DOI QR코드

DOI QR Code

Mate Intake and Risk of Breast Cancer in Uruguay: a Case-Control Study

  • Ronco, Alvaro L (Unit of Oncology and Radiotherapy, Pereira Rossell Women's Hospital) ;
  • De Stefani, Eduardo (Pathology Department, Clinical Hospital, UDELAR State University) ;
  • Mendoza, Beatriz (Endocrinology and Metabolism Department, Clinical Hospital, UDELAR State University) ;
  • Deneo-Pellegrini, Hugo (Pathology Department, Clinical Hospital, UDELAR State University) ;
  • Vazquez, Alvaro (Biomedical Sciences Center, University of Montevideo) ;
  • Abbona, Estela (Nutrition Department, Pereira Rossell Women's Hospital, Montevideo)
  • Published : 2016.04.11

Abstract

Regarding 'mate' intake (infusion of Ilex paraguariensis herb, a staple beverage in temperate South American regions), most epidemiologic studies showed positive associations with risk of some cancers, (e.g. upper aerodigestive tract), but evidence on breast cancer (BC) risk is limited to a previous multi-site study, which reported a non significant odds ratio [OR]=0.85, 95% confidence interval [95% CI] 0.67-1.09, p for trend=0.31) for the highest quartile of intake. The present study was conducted in order to further assess associations of 'mate' intake with BC risk. We combined two databases of women belonging to public and private healthcare hospitals. The sample included 572 BC incident cases and 889 controls interviewed with a specific questionnaire featured by socio-demographic, reproductive and lifestyle variables, and a food frequency questionnaire of 64 items, also analyzing 'mate' intake (consumer status, daily intake, age at start, age at quit, duration of habit, intensity of intake). ORs and their 95%CI were calculated through unconditional logistic regression, adjusting for relevant potential confounders. The highest quartile of 'mate' intake was inversely associated with BC risk (OR=0.40, 95%CI 0.26-0.57, p for trend <0.001). Stratified analyses also displayed strong significant inverse associations for 'mate' in frequent tea drinkers (OR=0.22), high energy intake (OR=0.23), high body mass index (OR=0.29) and in postmenopausal women (OR=0.36), among other results. As conclusions, we found evidence of a significant inverse association for 'mate' intake and BC risk.

Keywords

References

  1. Abnet CC (2007). Carcinogenic food contaminants. Cancer Invest, 25, 189-96. https://doi.org/10.1080/07357900701208733
  2. Ayyakkannu P, Elumalai N, Palanivelu S, Panchanadham S (2014). Shemamruthaa, herbal formulation modulates xenobiotic metabolizing enzymes and energy metabolism in 7, 12-Dimethylbenz [a] anthracene-induced breast cancer in rats. J Biochem Tech, 5, 801-7.
  3. Badal S, Delgada R (2014). Role of the modulation of CYP1A1 expression and activity in chemoprevention. J Appl Toxicol, 34, 743-53. https://doi.org/10.1002/jat.2968
  4. Barrios E, Garau M, Alonso R, Musetti C (2014). IV Atlas of Cancer Incidence in Uruguay. Comision Honoraria de Lucha Contra el Cancer, Montevideo, Uruguay. (in Spanish)
  5. Bhoo-Pathy N, Peeters PH, Uiterwaal CS, et al (2015). Coffee and tea consumption and risk of pre- and postmenopausal breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort study. Breast Cancer Res, 17, 15. https://doi.org/10.1186/s13058-015-0521-3
  6. Bracesco N, Sanchez AG, Contreras V, et al (2011). Recent advances on Ilex paraguariensis research: minireview. J Ethnopharmacol, 136, 378-84. https://doi.org/10.1016/j.jep.2010.06.032
  7. Breslow NE, Day NE (1980). Statistical methods in cancer research: Volume 1. The analysis of case-control studies. International Agency Res Cancer Sci Pub, 32, Lyon, France.
  8. Castellsague X, Munoz N, De Stefani E, et al (2000). Influence of mate drinking, hot beverages and diet on esophageal cancer risk in South America. Int J Cancer, 88, 658-64. https://doi.org/10.1002/1097-0215(20001115)88:4<658::AID-IJC22>3.0.CO;2-T
  9. Comision Honoraria de Lucha Contra el Cancer (1993). Knowledge, beliefs, attitudes and practices related to cancer: population survey. Technical cooperation PNUD/BID. Comision Honoraria de Lucha Contra el Cancer, Montevideo, Uruguay.
  10. Coppes Z, Escardo C, Pavlisko A, Leonard SS (2014). Antioxidant properties of Yerba Mate tea and its inhibition of radical DNA damage, and comparison with other types of tea. Proceedings of the VI South American Congress on Yerba Mate, Montevideo. Abst, 150, 194.
  11. De Stefani E, Correa P, Oreggia F, et al (1988). Black tobacco, wine and mate in oropharyngeal cancer. A case-control study from Uruguay. Rev Epidemiol Sante Publique, 36, 389-94.
  12. De Stefani E, Munoz N, Esteve J, et al (1990). Mate drinking, alcohol, tobacco, diet, and esophageal cancer in Uruguay. Cancer Res, 50, 426-31.
  13. De Stefani E, Correa P, Fierro L, et al D (1991). Black tobacco, mate, and bladder cancer. A case-control study from Uruguay. Cancer, 67, 536-40. https://doi.org/10.1002/1097-0142(19910115)67:2<536::AID-CNCR2820670236>3.0.CO;2-8
  14. De Stefani E, Fierro L, Correa P, et al (1996). Mate drinking and risk of lung cancer in males. A case control study from Uruguay. Cancer Epidemiol Biomarkers Prev, 5, 515-9.
  15. De Stefani E, Ronco AL, Mendilaharsu M, et al (1997a). Meat intake, heterocyclic amines, and risk of breast cancer: a case-control study in Uruguay. Cancer Epidemiol Biomarkers Prev, 6, 573-81.
  16. De Stefani E, Correa P, Ronco AL, et al (1997b). Dietary fiber and risk of breast cancer. A case-control study in Uruguay. Nutr Cancer, 28, 14-9. https://doi.org/10.1080/01635589709514547
  17. De Stefani E, Deneo-Pellegrini H, Mendilaharsu M, Ronco AL (1998a). Essential fatty acids and breast cancer: a case-control study in Uruguay. Int J Cancer, 76, 491-4. https://doi.org/10.1002/(SICI)1097-0215(19980518)76:4<491::AID-IJC8>3.0.CO;2-M
  18. De Stefani E, Fierro L, Mendilaharsu M, et al (1998b). Meat intake, "mate" drinking and renal cell cancer in Uruguay. A case-control study. Br J Cancer, 78, 1239-43. https://doi.org/10.1038/bjc.1998.661
  19. De Stefani E, Boffetta P, Deneo-Pellegrini H, et al (2007). Non-alcoholic beverages and risk of bladder cancer in Uruguay. BMC Cancer, 7, 57. https://doi.org/10.1186/1471-2407-7-57
  20. De Stefani E, Moore M, Aune D, et al (2011a). Mate Consumption and Risk of Cancer: a Multi-site Case-Control Study in Uruguay. Asian Pac J Cancer Prev, 12, 1089-93.
  21. De Stefani E, Deneo-Pellegrini H, Ronco AL, et al (2011b). Alcohol Drinking, Non-alcoholic Beverages and Risk of Advanced Prostate Cancer among Uruguayan Men. J Cancer Sci Ther, 1, 1-6
  22. Deneo-Pellegrini H, De Stefani E, Boffetta P, et al (2013). Mate consumption and risk of oral cancer: Case-control study in Uruguay. Head Neck, 35, 1091-5. https://doi.org/10.1002/hed.23080
  23. Feig SA (1999). Role and evaluation of mammography and other imaging methods for breast cancer detection, diagnosis, and staging. Semin Nucl Med, 29, 3-15. https://doi.org/10.1016/S0001-2998(99)80026-9
  24. Ferlay J, Soerjomataram I, Ervik M, et al (2013). GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer.
  25. Gao Y, Huang YB, Liu XO, et al (2013). Tea consumption, alcohol drinking and physical activity associations with breast cancer risk among chinese females: a systematic review and meta-analysis. Asian Pac J Cancer Prev, 14, 7543-50. https://doi.org/10.7314/APJCP.2013.14.12.7543
  26. Gierach GL, Freedman ND, Andaya A, et al (2012). Coffee intake and breast cancer risk in the NIH-AARP diet and health study cohort. Int J Cancer, 131, 452-60. https://doi.org/10.1002/ijc.26372
  27. Golozar A, Fagundes RB, Etemadi A, et al (2012). Significant variation in the concentration of carcinogenic polycyclic aromatic hydrocarbons in yerba mate samples by brand, batch, and processing method. Environ Sci Technol, 46, 13488-93. https://doi.org/10.1021/es303494s
  28. Gomes Zuin V, Montero L, Bauer C, Popp P (2005). Stir bar sorptive extraction and high-performance liquid chromatography-fluorescence detection for the determination of polycyclic aromatic hydrocarbons in Mate teas. J Chromatog A, 1091, 2-10. https://doi.org/10.1016/j.chroma.2005.07.057
  29. Heck CI, de Mejia EG (2007). Yerba Mate Tea (Ilex paraguariensis): a comprehensive review on chemistry, health implications, and technological considerations. J Food Sci, 72, 138-51.
  30. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (1991). Volume 51. Coffee, Tea, Mate, methylxanthines and methylglyoxal. IARC, Lyon, France, pp 273-87.
  31. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (2010). Volume 92. Some non-heterocyclic polycyclic aromatic hydrocarbons and some related exposures. IARC, Lyon, France, 92, 1-853.
  32. IARC Monographs on the Evaluation of carcinogenic risks to humans (2014). Report of the Advisory Group to Recommend Priorities for IARC Monographs during 2015-2019, Lyon.
  33. Jaiswal R, Sovdat T, Vivan F, Kuhnert N (2010). Profiling and characterization by LC-MSn of the chlorogenic acids and hydroxycinnamoylshikimate esters in mate (ilex paraguariensis). J Agricult Food Chem, 58, 5471-84. https://doi.org/10.1021/jf904537z
  34. Jiang W, Wu Y, Jiang X (2013). Coffee and caffeine intake and breast cancer risk: an updated dose-response meta-analysis of 37 published studies. Gynecol Oncol, 129, 620-9. https://doi.org/10.1016/j.ygyno.2013.03.014
  35. Kamangar F, Schantz MM, Abnet CC, et al (2008). High levels of carcinogenic polycyclic aromatic hydrocarbons in mate drinks. Cancer Epidemiol Biomarkers Prev, 17, 1262-8. https://doi.org/10.1158/1055-9965.EPI-08-0025
  36. Loria D, Barrios E, Zanetti R (2009). Cancer and yerba mate consumption: a review of possible associations. Pan Am Public Health J, 25, 530-9. https://doi.org/10.1590/S1020-49892009000600010
  37. Lubin JH, De Stefani E, Abnet CC, et al (2014). Mate drinking and esophageal squamous cell carcinoma in south america: pooled results from two large multicenter case-control studies. Cancer Epidemiol Biomarkers Prev, 23, 107-16. https://doi.org/10.1158/1055-9965.EPI-13-0796
  38. Muti P, Bradlow HL, Micheli A, et al (2000). Estrogen metabolism and risk of breast cancer: a prospective study of the 2:16a-hydroxyestrone ratio in premenopausal and postmenopausal women. Epidemiol, 11, 635-40. https://doi.org/10.1097/00001648-200011000-00004
  39. Nie XC, Dong DS, Bai Y, Xia P (2014). Meta-analysis of black tea consumption and breast cancer risk: update 2013. Nutr Cancer, 66, 1009-14. https://doi.org/10.1080/01635581.2014.936947
  40. Parkin DM, Whelan SL, Ferlay J, et al (eds) (2002). Cancer incidence in five continents, vol. VIII. IARC Scientific Publications $N^{\circ}$ 155, International Agency for Research on Cancer, Lyon.
  41. Rengarajan T, Rajendran P, Nandakumar N, et al (2015). Exposure to polycyclic aromatic hydrocarbons with special focus on cancer. Asian Pac J Trop Biomed, 5, 182-9. https://doi.org/10.1016/S2221-1691(15)30003-4
  42. Ronco AL, De Stefani E, Mendilaharsu M, Deneo-Pellegrini H (1996). Meat, fat and the risk of breast cancer: a case-control study from Uruguay. Int J Cancer, 65, 328-31. https://doi.org/10.1002/(SICI)1097-0215(19960126)65:3<328::AID-IJC9>3.0.CO;2-1
  43. Ronco AL, De Stefani E, Boffetta P, et al (1999). Vegetables, fruits, and related nutrients and risk of breast cancer: a case control study in Uruguay. Nutr Cancer, 35, 111-9. https://doi.org/10.1207/S15327914NC352_3
  44. Ronco AL, Barrios E, Fierro L, et al (2004). Risk factors for oesophageal cancer in non smokers and non drinkers. Braz J Epidemiol, 7, 383-91.
  45. Ronco AL, De Stefani E, Boffetta P, et al (2006). Food patterns and risk of breast cancer: A factor analysis study in Uruguay. Int J Cancer, 119, 1672-8. https://doi.org/10.1002/ijc.22021
  46. Ronco AL, Mendoza B, Varas X, et al (2008). Somatotype and risk of breast cancer: a case-control study in Uruguay. Braz J Epidemiol, 11, 215-27.
  47. Ronco AL, Boeing H, De Stefani E, et al (2009). A case-control study on fat- to-muscle ratio and risk of breast cancer. Nutr Cancer, 61, 466-74. https://doi.org/10.1080/01635580902725995
  48. Ronco AL, De Stefani E, Stoll M (2010a). Hormonal and metabolic modulation through nutrition: towards a primary prevention of breast cancer. Breast, 19, 322-32. https://doi.org/10.1016/j.breast.2010.05.005
  49. Ronco AL, De Stefani E, Aune D, et al (2010b). Nutrient patterns and risk of breast cancer in Uruguay. Asian Pac J Cancer Prev, 11, 519-24.
  50. Ronco AL, De Stefani E, Correa P, et al (2011). Dietary benzo[a] pyrene, alcohol drinking, and the risk of breast cancer: a case-control study in Uruguay. Asian Pac J Cancer Prev, 12, 1463-7.
  51. Ronco AL, De Stefani E (eds) (2012). Nutritional Epidemiology of Breast Cancer. Springer Publishers, Dordrecht.
  52. Ronco AL, De Stefani E, Deneo-Pellegrini H (2012). Risk factors of premenopausal Breast Cancer: A Case-Control Study in Uruguay. Asian Pac J Cancer Prev, 13, 2879-86. https://doi.org/10.7314/APJCP.2012.13.6.2879
  53. Ronco AL, De Stefani E (2013). Nutrition and breast cancer in pre- and post-menopausal women in uruguay. in: collins CJ, Ross Watson R, Preedy VR (eds.) handbook of nutrition and diet in menopause. humana press, New York, 281-92.
  54. Ronco AL, De Stefani E, Deneo-Pellegrini H (2013). Body composition, somatotype and risk of premenopausal breast cancer: a case-control study in Uruguay. J Cancer Res Treat, 1, 77-86.
  55. Ronco AL, Mendoza B, Abbona E, De Stefani E (2015). Dietary patterns and risk of breast cancer: a factor analysis of foods and nutrients. VI Ibero American Congress of Nutrition, September 8-11th, Montevideo, Uruguay (in Spanish)
  56. Sewram V, De Stefani E, Brennan P, Boffetta P (2003). Mate consumption and the risk of squamous cell esophageal cancer in Uruguay. Cancer Epidemiol Biomarkers Prev, 12, 508-13.
  57. Szaefer H, Krajka-Kuzniak V, Ignatowicz E, et al (2014). The effect of cloudy apple juice on hepatic and mammary gland phase I and II enzymes induced by DMBA in female Sprague-Dawley rats. Drug Chem Toxicol, 37, 472-9. https://doi.org/10.3109/01480545.2014.893442
  58. Thea AE, Ferreira D, Brumovsky LA, Schmalko ME (2016). Polycyclic aromatic hydrocarbons (PAHs) in yerba mate (Ilex paraguariensis St. Hil) traditional infusions (mate and terere). Food Control, 60, 215-20. https://doi.org/10.1016/j.foodcont.2015.07.046
  59. Tiwari P, Sahay S, Pandey M, et al (2014). Combinatorial chemopreventive effect of butyric acid, nicotinamide and calcium glucarate against the 7,12-dimethylbenz(a) anthracene induced mouse skin tumorigenesis attained by enhancing the induction of intrinsic apoptotic events. Chem Biol Interact, 226, 1-11.
  60. Vassallo A, Correa P, De Stefani E, et al (1985). Esophageal cancer in Uruguay: a case-control study. J Natl Cancer Inst, 75, 1005-9.
  61. Wang J, Tang L, Wang J-S (2015). Biomarkers of Dietary Polyphenols in Cancer Studies: Current Evidence and Beyond. Oxid Med Cell Longevity, 732302
  62. World Cancer Research Fund/American Institute for Cancer Research (2007). Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington DC, AICR, 148-56.
  63. Wu Y, Zhang D, Kang S (2013). Black tea, green tea and risk of breast cancer: an update. Springer Plus, 2, 240. https://doi.org/10.1186/2193-1801-2-240
  64. Zapaterini JR, Bidinotto LT, Rodrigues MAM, Barbisan LF (2010). Chemopreventive effects of mate against mouse mammary and colon carcinogenesis. Hum Exp Toxicol, 29, 175-85. https://doi.org/10.1177/0960327109359636

Cited by

  1. Hot infusions and risk of colorectal cancer in Uruguay: a case–control study pp.1476-5640, 2017, https://doi.org/10.1038/ejcn.2017.130
  2. Health Benefits of Bioactive Compounds from the Genus Ilex, a Source of Traditional Caffeinated Beverages vol.10, pp.11, 2018, https://doi.org/10.3390/nu10111682
  3. Caffeine in the Diet: Country-Level Consumption and Guidelines vol.10, pp.11, 2018, https://doi.org/10.3390/nu10111772