Shaukat Noureen, Jaleel Farhat, Moosa Foad Ali, Qureshi Naeem Akhter
Dr. Noureen Shaukat, MBBS. Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan.
Dr. Farhat Jaleel, MBBS, FCPS. Associate Professor, Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan.
Pak J Med Sci. 2017 May-Jun;33(3):645-649. doi: 10.12669/pjms.333.11753.
To determine the association between vitamin D deficiency and breast cancer.
This case control study included 94 female patients aged 20-75 years of any marital status and parity. Newly diagnosed 42 breast cancer patients who presented to surgical OPD of Dow University Hospital from Jan 2016 to June 2016 were included into the study as "cases" after informed consent. Age-matched 52 females who presented to OPD for complain other than breast pathology were included as the "control group". The sociodemographic of both cases and controls and histopathological characteristics of cases were recorded. Serum 25-(OH)2D levels were studied by the ELISA technique and recorded in ng/ml. Vitamin D deficiency was considered at serum level less than 20 ng/ml.
Mean age was 40.1 Years for controls and 47.6 Years for cases. Mean height, weight and BMI did not differ between cases and controls. Serum Vitamin D levels were significantly lower in cases (85.7%) than controls (55.8%). The unadjusted and adjusted ORs for breast cancer in cases and controls showed a statistically significantly increased risk of breast cancer with low vitamin D concentration (p value0.003). After adjustment for age, parity, BMI, sun exposure, economic status and education status the ORs (95% CIs) for breast cancer risk was7.8 (1.99 - 30.58) for women with vitamin D concentrations <20 ng/mL.
Findings of our study conclude that vitamin D deficiency is associated with risk of breast cancer.
确定维生素D缺乏与乳腺癌之间的关联。
本病例对照研究纳入了94名年龄在20 - 75岁之间、婚姻状况和生育情况各异的女性患者。2016年1月至2016年6月期间到道氏大学医院外科门诊就诊的42例新诊断乳腺癌患者,在获得知情同意后被纳入研究作为“病例组”。年龄匹配的52名因非乳腺疾病到门诊就诊的女性被纳入作为“对照组”。记录病例组和对照组的社会人口统计学信息以及病例组的组织病理学特征。采用酶联免疫吸附测定(ELISA)技术研究血清25 - (OH)2D水平,并以纳克/毫升(ng/ml)记录。血清水平低于20 ng/ml被视为维生素D缺乏。
对照组的平均年龄为40.1岁,病例组为47.6岁。病例组和对照组的平均身高、体重和体重指数(BMI)无差异。病例组(85.7%)的血清维生素D水平显著低于对照组(55.8%)。病例组和对照组中乳腺癌的未调整和调整后的比值比(OR)显示维生素D浓度低时乳腺癌风险在统计学上显著增加(p值0.003)。在对年龄、生育情况、BMI、阳光暴露、经济状况和教育状况进行调整后,维生素D浓度<20 ng/mL的女性患乳腺癌风险的OR(95%可信区间)为7.8(1.99 - 30.58)。
我们的研究结果表明维生素D缺乏与乳腺癌风险相关。