Alcohol and breast cancer

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Alcohol is a risk factor that can be eliminated NIHR-infographic-breast-risk-factors.png
Alcohol is a risk factor that can be eliminated

The relationship between alcohol and breast cancer is clear: drinking alcoholic beverages, including wine, beer, or liquor, is a risk factor for breast cancer, as well as some other forms of cancer. [1] [2] [3] [4] Drinking alcohol causes more than 100,000 cases of breast cancer worldwide every year. [3] Globally, almost one in 10 cases of breast cancer is caused by women drinking alcoholic beverages. [3] Drinking alcoholic beverages is among the most common modifiable risk factors. [5]

Contents

The International Agency for Research on Cancer has declared that there is sufficient scientific evidence to classify alcoholic beverages a Group 1 carcinogen that causes breast cancer in women. [2] Group 1 carcinogens are the substances with the clearest scientific evidence that they cause cancer, such as smoking tobacco.

A woman drinking an average of two units of alcohol per day has 13% higher risk of developing breast cancer than a woman who drinks an average of one unit of alcohol per day. [6] Even light consumption of alcohol – one to three drinks per week – increases the risk of breast cancer. [3]

Heavy drinkers are also more likely to die from breast cancer than non-drinkers and light drinkers. [3] [7] Also, the more alcohol a woman consumes, the more likely she is to be diagnosed with a recurrence after initial treatment. [7]

Mechanism

The mechanisms of increased breast cancer risk by alcohol are not clear, and may be:

Their magnitude likely depends on the amount of alcohol consumed. [8]

Susceptibility to the breast cancer risk of alcohol may also be increased by other dietary factors (e.g. folate deficiency), lifestyle habits (including use of hormone replacement therapy), or biological characteristics (e.g. as hormone receptor expression in tumor cells). [8]

Light and moderate drinking

All types of alcoholic beverages, including beer, wine, or liquor, cause breast cancer. NIH standard drink comparison.jpg
All types of alcoholic beverages, including beer, wine, or liquor, cause breast cancer.

Drinking alcoholic beverages increases the risk of breast cancer, even among very light drinkers (women drinking less than half of one alcoholic drink per day). [6] The risk is highest among heavy drinkers. [9]

Light drinking is one to three alcoholic drinks per week, and moderate drinking is about one drink per day. Both light and moderate drinking is associated with a higher risk of being diagnosed with breast cancer. [3] [10] However, the increased risk caused by light drinking is smaller than the risk for heavy drinking. [11]

In daughters of drinking mothers

Studies suggest that drinking alcohol during pregnancy may affect the likelihood of breast cancer in daughters. "For women who are pregnant, ingestion of alcohol, even in moderation, may lead to elevated circulating oestradiol levels, either through a reduction of melatonin or some other mechanism. This may then affect the developing mammary tissue such that the lifetime risk of breast cancer is raised in their daughters." [12]

Recurrence

Drinking or not drinking alcohol does not solely determine whether breast cancer will recur after treatment. [7] However, the more a woman drinks, the more likely the cancer is to recur. [7]

In men

In men, breast cancer is rare, with an incidence of fewer than one case per 100,000 men. [13] Population studies have returned mixed results about excessive consumption of alcohol as a risk factor. One study suggests that alcohol consumption may increase risk at a rate of 16% per 10 g daily alcohol consumption. [14] Others have shown no effect at all, though these studies had small populations of alcoholics. [15]

Epidemiology

Worldwide, alcohol consumption causes approximately 144,000 women to be diagnosed with breast cancer each year. [3] Approximately 38,000 women die from alcohol-induced breast cancer each year. [3] About 80% of these women were heavy or moderate drinkers. [3]

Related Research Articles

<span class="mw-page-title-main">Alcoholism</span> Problematic excessive alcohol consumption

Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World Health Organization (WHO) estimated there were 283 million people with alcohol use disorders worldwide as of 2016. The term alcoholism was first coined in 1852, but alcoholism and alcoholic are sometimes considered stigmatizing and to discourage seeking treatment, so diagnostic terms such as alcohol use disorder or alcohol dependence are often used instead in a clinical context.

<span class="mw-page-title-main">Breast cancer</span> Cancer that originates in mammary glands

Breast cancer is a cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a red or scaly patch of skin. In those with distant spread of the disease, there may be bone pain, swollen lymph nodes, shortness of breath, or yellow skin.

<span class="mw-page-title-main">Alcohol abuse</span> Substance abuse of alcoholic beverages

Alcohol abuse encompasses a spectrum of alcohol-related substance abuse, ranging from the consumption of more than 2 drinks per day on average for men, or more than 1 drink per day on average for women, to binge drinking or alcohol use disorder.

The long-term effects of alcohol have been extensively researched. The health effects of long-term alcohol consumption on health vary depending on the amount consumed. Even light drinking poses health risks, but atypically small amounts of alcohol may have health benefits. Alcoholism causes severe health consequences which outweigh any potential benefits.

<span class="mw-page-title-main">Drinking culture</span> Aspect of human behavior

Drinking culture is the set of traditions and social behaviours that surround the consumption of alcoholic beverages as a recreational drug and social lubricant. Although alcoholic beverages and social attitudes toward drinking vary around the world, nearly every civilization has independently discovered the processes of brewing beer, fermenting wine, and distilling spirits, among other practices. Many countries have developed their own regional cultures based on unique traditions around the fermentation and consumption of alcohol, which may also be known as a beer culture, wine culture etc. after a particularly prominent type of drink.

<span class="mw-page-title-main">Alcohol flush reaction</span> Effect of alcohol consumption on the human body

Alcohol flush reaction is a condition in which a person develops flushes or blotches associated with erythema on the face, neck, shoulders, ears, and in some cases, the entire body after consuming alcoholic beverages. The reaction is the result of an accumulation of acetaldehyde, a metabolic byproduct of the catabolic metabolism of alcohol, and is caused by an aldehyde dehydrogenase 2 deficiency.

<span class="mw-page-title-main">Alcohol advertising</span> Promotion of alcoholic beverages

Alcohol advertising is the promotion of alcoholic beverages by alcohol producers through a variety of media. Along with nicotine advertising, alcohol advertising is one of the most highly regulated forms of marketing. Some or all forms of alcohol advertising are banned in some countries. There have been some important studies about alcohol advertising published, such as J.P. Nelson's in 2000.

Alcohol education is the practice of disseminating disinformation about the effects of alcohol on health, as well as society and the family unit. It was introduced into the public schools by temperance organizations such as the Woman's Christian Temperance Union in the late 19th century. Initially, alcohol education focused on how the consumption of alcoholic beverages affected society, as well as the family unit. In the 1930s, this came to also incorporate education pertaining to alcohol's effects on health. For example, even light and moderate alcohol consumption increases cancer risk in individuals. Organizations such as the National Institute on Alcohol Abuse and Alcoholism in the United States were founded to promulgate alcohol education alongside those of the temperance movement, such as the American Council on Alcohol Problems.

<span class="mw-page-title-main">Alcohol and cardiovascular disease</span> Effects of alcohol consumption on cardiovascular health

In a 2018 study on 599,912 drinkers, a roughly linear association was found with alcohol consumption and a higher risk of stroke, coronary artery disease excluding myocardial infarction, heart failure, fatal hypertensive disease, and fatal aortic aneurysm, even for moderate drinkers. Alcohol abuse may also cause occupational cardiovascular disease. The American Heart Association states that people who are currently non-drinkers should not start drinking alcohol.

<span class="mw-page-title-main">Alcohol and cancer</span> Relationship between cancer and the consumption of alcohol

Alcohol and cancer have a complex relationship. Alcohol causes cancers of the oesophagus, liver, breast, colon, oral cavity, rectum, pharynx, and larynx, and probably causes cancers of the pancreas. Cancer risk, can occur even with light to moderate drinking. The more alcohol is consumed, the higher the cancer risk, and no amount can be considered completely safe.

Alcohol has a number of effects on health. Short-term effects of alcohol consumption include intoxication and dehydration. Long-term effects of alcohol include changes in the metabolism of the liver and brain, several types of cancer and alcohol use disorder. Alcohol intoxication affects the brain, causing slurred speech, clumsiness, and delayed reflexes. There is an increased risk of developing an alcohol use disorder for teenagers while their brain is still developing. Adolescents who drink have a higher probability of injury including death.

<span class="mw-page-title-main">Health effects of wine</span> Potential health effects resulting from drinking wine

The health effects of wine are mainly determined by its active ingredient – alcohol. Preliminary studies found that drinking small quantities of wine, particularly of red wine, may be associated with a decreased risk of cardiovascular diseases, cognitive decline, stroke, diabetes mellitus, metabolic syndrome, and early death. Other studies found no such effects.

Recommendations for consumption of the drug alcohol vary from recommendations to be alcohol-free to daily or weekly drinking "safe limits" or maximum intakes. Many governmental agencies and organizations have issued guidelines. These recommendations concerning maximum intake are distinct from any legal restrictions, for example countries with drunk driving laws or countries that have prohibited alcohol. To varying degrees, these recommendations are also distinct from the scientific evidence, such as the short-term effects of alcohol consumption and long-term effects of alcohol consumption.

<span class="mw-page-title-main">Diet and cancer</span> Connections between dietary habits and cancer

Many dietary recommendations have been proposed to reduce the risk of cancer, few have significant supporting scientific evidence. Obesity and drinking alcohol have been correlated with the incidence and progression of some cancers. Lowering the consumption of sweetened beverages is recommended as a measure to address obesity.

<span class="mw-page-title-main">Alcoholic cardiomyopathy</span> Medical condition

Alcoholic cardiomyopathy (ACM) is a disease in which the long-term consumption of alcohol leads to heart failure. ACM is a type of dilated cardiomyopathy. The heart is unable to pump blood efficiently, leading to heart failure. It can affect other parts of the body if the heart failure is severe. It is most common in males between the ages of 35 and 50.

<span class="mw-page-title-main">Risk factors for breast cancer</span> Overview article

Risk factors for breast cancer may be divided into preventable and non-preventable. Their study belongs in the field of epidemiology. Breast cancer, like other forms of cancer, can result from multiple environmental and hereditary risk factors. The term environmental, as used by cancer researchers, means any risk factor that is not genetically inherited.

<span class="mw-page-title-main">Binge drinking</span> Form of excessive alcohol intake

Binge drinking, or heavy episodic drinking, is drinking alcoholic beverages with an intention of becoming intoxicated by heavy consumption of alcohol over a short period of time, but definitions vary considerably.

The alcohol industry, also known as Big Alcohol, is the segment of the commercial drink industry that is involved in the manufacturing, distribution, and sale of alcoholic beverages. The industry has been criticised in the 1990s for deflecting attention away from the problems associated with alcohol use. The alcohol industry has also been criticised for being unhelpful in reducing the harm of alcohol.

<span class="mw-page-title-main">Alcohol (drug)</span> Active ingredient in fermented drinks

Alcohol, sometimes referred to by the chemical name ethanol, is one of the most widely used and abused psychoactive drugs in the world and falls under the depressant category. Alcohol is classified by the World Health Organization (WHO) as a toxic, psychoactive, dependence-producing, and carcinogenic substance.

<span class="mw-page-title-main">Alcohol packaging warning messages</span> Warning messages about health issues appearing on alcohol packaging

Alcohol packaging warning messages are warning messages that appear on the packaging of alcoholic drinks concerning their health effects. They have been implemented in an effort to enhance the public's awareness of the harmful effects of consuming alcoholic beverages, especially with respect to foetal alcohol syndrome and alcohol's carcinogenic properties. In general, warnings used in different countries try to emphasize the same messages. Such warnings have been required in alcohol advertising for many years, although the content of the warnings differ by nation.

References

  1. Hayes J, Richardson A, Frampton C (November 2013). "Population attributable risks for modifiable lifestyle factors and breast cancer in New Zealand women". Internal Medicine Journal. 43 (11): 1198–1204. doi:10.1111/imj.12256. ISSN   1445-5994. PMID   23910051. S2CID   23237732.
  2. 1 2 Alcohol consumption and ethyl carbamate International Agency for Research on Cancer Working Group on the Evaluation of Carcinogenic Risks to Humans (2007: Lyon, France) ISBN   9789283212966
  3. 1 2 3 4 5 6 7 8 9 Shield KD, Soerjomataram I, Rehm J (June 2016). "Alcohol Use and Breast Cancer: A Critical Review". Alcoholism: Clinical and Experimental Research. 40 (6): 1166–1181. doi:10.1111/acer.13071. ISSN   1530-0277. PMID   27130687.
  4. Starek-Świechowicz B, Budziszewska B, Starek A (2022). "Alcohol and breast cancer". Pharmacological Reports: PR. 75 (1): 69–84. doi:10.1007/s43440-022-00426-4. ISSN   2299-5684. PMC   9889462 . PMID   36310188.
  5. McDonald JA, Goyal A, Terry MB (September 2013). "Alcohol Intake and Breast Cancer Risk: Weighing the Overall Evidence". Current Breast Cancer Reports. 5 (3): 208–221. doi:10.1007/s12609-013-0114-z. PMC   3832299 . PMID   24265860.
  6. 1 2 Choi YJ, Myung SK, Lee JH (22 May 2017). "Light Alcohol Drinking and Risk of Cancer: A Meta-Analysis of Cohort Studies". Cancer Research and Treatment. 50 (2): 474–487. doi:10.4143/crt.2017.094. ISSN   2005-9256. PMC   5912140 . PMID   28546524.
  7. 1 2 3 4 Gou YJ, Xie DX, Yang KH, Liu YL, Zhang JH, Li B, He XD (2013). "Alcohol Consumption and Breast Cancer Survival: A Meta-analysis of Cohort Studies". Asian Pacific Journal of Cancer Prevention. 14 (8): 4785–90. doi: 10.7314/APJCP.2013.14.8.4785 . PMID   24083744. Although our meta-analysis showed alcohol drinking was not associated with increased breast cancer mortality and recurrence, there seemed to be a dose-response relationship of alcohol consumption with breast cancer mortality and recurrence and alcohol consumption of >20 g/d was associated with increased breast cancer mortality.
  8. 1 2 3 4 5 6 Singletary KW, Gapstur SM (2001). "Alcohol and breast cancer: review of epidemiologic and experimental evidence and potential mechanisms". JAMA. 286 (17): 2143–51. doi:10.1001/jama.286.17.2143. PMID   11694156. S2CID   24160307.
  9. Shield KD, Soerjomataram I, Rehm J (June 2016). "Alcohol Use and Breast Cancer: A Critical Review". Alcoholism: Clinical and Experimental Research. 40 (6): 1166–81. doi:10.1111/acer.13071. PMID   27130687. All levels of evidence showed a risk relationship between alcohol consumption and the risk of breast cancer, even at low levels of consumption.
  10. Zhang SM, Lee IM, Manson JE, Cook NR, Willett WC, Buring JE (March 2007). "Alcohol consumption and breast cancer risk in the Women's Health Study". Am J Epidemiol. 165 (6): 667–76. doi: 10.1093/aje/kwk054 . PMID   17204515.
  11. Pelucchi C, Tramacere I, Boffetta P, Negri E, La Vecchia C (24 August 2011). "Alcohol Consumption and Cancer Risk". Nutrition and Cancer. 63 (7): 983–990. doi:10.1080/01635581.2011.596642. ISSN   0163-5581. PMID   21864055. S2CID   21395211.
  12. Stevens RG, Hilakivi-Clarke L (2001). "Alcohol exposure in utero and breast cancer risk later in life". Alcohol and Alcoholism. 36 (3): 276–7. doi: 10.1093/alcalc/36.3.276 . PMID   11373268.
  13. Male Breast Cancer
  14. Guénel P, Cyr D, Sabroe S, Lynge E, Merletti F, Ahrens W, Baumgardt-Elms C, Ménégoz F, Olsson H, Paulsen S, Simonato L, Wingren G (August 2004). "Alcohol drinking may increase risk of breast cancer in men: a European population-based case-control study". Cancer Causes & Control. 15 (6): 571–580. doi:10.1023/B:CACO.0000036154.18162.43. ISSN   0957-5243. PMID   15280636. S2CID   23750821.
  15. Brinton A, Richesson A, Gierach L, Lacey Jr R, Park Y, Hollenbeck R, Schatzkin A (October 2008). "Prospective evaluation of risk factors for male breast cancer". Journal of the National Cancer Institute. 100 (20): 1477–1481. doi:10.1093/jnci/djn329. ISSN   0027-8874. PMC   2720728 . PMID   18840816.