.CrossRefPubMedCentral
5.
go back to reference Reeves G, Pirie K, Beral V, Green J, Spencer E, Bull D. Cancer incidence and mortality in relation to body mass index in the million women study: cohort study. Br Med J. 2007;335(7630):1134.CrossRef Reeves G, Pirie K, Beral V, Green J, Spencer E, Bull D. Cancer incidence and mortality in relation to body mass index in the million women study: cohort study. Br Med J. 2007;335(7630):1134.CrossRef
6.
go back to reference Cade JE, Taylor EF, Burley VJ, Greenwood DC. Common dietary patterns and risk of breast cancer: analysis from the United Kingdom Women’s cohort study. Nutr Cancer. 2010;62(3):300–6.CrossRefPubMed Cade JE, Taylor EF, Burley VJ, Greenwood DC. Common dietary patterns and risk of breast cancer: analysis from the United Kingdom Women’s cohort study. Nutr Cancer. 2010;62(3):300–6.CrossRefPubMed
7.
go back to reference Key TJ, Appleby PN, Crowe FL, Bradbury KE, Schmidt JA, Travis RC. Cancer in British vegetarians: updated analyses of 4998 incident cancers in a cohort of 32,491 meat eaters, 8612 fish eaters, 18,298 vegetarians, and 2246 vegans. Am J Clin Nutr. 2014;100 Suppl 1:378s–85s.CrossRefPubMedPubMedCentral Key TJ, Appleby PN, Crowe FL, Bradbury KE, Schmidt JA, Travis RC. Cancer in British vegetarians: updated analyses of 4998 incident cancers in a cohort of 32,491 meat eaters, 8612 fish eaters, 18,298 vegetarians, and 2246 vegans. Am J Clin Nutr. 2014;100 Suppl 1:378s–85s.CrossRefPubMedPubMedCentral
8.
go back to reference Catsburg C, Kim RS, Kirsh VA, Soskolne CL, Kreiger N, Rohan TE. Dietary patterns and breast cancer risk: a study in 2 cohorts. Am J Clin Nutr. 2015;101(4):817–23.CrossRefPubMed Catsburg C, Kim RS, Kirsh VA, Soskolne CL, Kreiger N, Rohan TE. Dietary patterns and breast cancer risk: a study in 2 cohorts. Am J Clin Nutr. 2015;101(4):817–23.CrossRefPubMed
9.
go back to reference dos Santos SI, Mangtani P, McCormack V, Bhakta D, Sevak D, Sevak L, et al. Lifelong vegetarianism and risk of breast cancer: a population-based case—control study among south asian migrant women living in England. Int J Cancer. 2002;99:238–44.CrossRef dos Santos SI, Mangtani P, McCormack V, Bhakta D, Sevak D, Sevak L, et al. Lifelong vegetarianism and risk of breast cancer: a population-based case—control study among south asian migrant women living in England. Int J Cancer. 2002;99:238–44.CrossRef
10.
go back to reference Rao DN, Ganesh B, Desai PB. Role of reproductive factors in breast cancer in a low-risk area: a case—control study. Br J Cancer. 1994;70(1):129–32.CrossRefPubMedPubMedCentral Rao DN, Ganesh B, Desai PB. Role of reproductive factors in breast cancer in a low-risk area: a case—control study. Br J Cancer. 1994;70(1):129–32.CrossRefPubMedPubMedCentral
11.
go back to reference Jayalekshmi P, Varughese S, Kalavathi K, Nair M, Jayaprakash V, Gangardharan P, et al. A nested case—control study of female breast cancer in Karunagappally cohort in Kerala, India. Asian Pac J Cancer Prev. 2009;10(2):241–6.PubMed Jayalekshmi P, Varughese S, Kalavathi K, Nair M, Jayaprakash V, Gangardharan P, et al. A nested case—control study of female breast cancer in Karunagappally cohort in Kerala, India. Asian Pac J Cancer Prev. 2009;10(2):241–6.PubMed
12.
go back to reference Kamath SK, Murillo G, Chatterton Jr RT, Hussain EA, Amin D, Mortillaro E, et al. Breast cancer risk factors in two distinct ethnic groups: Indian and Pakistani vs. American premenopausal women. Nutr Cancer. 1999;35(1):16–26.CrossRefPubMed Kamath SK, Murillo G, Chatterton Jr RT, Hussain EA, Amin D, Mortillaro E, et al. Breast cancer risk factors in two distinct ethnic groups: Indian and Pakistani vs. American premenopausal women. Nutr Cancer. 1999;35(1):16–26.CrossRefPubMed
13.
go back to reference Agrawal S, Millett CJ, Dhillon PK, Subramanian SV, Ebrahim S. Type of vegetarian diet, obesity and diabetes in adult Indian population. Nutr J. 2014;13:89.CrossRefPubMedPubMedCentral Agrawal S, Millett CJ, Dhillon PK, Subramanian SV, Ebrahim S. Type of vegetarian diet, obesity and diabetes in adult Indian population. Nutr J. 2014;13:89.CrossRefPubMedPubMedCentral
14.
go back to reference Key T, Appleby P, Rosell M. Health effects of vegetarian and vegan diets. Proc Nutr Soc. 2006;65:35–41.CrossRefPubMed Key T, Appleby P, Rosell M. Health effects of vegetarian and vegan diets. Proc Nutr Soc. 2006;65:35–41.CrossRefPubMed
15.
go back to reference Arnold F, Parasuraman S, Arokiasamy P, Kothari M. Nutrition in India: National Family Health Survey (NFHS-3) India 2005–6. International Institute for Population Sciences. Claverton, Maryland, USA: ICF Macro; 2009. Arnold F, Parasuraman S, Arokiasamy P, Kothari M. Nutrition in India: National Family Health Survey (NFHS-3) India 2005–6. International Institute for Population Sciences. Claverton, Maryland, USA: ICF Macro; 2009.
16.
go back to reference International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: volume I. Mumbai: IIPS; 2007. International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: volume I. Mumbai: IIPS; 2007.
17.
go back to reference Godos J, Bella F, Sciacca S, Galvano F and Grosso G. Vegetarianism and breast, colorectal and prostate cancer risk: an overview and meta-analysis of cohort studies. J Hum Nutr Diet, 2016. doi:10.1111/jhn.12426. Godos J, Bella F, Sciacca S, Galvano F and Grosso G. Vegetarianism and breast, colorectal and prostate cancer risk: an overview and meta-analysis of cohort studies. J Hum Nutr Diet, 2016. doi:10.​1111/​jhn.​12426.
18.
go back to reference Kamath R, Mahajan KS, Ashok L, Sanal TS. A study on risk factors of breast cancer among patients attending the tertiary care hospital, in udupi district. Indian J Community Med. 2013;38(2):95–9.CrossRefPubMedPubMedCentral Kamath R, Mahajan KS, Ashok L, Sanal TS. A study on risk factors of breast cancer among patients attending the tertiary care hospital, in udupi district. Indian J Community Med. 2013;38(2):95–9.CrossRefPubMedPubMedCentral
19.
go back to reference Lahmann PH, Hoffmann K, Allen N, van Gils CH, Khaw KT, Tehard B, et al. Body size and breast cancer risk: findings from the European Prospective Investigation into Cancer And Nutrition (EPIC). Int J Cancer. 2004;111(5):762–71.CrossRefPubMed Lahmann PH, Hoffmann K, Allen N, van Gils CH, Khaw KT, Tehard B, et al. Body size and breast cancer risk: findings from the European Prospective Investigation into Cancer And Nutrition (EPIC). Int J Cancer. 2004;111(5):762–71.CrossRefPubMed
20.
go back to reference Mathew A, Gajalakshmi V, Rajan B, Kanimozhi V, Brennan P, Mathew B, et al. Anthropometric factors and breast cancer risk among urban and rural women in South India: a multicentric case—control study. Br J Cancer. 2008;99:207–13.CrossRefPubMedPubMedCentral Mathew A, Gajalakshmi V, Rajan B, Kanimozhi V, Brennan P, Mathew B, et al. Anthropometric factors and breast cancer risk among urban and rural women in South India: a multicentric case—control study. Br J Cancer. 2008;99:207–13.CrossRefPubMedPubMedCentral
21.
go back to reference Singh P, Kapil U, Shukla N, Deo S, Dwivedi S. Association of overweight and obesity with breast cancer in India. Indian J Community Med. 2011;36(4):259–62.CrossRefPubMedPubMedCentral Singh P, Kapil U, Shukla N, Deo S, Dwivedi S. Association of overweight and obesity with breast cancer in India. Indian J Community Med. 2011;36(4):259–62.CrossRefPubMedPubMedCentral
22.
go back to reference The Million Women Study Collaborators. Breast cancer and hormone replacement therapy in the million women study. Lancet. 2003;362:419–27.CrossRef The Million Women Study Collaborators. Breast cancer and hormone replacement therapy in the million women study. Lancet. 2003;362:419–27.CrossRef
23.
go back to reference Collabarative Group on Hormonal Factors in Breast Cancer. Breast cancer and hormonal contraceptives: collaborative reanalysis of individual data on 53 297 women with breast cancer and 100 239 women without breast cancer from 54 epidemiological studies. Lancet. 1996;347(9017):1713–27.CrossRef Collabarative Group on Hormonal Factors in Breast Cancer. Breast cancer and hormonal contraceptives: collaborative reanalysis of individual data on 53 297 women with breast cancer and 100 239 women without breast cancer from 54 epidemiological studies. Lancet. 1996;347(9017):1713–27.CrossRef
24.
go back to reference Nadkarni A, Murthy P, Crome IB, Rao R. Alcohol use and alcohol-use disorders among older adults in India: a literature review. Aging Ment Health. 2013;17(8):979–91.CrossRefPubMed Nadkarni A, Murthy P, Crome IB, Rao R. Alcohol use and alcohol-use disorders among older adults in India: a literature review. Aging Ment Health. 2013;17(8):979–91.CrossRefPubMed
25.
go back to reference Kaushal M, Mishra AK, Raju BS, Ihsan R, Chakraborty A, Sharma J, et al. Betel quid chewing as an environmental risk factor for breast cancer. Mutat Res. 2010;703(2):143–8.CrossRefPubMed Kaushal M, Mishra AK, Raju BS, Ihsan R, Chakraborty A, Sharma J, et al. Betel quid chewing as an environmental risk factor for breast cancer. Mutat Res. 2010;703(2):143–8.CrossRefPubMed
26.
go back to reference Collabarative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease. Lancet. 2002;360(9328):187–95.CrossRef Collabarative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease. Lancet. 2002;360(9328):187–95.CrossRef
Metadata
Title
Lifelong vegetarianism and breast cancer risk: a large multicentre case control study in India
Authors
Toral Gathani
Isobel Barnes
Raghib Ali
Rajkumar Arumugham
Raju Chacko
Raghunadharao Digumarti
Parimal Jivarajani
Ravi Kannan
Dasappa Loknatha
Hemant Malhotra
Beela S. Mathew
on behalf of the INDOX Cancer Research Network Collaborators
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2017
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-016-0357-8

Other articles of this Issue 1/2017

BMC Women's Health 1/2017 Go to the issue