Abstract

BackgroundThe association of circulating lipids with breast cancer is being debated. The objective of this study was to examine the relationship between abnormal plasma lipids and breast cancer risk in Bangladeshi women.MethodsThis was a case-control study designed using a population of 150 women (50 women in each group). The lipid levels of women with breast cancer were compared to the lipid levels of women with benign breast disease (control group 1) and healthy women (control group 2). Study samples were collected from the Department of Surgery, Bangabandhu Sheikh Mujib Medical University, for a period of 1 year. Ethical measures were in compliance with the current Declaration of Helsinki. Statistical analysis was performed with SPSS version 26.ResultsAll of the comparison groups shared similar sociodemographic, anthropometric and obstetric characteristics. The incidence of dyslipidemia was significantly higher in breast cancer patients (96%) than in healthy women (84%) and patients with benign breast disease (82%) (P < 0.05 for both). The levels of total cholesterol, triglycerides, and low-density lipoprotein (LDL) cholesterol among the breast cancer patient group were significantly higher than those among both benign breast disease patients and healthy women (P < 0.05), except for high-density lipoprotein (HDL) cholesterol. Adjusting for other factors, body mass index (BMI) (kg/m2) (> 23) [OR 53.65; 95% CI: 5.70–504.73; P < 0.001] and total cholesterol (mg/dl) (≥ 200) [OR 16.05; 95% CI: 3.13–82.29; P < 0.001] were independently associated with breast cancer.ConclusionsTotal cholesterol and BMI are independent predictors of breast cancer risk among Bangladeshi women.

Highlights

  • The association of circulating lipids with breast cancer is being debated

  • They were individually matched to two control subjects

  • A total of 150 women participated in this study, with 50 participants in each group, namely, healthy women, benign breast disease patients, and breast cancer patients

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Summary

Introduction

The association of circulating lipids with breast cancer is being debated. The objective of this study was to examine the relationship between abnormal plasma lipids and breast cancer risk in Bangladeshi women. Weight and diet are important environmental factors that influence plasma lipids and lipoproteins, and their role in breast cancer incidence has been a relatively new concept in recent years [8, 9]. One study among humans revealed total cholesterol as a risk factor for breast cancer [13], while findings from several other studies have opposing results [9, 14, 15]. Fewer reports have portrayed an inverse relationship between total cholesterol and the risk of breast cancer [16]

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