Rajizadeh Afsaneh, Mozaffari-Khosravi Hassan, Zavar-Reza Javad, Shiryazdi Seyyed Mostafa
Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Med J Islam Repub Iran. 2017 Dec 20;31:114. doi: 10.14196/mjiri.31.114. eCollection 2017.
Iron is one of the nutrients that has recently received considerable attention because of its dual role in the incidence of breast cancer. The present study aimed at comparing hematological parameters, iron levels, and oxidative stress in women with and without breast cancer. The participants in this case-control study were 55 women, of whom 26 were new cases of breast cancer (confirmed by biopsy) as the case, and 29 without cancer (confirmed by mammography) as the control group. All participants underwent blood testing for complete blood count (CBC (free iron, ferritin, total iron binding capacity) TIBC (2, 2-diphenyl-1-picrylhydrazyl (DPPH), and Malondialdehyde (MDA). The mean±SD age of the participants was 44.25±9.82 years, and there was no significant difference between groups. Also, no statistically significant difference was found between the 2 groups in variables, except the mean corpuscular volume of red cells (MCV), mean corpuscular hemoglobin concentration (MCHC), and mean cell hemoglobin (MCH). The use of iron supplements was significantly higher in the control than in the case group (p= 0. 01), with an odds ratio of 0.19% (95% CI: 0.45-0.7). The mean serum DPPH was significantly higher in the control than in the case group (p= 0. 006), but comparison of serum MDA showed no significant difference between the 2 groups. : Iron deficiency anemia was greater in patients with breast cancer than in those without it. Moreover, iron supplementation appears to have a protective effect against breast cancer incidence. In addition, serum DPPH, as a total antioxidant index, was significantly higher in the control group.
铁是近年来因在乳腺癌发病中具有双重作用而备受关注的营养素之一。本研究旨在比较患乳腺癌和未患乳腺癌女性的血液学参数、铁水平及氧化应激情况。本病例对照研究的参与者为55名女性,其中26名是经活检确诊的乳腺癌新发病例作为病例组,29名无癌症(经乳房X线摄影确诊)作为对照组。所有参与者均接受了全血细胞计数(CBC)(游离铁、铁蛋白、总铁结合力)、总铁结合力(TIBC)、2,2 - 二苯基 - 1 - 苦基肼(DPPH)和丙二醛(MDA)的血液检测。参与者的平均年龄±标准差为44.25±9.82岁,两组之间无显著差异。此外,除红细胞平均体积(MCV)、平均红细胞血红蛋白浓度(MCHC)和平均红细胞血红蛋白含量(MCH)外,两组在其他变量上未发现统计学显著差异。对照组使用铁补充剂的比例显著高于病例组(p = 0.01),优势比为0.19%(95%置信区间:0.45 - 0.7)。对照组的平均血清DPPH显著高于病例组(p = 0.006),但两组血清MDA的比较无显著差异。乳腺癌患者的缺铁性贫血比未患乳腺癌者更严重。此外,补充铁似乎对乳腺癌发病有保护作用。另外,作为总抗氧化指标的血清DPPH在对照组中显著更高。