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http://dx.doi.org/10.7314/APJCP.2013.14.12.7543

Tea Consumption, Alcohol Drinking and Physical Activity Associations with Breast Cancer Risk among Chinese Females: a Systematic Review and Meta-analysis  

Gao, Ying (Department of Social Medicine and Health Service Management, School of Public Health, Tianjin Medical University Cancer Institute and Hospital)
Huang, Yu-Bei (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Liu, Xue-Ou (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Chen, Chuan (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Dai, Hong-Ji (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Song, Feng-Ju (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Wang, Jing (Department of Social Medicine and Health Service Management, School of Public Health, Tianjin Medical University Cancer Institute and Hospital)
Chen, Ke-Xin (Department of Epidemiology and Biostatistics, Key Laboratory of Cancer Prevention and Therapy, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital)
Wang, Yao-Gang (Department of Social Medicine and Health Service Management, School of Public Health, Tianjin Medical University Cancer Institute and Hospital)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.14, no.12, 2013 , pp. 7543-7550 More about this Journal
Abstract
Objective: To evaluate associations between tea consumption, alcohol drinking and physical activity and breast cancer risk among Chinese females. Methods: Three English databases (PubMed, ScienceDirect and Wiley) and three Chinese databases (CNKI, WanFang and VIP) were independently searched by 2 reviewers up to December 2012, complemented by manual searches. The quality of included studies was assessed with the Newcastle-Ottawa Scale items. Random-effects models were used to estimate the pooled odds ratios (ORs) and 95% confidence intervals (CIs). Potential publication bias was estimated through Egger's and Begg's tests. Heterogeneity between studies was evaluated with $I^2$ statistics. Results: Thirty-nine studies involving 13,204 breast cancer cases and 87,248 controls were identified. Compared with non-drinkers, regular tea drinkers had decreased risk (OR=0.79, 95%CIs: 0.65-0.95; $I^2$=84.9%; N=16). An inverse association was also found between regular physical activity and breast cancer risk (OR=0.73, 95%CIs: 0.63-0.85; $I^2$=77.3%; N=15). However, there was no significant association between alcohol drinking and breast cancer risk (OR=0.85, 95%CIs: 0.72-1.02; $I^2$=63.8%; N=26). Most of the results from the subgroup analysis were consistent with the main results. Conclusion: Tea consumption and physical activity are significantly associated with a decreased risk of breast cancer in Chinese females. However, alcohol drinking may not be associated with any elevation of risk.
Keywords
Breast cancer; tea consumption; alcohol drinking; physical activity; system review; meta-analysis;
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1 Gao CM, Ding JH, Li SP, et al (2013). Active and passive smoking, and alcohol drinking and breast cancer risk in Chinese women. Asian Pac J Cancer Prev, 14, 993-96.   과학기술학회마을   DOI   ScienceOn
2 Hedges LV (2001). The power of statistical tests in meta-analysis. Psychol Methods, 6, 203-17.   DOI   ScienceOn
3 Hamajima N, Hirose K, Tajima K, et al (2002). 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, 87, 1234-45.   DOI   ScienceOn
4 Huang XM, Wang CX, Zhou YS, et al (2006). A elementary study on risk factors of breast cancer of women in Shenzhen Baoan area. Central Plains Medical Journal, 33, 37-39. (in Chinese)
5 Hou ZG, Li GL, Ma XD, et al (2012). A study on prediction model of breast cancer risk factors in women living WeiFang. Chin J Clinicians (Electronic Edition), 6, 2181-83. (in Chinese)
6 Jin YL (2007). Case-control Study on the Association of Genetic Polymorphisms of ER and PR with the Risk of Breast Cancer. Zhejiang Medical University, Zhejiang, China. (in Chinese)
7 Key TJ, Sharp GB, Appleby PN, et al (1999). Soya foods and breast cancer risk: a prospective study in Hiroshima and Nagasaki, Japan. Br J Cancer, 81, 1248-56.   DOI   ScienceOn
8 Key J, Hodgson S, Omar RZ, et al (2006). Meta-analysis of studies of alcohol and breast cancer with consideration of the methodological issues. Cancer Causes Control, 17, 759-70.   DOI
9 Kaur S, Greaves P, Cooke DN, et al (2007). Breast cancer prevention by green tea catechins and black tea theaflavins in the C3(1) SV40 T, tantigen transgenic mouse model is accompanied by increased apoptosis and a decrease in oxidative DNA adducts. J Agric Food Chem, 55, 3378-85.   DOI   ScienceOn
10 Kallianpur AR, Lee SA, Gao YT, et al (2008). Dietary animalderived iron and fat intake and breast cancer risk in the Shanghai Breast Cancer Study. Breast Cancer Res Treat, 107, 123-32.
11 Kawai M, Minami Y, Kakizaki M, et al (2011). Alcohol consumption and breast cancer risk in Japanese women: the Miyagi Cohort study. Breast Cancer Res Treat, 128, 817-25.   DOI   ScienceOn
12 La Vecchia C, Negri E, Franceschi S, et al (1992). Tea consumption and cancer risk. Nutr Cancer, 17, 27-31.   DOI   ScienceOn
13 Lu RF, Cai HP, Xu X, et al (1992). A case-control study for breast cancer of women in Shanghai. Tumor, 12, 65-69.
14 Liao S, Umekita Y, Guo J, et al (1995). Growth inhibition and regression of human prostate and breast tumors in athymic mice by tea epigallocatechin gallate. Cancer Lett, 96, 239-43.   DOI   ScienceOn
15 Lin XY, Xu GF, Xu H (2001). Case-control study on the risk factors of breast cancer among women in Jinan. Journal of Shangdong University (Health Science), 39, 552-53. (in Chinese)
16 Lee MM, Chang IY, Horng CF, et al (2005). Breast cancer and dietary factors in Taiwanese women. Cancer Causes Control, 16, 929-37.   DOI
17 Cochrane J, Chen H, Conigrave KM, et al (2003). Alcohol use in China. Alcohol , 38, 537-42.
18 Begg CB, Mazumdar M (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50, 1088-101.   DOI   ScienceOn
19 Baliga MS, Meleth S, Katiyar SK (2005). Growth inhibitory and antimetastatic effect of green tea polyphenols on metastasisspecific mouse mammary carcinoma 4T1 cells in vitro and in vivo systems. Clin Cancer Res, 11, 1918-27.   DOI   ScienceOn
20 Bao PP, Shu XO, Gao YT, et al (2011). Association of hormonerelated characteristics and breast cancer risk by estrogen receptor/progesterone receptor status in the shanghai breast cancer study, Am J Epidemiol, 174, 661-71.   DOI   ScienceOn
21 Chow LW, Lui KL, Chan JC, et al (2005). Association between body mass index and risk of formation of breast cancer in Chinese women, Asian J Surg, 28, 179-84.   DOI   ScienceOn
22 Chou YC, Wu MH, Yu JC, et al (2006). Genetic polymorphisms of the methylenetetrahydrofolate reductase gene, plasma folate levels and breast cancer susceptibility: a case-control study in Taiwan. Carcinogenesis, 27, 2295-300.   DOI   ScienceOn
23 Chisato N, Mizoue T, Al E, et al (2007). Alcohol drinking and breast cancer risk: an evaluation based on a systematic review of epidemiologic evidence among the Japanese population. Jpn J Clin Oncol, 8, 568-74.
24 Dai Q, Shu XO, Li H, et al (2010). Is green tea drinking associated with a later onset of breast cancer? Ann Epidemiol, 20, 74-81.   DOI   ScienceOn
25 Dai H, Zhang L, Cao M, et al (2011). The role of polymorphisms in circadian pathway genes in breast tumorigenesis. Breast Cancer Res Treat, 127, 531-40.   DOI
26 Friedenreich CM, Cust AE (2008). Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects. Br J Sports Med, 42, 636-47.   DOI   ScienceOn
27 Ewertz M, Gill C (1990). Dietary factors and breast-cancer risk in Denmark. Int J Cancer, 46, 779-84.   DOI
28 Egger M, Davey SG, Schneider M, et al (1997). Bias in metaanalysis detected by a simple, graphical test. BMJ, 315, 629-34.   DOI   ScienceOn
29 Frisch RE, Wyshak G, Albright NL, et al (1985). Lower prevalence of breast cancer and cancers of the reproductive system among former college athletes compared to non-athletes. Br J Cancer, 52, 885-91.   DOI
30 Gmel G, Rehm J, Frick U (2001). Methodological approaches to conducting pooled cross-sectional time series analysis: the example of the association between all-cause mortality and per capita alcohol consumption for men in 15 European states. Eur Addict Res, 7, 128-37.   DOI   ScienceOn
31 Gao CM, Tajima K, Ding JH, et al (2009). Body size, physical activity and risk of breast cancer - a case control study in Jiangsu Province of China. Asian Pac J Cancer Prev, 10, 877-81.
32 Gao CM, Tang JH, Cao HX, et al (2009). MTHFR polymorphisms, dietary folate intake and breast cancer risk in Chinese women. J Hum Genet, 54, 414-18.   DOI   ScienceOn
33 Zhang M, Holman CD, Huang JP, et al (2007). Green tea and the prevention of breast cancer: a case-control study in Southeast China. Carcinogenesis, 28, 1074-78.
34 Zhang CX, Ho SC, Chen YM, et al (2009). Meat and egg consumption and risk of breast cancer among Chinese women. Cancer Causes Control, 20, 1845-53.   DOI
35 Wang LY, Liu L, Tao MF, et al (2008). The association between diet and breast cancer research. Maternal and Child Health Care of China, 23, 4630-31.
36 Zhang M, Holman CD (2011). Low-to-moderate alcohol intake and breast cancer risk in Chinese women. Br J Cancer, 105, 1089-95.   DOI   ScienceOn
37 Zhang M, Jin M, Yu Y, et al (2012). Associations of miRNA polymorphisms and female physiological characteristics with breast cancer risk in Chinese population. Eur J Cancer Care (Engl), 21, 274-80.   DOI   ScienceOn
38 Zhang ML, Huang ZZ, Zheng Y (2012). Estimates and prediction on incidence, mortality and prevalence of breast cancer in China, 2008. Zhonghua Liu Xing Bing Xue Za Zhi, 33, 1049-51.
39 Wang B, Mi M, Wang J, et al (2009). Does the increase of endogenous steroid hormone levels also affect breast cancer risk in Chinese women? A case-control study in Chongqing, China, Int J Cancer, 124, 1892-99. (in Chinese)
40 Wells GEA (2012). The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in metaanalyses.
41 Wang L, Liao WC, Tsai CJ, et al (2013). The effects of perceived stress and life style leading to breast cancer. Women Health, 53, 20-40.   DOI   ScienceOn
42 Wu Y, Zhang D, Kang S (2013). Black tea, green tea and risk of breast cancer: an update. Springerplus, 2, 240.   DOI   ScienceOn
43 Wu Y, Zhang D, Kang S (2013). Physical activity and risk of breast cancer: a meta-analysis of prospective studies. Breast Cancer Res Treat, 137, 869-82.   DOI   ScienceOn
44 WHO (2009). World Health Organization. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/usa.pdf. [Accessed December, 2013.]
45 WHO (2009). World Health Organization. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/jpn.pdf. [Accessed December 2013.]
46 WHO (2009). World Health Organization. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/gbr.pdf. [Accessed December 2013.]
47 WHO (2009). World Health Organization. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/fra.pdf. [Accessed December 2013.]
48 WHO (2009). World Health Organization. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/chn.pdf. [Accessed December 2013.]
49 Yu MC, Tang BK, Ross RK (1995). A urinary marker of alcohol intake. Cancer Epidemiol Biomarkers Prev, 4, 849-55.
50 Xu YJ, Meng YX, Zhang WJ (1997). A case-control study of female breast cancer in Tangshan rural area. Pract J Cancer, 12, 293-96. (in Chinese)
51 Xu YL, Sun Q, Shan GL, et al (2012). A case-control study on risk factors of breast cancer in China. Arch Med Sci, 8, 303-09.
52 Yu ZG, Jia CX, Geng CZ, et al (2012). Risk factors related to female breast cancer in regions of Northeast China: a 1:3 matched case-control population-based study. Chin Med J (Engl), 125, 733-40.
53 Zhao YB, Shi ZD, Liu LM, et al (1999). Matched case-control study for detecting risk factors of breast cancer in women living in Chengdu. Chin J Epidemiol, 20, 91-94. (in Chinese)
54 Zhang ZB, Gao ES, Wu JQ, et al (2003). Relationship between physical activity and breast cancer risk in China. Reprod Contrac, 5, 291-97. (in Chinese)
55 Sartippour MR, Shao ZM, Heber D, et al (2002). Green tea inhibits vascular endothelial growth factor (VEGF) induction in human breast cancer cells. J Nutr, 132, 2307-11.   DOI
56 Smith-Warner SA, Spiegelman D, Yaun SS, et al (1998). Alcohol and breast cancer in women: a pooled analysis of cohort studies. JAMA, 279, 535-40.   DOI   ScienceOn
57 Stroup DF, Berlin JA, Morton SC, et al (2000). Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA, 283, 2008-12.   DOI   ScienceOn
58 Sartippour MR, Heber D, Ma J, et al (2001). Green tea and its catechins inhibit breast cancer xenografts. Nutr Cancer, 40, 149-56.   DOI   ScienceOn
59 Suzuki Y, Tsubono Y, Nakaya N, et al (2004). Green tea and the risk of breast cancer: pooled analysis of two prospective studies in Japan. Br J Cancer, 90, 1361-63.   DOI   ScienceOn
60 Seely D, Mills EJ, Wu P, et al (2005). The effects of green tea consumption on incidence of breast cancer and recurrence of breast cancer: a systematic review and meta-analysis. Integr Cancer Ther, 4, 144-55.   DOI
61 Shannon J, Ray R, Wu C, et al (2005). Food and botanical groupings and risk of breast cancer: a case-control study in Shanghai, China. Cancer Epidemiol Biomarkers Prev, 14, 81-90.
62 Sun CL, Yuan JM, Koh WP, et al (2006). Green tea, black tea and breast cancer risk: a meta-analysis of epidemiological studies. Carcinogenesis, 27, 1310-15.   DOI   ScienceOn
63 Shimizu M, Fukutomi Y, Ninomiya M, et al (2008). Green tea extracts for the prevention of metachronous colorectal adenomas: a pilot study. Cancer Epidemiol Biomarkers Prev, 17, 3020-25.   DOI   ScienceOn
64 Taioli E, Garte SJ, Trachman J, et al (1996). Ethnic differences in estrogen metabolism in healthy women. J Natl Cancer Inst, 88, 617.   DOI   ScienceOn
65 Shrubsole MJ, Lu W, Chen Z, et al (2009). Drinking green tea modestly reduces breast cancer risk. J Nutr, 139, 310-16.   DOI
66 Shi P, Xu M, Qian Y, et al (2010). Matched case-control study for detecting risk factors of breast cancer in women living WuXi. Modern Preventive Medicine, 37, 2428-31. (in Chinese)
67 Shrubsole MJ, Shu XO, Li HL, et al (2011). Dietary B vitamin and methionine intakes and breast cancer risk among Chinese women. Am J Epidemiol, 173, 1171-82.   DOI   ScienceOn
68 Tao MH, Liu DK, Gao LF (2002). Association between green tea drinking and breast cancer risk. Tumor, 22, 176-80. (in Chinese)
69 White IR (1999). The level of alcohol consumption at which allcause mortality is least. J Clin Epidemiol, 52, 967-75.   DOI   ScienceOn
70 Wu AH, Yu MC, Tseng CC, et al (2003). Green tea and risk of breast cancer in Asian Americans. Int J Cancer, 106, 574-79.   DOI   ScienceOn
71 Wang YQ (2006). Case-control study on the risk factors of breast cancer in Jiashan County. Zhejiang University, Zhejiang, China. (in Chinese)
72 Li W, Ray RM, Lampe JW, et al (2005). Dietary and other risk factors in women having fibrocystic breast conditions with and without concurrent breast cancer: a nested case-control study in Shanghai, China. Int J Cancer, 115, 981-93.   DOI   ScienceOn
73 Li N, He M, Zhang X, et al (2006). Breast cancer genetic epidemiology study and conditional logistic regression analysis of relative risk factors of female in hospital in Liaoning Province. Chin J Cancer Prev Treat, 13, 101-06.
74 Li N, Zheng RS, Zhang SW, et al (2012). Analysis and prediction of breast cancer incidence trend in China. Zhonghua Yu Fang Yi Xue Za Zhi, 46, 703-07. (in Chinese)
75 Landis-Piwowar KR, Huo C, Chen D, et al (2007). A novel prodrug of the green tea polyphenol (-)-epigallocatechin-3-gallate as a potential anticancer agent. Cancer Res, 67, 4303-10.   DOI   ScienceOn
76 Leu JD, Wang CY, Tsai HY, et al (2011). Involvement of p53 R72P polymorphism in the association of MDM2-SNP309 with breast cancer. Oncol Rep, 25, 1755-63.
77 Li Y, Yang H, Cao J (2011). Association between alcohol consumption and cancers in the Chinese population--a systematic review and meta-analysis. PLoS One, 6, e18776.   DOI   ScienceOn
78 McTiernan A, Kooperberg C, White E, et al (2003). Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. JAMA, 290, 1331-36.   DOI   ScienceOn
79 Ma GS, Zhu DH, Hu XQ (2005). A case-control study on risk factors of female breast cancer in Guangzhou. Acta Nutrimenta Sinica, 27, 362-65.
80 Ma RL (2007). The association of serum hormoned levels with both risk and prognosis of female breast cancer. Shandong University: Shandong, China. (in Chinese)
81 Ogunleye AA, Xue F, Michels KB (2010). Green tea consumption and breast cancer risk or recurrence: a meta-analysis. Breast Cancer Res Treat, 119, 477-84.   DOI   ScienceOn
82 PRC National Blood Pressure Survey Cooperative Group (1995). Alcohol consumption and blood pressure: a national-wide survey of 1991 in China. Chinese Journal of Hypertension, suppl, 50-54. (in Chinese)
83 Ren XN (2008). A 1:1 Case-control Study on Risk Factors of Breast Cancer. Dalian Medical University, Dalian, China. (in Chinese)
84 Pezzotti A, Kraft P, Hankinson SE, et al (2009). The mitochondrial A10398G polymorphism, interaction with alcohol consumption, and breast cancer risk. PLoS One, 4, e5356.   DOI   ScienceOn
85 Pronk A, Ji BT, Shu XO, et al (2011). Physical activity and breast cancer risk in Chinese women. Br J Cancer, 105, 1443-50.   DOI   ScienceOn
86 Qian Y, Zhang JP, Dong J, et al (2010). Relationship between polymorphisms of X-ray repair cross-complementing group 1 gene Arg194Trp, Arg399Glin and susceptibility of breast cancer. Chin J Prev Med, 44, 242-46.
87 Ren GF, Yang JF (2013). Meta analysis of effect of green tea consumption on breast cancer risk, 34. Nutrition and Health, 34,276-179. (in Chinese)