Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh

Objective: The goal of present study was to probe the interplay between modifiable and non-modifiable factors and breast cancer (BC) risk. Methodology: Two hundred and twenty-eight (228) BC cases and 503 healthy volunteers with 20-45years of age without history of BC were recruited from tertiary ho...

Full description

Bibliographic Details
Main Authors: Mehir un Nisa Iqbal, Syed Amir Maqbool, Taseer Ahmad Khan
Format: Article
Language:English
Published: Aziz Fatimah Medical and Dental College 2023-06-01
Series:Journal of Aziz Fatimah Medical and Dental College
Subjects:
Online Access:http://journal.afmdc.edu.pk/index.php/AFMDC/article/view/250
_version_ 1827891447652679680
author Mehir un Nisa Iqbal
Syed Amir Maqbool
Taseer Ahmad Khan
author_facet Mehir un Nisa Iqbal
Syed Amir Maqbool
Taseer Ahmad Khan
author_sort Mehir un Nisa Iqbal
collection DOAJ
description Objective: The goal of present study was to probe the interplay between modifiable and non-modifiable factors and breast cancer (BC) risk. Methodology: Two hundred and twenty-eight (228) BC cases and 503 healthy volunteers with 20-45years of age without history of BC were recruited from tertiary hospitals located in Karachi, a metropolitan city ofPakistan. Major risk factors for the BC were evaluated using pretested self-structured questionnaire. Results: The adjusted regression analysis showed that Balouchi (OR=12.93, 95%CI=4.26-39.17) and Sindhi (OR=9.41, 95%CI=4.72-18.77) ethnicity, familial history of BC (OR=1.83, 95%CI=1.16-2.91), low socioeconomic status (OR=26.81, 95%CI=17.56-40.94), marital age >30yrs (OR=20.99, 95%CI=4.15-106.24),hormone replacement therapy (OR=1.95, 95%CI=1.03-3.69), being obese (OR=1.589, 95%CI=1.03-2.46),high waist-to-Hip ratio (WHR) (OR=2.69, 95%CI=1.67-4.32), apple shape body (OR=2.62, 95%CI=1.63-4.21), consanguineous marriages (OR=1.62, 95% CI=1.15-2.29) and sun exposure <1 hr/day (OR=7.56,95%CI=3.002-19.04), daily intake of beef (OR = 1.544, 95%CI=1.004-2.373), dry fruits (OR=1.922,95%CI=1.233-2.996), rice (OR= 2.412, 95%CI=1.17-4.973), tea and coffee (OR=2.299, 95%CI=1.246-4.24)and less consumption of milk (OR=1.942, 95%CI=1.344-2.807) and fruits (OR=2.952, 95%CI=1.505-5.792) were increased the BC risk among premenopausal women. Conversely, first pregnancy <24yrs (OR=0.53,95%CI=0.33-0.85), WHR <0.85 (OR=0.296, 95%CI=0.15-0.59), avocado body shape (OR=0.31,95%CI=0.16-0.61), excessive chicken (OR=0.403, 95%CI=0.206-0.791) and eggs (OR=0.479, 95CI=0.304-0.755) consumption were considered a protective factor. Conclusion: Ethnicity, SES, marital age, HRT, breast cancer family history, overweight and obesity,intermarriages and sun exposure may be the major risk factors for BC among premenopausal women of Sindh, Pakistan. Diet may also play a role in developing BC.
first_indexed 2024-03-12T21:26:02Z
format Article
id doaj.art-ca8894ac50c14721aca3c7f27364bff7
institution Directory Open Access Journal
issn 2706-7238
2706-7246
language English
last_indexed 2024-03-12T21:26:02Z
publishDate 2023-06-01
publisher Aziz Fatimah Medical and Dental College
record_format Article
series Journal of Aziz Fatimah Medical and Dental College
spelling doaj.art-ca8894ac50c14721aca3c7f27364bff72023-07-28T08:52:15ZengAziz Fatimah Medical and Dental CollegeJournal of Aziz Fatimah Medical and Dental College2706-72382706-72462023-06-015110.55279/jafmdc.v5i1.250Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh Mehir un Nisa Iqbal Syed Amir MaqboolTaseer Ahmad Khan Objective: The goal of present study was to probe the interplay between modifiable and non-modifiable factors and breast cancer (BC) risk. Methodology: Two hundred and twenty-eight (228) BC cases and 503 healthy volunteers with 20-45years of age without history of BC were recruited from tertiary hospitals located in Karachi, a metropolitan city ofPakistan. Major risk factors for the BC were evaluated using pretested self-structured questionnaire. Results: The adjusted regression analysis showed that Balouchi (OR=12.93, 95%CI=4.26-39.17) and Sindhi (OR=9.41, 95%CI=4.72-18.77) ethnicity, familial history of BC (OR=1.83, 95%CI=1.16-2.91), low socioeconomic status (OR=26.81, 95%CI=17.56-40.94), marital age >30yrs (OR=20.99, 95%CI=4.15-106.24),hormone replacement therapy (OR=1.95, 95%CI=1.03-3.69), being obese (OR=1.589, 95%CI=1.03-2.46),high waist-to-Hip ratio (WHR) (OR=2.69, 95%CI=1.67-4.32), apple shape body (OR=2.62, 95%CI=1.63-4.21), consanguineous marriages (OR=1.62, 95% CI=1.15-2.29) and sun exposure <1 hr/day (OR=7.56,95%CI=3.002-19.04), daily intake of beef (OR = 1.544, 95%CI=1.004-2.373), dry fruits (OR=1.922,95%CI=1.233-2.996), rice (OR= 2.412, 95%CI=1.17-4.973), tea and coffee (OR=2.299, 95%CI=1.246-4.24)and less consumption of milk (OR=1.942, 95%CI=1.344-2.807) and fruits (OR=2.952, 95%CI=1.505-5.792) were increased the BC risk among premenopausal women. Conversely, first pregnancy <24yrs (OR=0.53,95%CI=0.33-0.85), WHR <0.85 (OR=0.296, 95%CI=0.15-0.59), avocado body shape (OR=0.31,95%CI=0.16-0.61), excessive chicken (OR=0.403, 95%CI=0.206-0.791) and eggs (OR=0.479, 95CI=0.304-0.755) consumption were considered a protective factor. Conclusion: Ethnicity, SES, marital age, HRT, breast cancer family history, overweight and obesity,intermarriages and sun exposure may be the major risk factors for BC among premenopausal women of Sindh, Pakistan. Diet may also play a role in developing BC. http://journal.afmdc.edu.pk/index.php/AFMDC/article/view/250Breast cancer; risk factors; modifiable; non-modifiable; premenopausal
spellingShingle Mehir un Nisa Iqbal
Syed Amir Maqbool
Taseer Ahmad Khan
Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
Journal of Aziz Fatimah Medical and Dental College
Breast cancer; risk factors; modifiable; non-modifiable; premenopausal
title Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
title_full Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
title_fullStr Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
title_full_unstemmed Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
title_short Breast Cancer: Impact of Modifiable and Non-Modifiable Risk Factors Among Premenopausal Women of Karachi, Sindh
title_sort breast cancer impact of modifiable and non modifiable risk factors among premenopausal women of karachi sindh
topic Breast cancer; risk factors; modifiable; non-modifiable; premenopausal
url http://journal.afmdc.edu.pk/index.php/AFMDC/article/view/250
work_keys_str_mv AT mehirunnisaiqbal breastcancerimpactofmodifiableandnonmodifiableriskfactorsamongpremenopausalwomenofkarachisindh
AT syedamirmaqbool breastcancerimpactofmodifiableandnonmodifiableriskfactorsamongpremenopausalwomenofkarachisindh
AT taseerahmadkhan breastcancerimpactofmodifiableandnonmodifiableriskfactorsamongpremenopausalwomenofkarachisindh