Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study

A case control study was carried out to investigate associations between breast cancer risk, antioxidant status and oxidative stress among women in Klang Valley and Selangor. A total of 57 newly diagnosed cases aged 30 to 66 years old participated and were matched for age and ethnicity with 139 co...

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Main Authors: Shahar, Suzana, Haron, Normah, Arshad, Fatimah, Rajab, Nor Fadilah, Ghazali, Ahmad Rohi
Format: Article
Language:English
Published: Asian Pacific Organization for Cancer Prevention 2008
Subjects:
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http://irep.iium.edu.my/45946/1/c%20343%20Shahar%206.pdf
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spelling iium-459462015-11-26T01:08:56Z http://irep.iium.edu.my/45946/ Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study Shahar, Suzana Haron, Normah Arshad, Fatimah Rajab, Nor Fadilah Ghazali, Ahmad Rohi RM214 Diet therapy. Diet and dietectics in disease A case control study was carried out to investigate associations between breast cancer risk, antioxidant status and oxidative stress among women in Klang Valley and Selangor. A total of 57 newly diagnosed cases aged 30 to 66 years old participated and were matched for age and ethnicity with 139 controls with no diagnosis of cancer or other chronic diseases. An interview based questionnaire designed to collect information on demographic and socioeconomic status, as well as reproductive, medical and dietary history was used. Anthropometric measurements including weight, height, waist and hip circumference were made and a 10 ml fasting venous blood sample was taken for glucose testing and analysis of plasma vitamin antioxidants and malondialdehyde. Hair and toenail samples were taken for selenium analysis. Results showed that the mean intake of vitamin A, vitamin E and selenium among cases (606.8±334.8µg/d, 6.1± 2.4 g/d, 56.9 ± 16.2 µg/d) was lower than controls (724.7 ± 414 µg/day, 6.9 ± 3.0 g/d, 60.8 ± 17.5 µg/d, respectively) (p<0.05 for all parameters). A similar trend was noted for plasma vitamin A and E and also selenium in hair and toenails. Poor antioxidant status as indicated by low plasma vitamin A (<284.3 µg/l or <366.3 µg/l) increased risk of breast cancer by approximately two fold, whilst low plasma vitamin E (<2.5 mg/dl, <2.8 mg/dl and <3.1 mg/dl) increased the risk by two to three fold [Adjusted OR 2.97 (95% CI 1.38-3.48), 2.32 (95% CI 1.07-2.41) and 2.12 (95% CI 1.00- 4.21)]. Cases had a greater level of malondialdehyde 4.4 ± 1.1 mmol/g protein), an indicator of oxidative stress, as compared to controls (3.2 ± 1.7 mmol/g protein)(p<0.05). A high level of MDA (≥4.8 mmol/g protein) was associated with breast cancer [Adjusted OR 6.82 (95% CI 1.95-23.9)]. It is concluded that a poor antioxidant status and high oxidative stress are associated with breast cancer risk. Thus, it is essential for Malaysian women to obtain a good antioxidant status by consuming a diet rich in vitamins A and E as well as selenium and adopt healthy behaviour to reduce oxidative stress in order to prevent breast cancer Asian Pacific Organization for Cancer Prevention 2008 Article PeerReviewed application/pdf en http://irep.iium.edu.my/45946/1/c%20343%20Shahar%206.pdf Shahar, Suzana and Haron, Normah and Arshad, Fatimah and Rajab, Nor Fadilah and Ghazali, Ahmad Rohi (2008) Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study. Asian Pacific Journal of Cancer Prevention, 9. pp. 343-350. ISSN 1513-7368 http://www.apocpcontrol.org/page/apjcp_issues_view.php?sid=Entrez:PubMed&id=pmid:18712988&key=2008.9.2.343
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RM214 Diet therapy. Diet and dietectics in disease
spellingShingle RM214 Diet therapy. Diet and dietectics in disease
Shahar, Suzana
Haron, Normah
Arshad, Fatimah
Rajab, Nor Fadilah
Ghazali, Ahmad Rohi
Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
description A case control study was carried out to investigate associations between breast cancer risk, antioxidant status and oxidative stress among women in Klang Valley and Selangor. A total of 57 newly diagnosed cases aged 30 to 66 years old participated and were matched for age and ethnicity with 139 controls with no diagnosis of cancer or other chronic diseases. An interview based questionnaire designed to collect information on demographic and socioeconomic status, as well as reproductive, medical and dietary history was used. Anthropometric measurements including weight, height, waist and hip circumference were made and a 10 ml fasting venous blood sample was taken for glucose testing and analysis of plasma vitamin antioxidants and malondialdehyde. Hair and toenail samples were taken for selenium analysis. Results showed that the mean intake of vitamin A, vitamin E and selenium among cases (606.8±334.8µg/d, 6.1± 2.4 g/d, 56.9 ± 16.2 µg/d) was lower than controls (724.7 ± 414 µg/day, 6.9 ± 3.0 g/d, 60.8 ± 17.5 µg/d, respectively) (p<0.05 for all parameters). A similar trend was noted for plasma vitamin A and E and also selenium in hair and toenails. Poor antioxidant status as indicated by low plasma vitamin A (<284.3 µg/l or <366.3 µg/l) increased risk of breast cancer by approximately two fold, whilst low plasma vitamin E (<2.5 mg/dl, <2.8 mg/dl and <3.1 mg/dl) increased the risk by two to three fold [Adjusted OR 2.97 (95% CI 1.38-3.48), 2.32 (95% CI 1.07-2.41) and 2.12 (95% CI 1.00- 4.21)]. Cases had a greater level of malondialdehyde 4.4 ± 1.1 mmol/g protein), an indicator of oxidative stress, as compared to controls (3.2 ± 1.7 mmol/g protein)(p<0.05). A high level of MDA (≥4.8 mmol/g protein) was associated with breast cancer [Adjusted OR 6.82 (95% CI 1.95-23.9)]. It is concluded that a poor antioxidant status and high oxidative stress are associated with breast cancer risk. Thus, it is essential for Malaysian women to obtain a good antioxidant status by consuming a diet rich in vitamins A and E as well as selenium and adopt healthy behaviour to reduce oxidative stress in order to prevent breast cancer
format Article
author Shahar, Suzana
Haron, Normah
Arshad, Fatimah
Rajab, Nor Fadilah
Ghazali, Ahmad Rohi
author_facet Shahar, Suzana
Haron, Normah
Arshad, Fatimah
Rajab, Nor Fadilah
Ghazali, Ahmad Rohi
author_sort Shahar, Suzana
title Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
title_short Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
title_full Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
title_fullStr Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
title_full_unstemmed Antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
title_sort antioxidants intake and status, and oxidative stress in relation to breast cancer risks: a case-control study
publisher Asian Pacific Organization for Cancer Prevention
publishDate 2008
url http://irep.iium.edu.my/45946/
http://irep.iium.edu.my/45946/
http://irep.iium.edu.my/45946/1/c%20343%20Shahar%206.pdf
first_indexed 2023-09-18T21:05:23Z
last_indexed 2023-09-18T21:05:23Z
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