Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1999 Dec;81(7):1248–1256. doi: 10.1038/sj.bjc.6690837

Soya foods and breast cancer risk: a prospective study in Hiroshima and Nagasaki, Japan

T J Key 1, G B Sharp 2, P N Appleby 1, V Beral 1, M T Goodman 3, M Soda 4, K Mabuchi 2
PMCID: PMC2374337  PMID: 10584890

Abstract

The association between soya foods and breast cancer risk was investigated in a prospective study of 34 759 women in Hiroshima and Nagasaki, Japan. Women completed dietary questionnaires in 1969–1970 and/or in 1979–1981 and were followed for incident breast cancer until 1993. The analysis involved 427 cases of primary breast cancer in 488 989 person-years of observation. The risk for breast cancer was not significantly associated with consumption of soya foods: for tofu, relative risks adjusted for attained age, calendar period, city, age at time of bombings and radiation dose to the breast were 0.99 (95% CI 0.80–1.24) for consumption two to four times per week and 1.07 (0.78–1.47) for consumption five or more times per week, relative to consumption once a week or less; for miso soup, relative risks were 1.03 (0.81–1.31) for consumption two to four times per week and 0.87 (0.68–1.12) for consumption five or more times per week, relative to consumption once a week or less. These results were not materially altered by further adjustments for reproductive variables and were similar in women diagnosed before age 50 and at ages 50 and above. Among 17 other foods and drinks examined only dried fish (decrease in relative risk with increasing consumption) and pickled vegetables (higher relative risk with higher consumption) were significantly related to breast cancer risk; these associations were not prior hypotheses and, because of the large number of comparisons made, they may be due to chance. © 1999 Cancer Research Campaign

Keywords: breast cancer, soya, phyto-oestrogens, atomic bomb survivors, Japan

Full Text

The Full Text of this article is available as a PDF (78.1 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cassidy A., Bingham S., Setchell K. D. Biological effects of a diet of soy protein rich in isoflavones on the menstrual cycle of premenopausal women. Am J Clin Nutr. 1994 Sep;60(3):333–340. doi: 10.1093/ajcn/60.3.333. [DOI] [PubMed] [Google Scholar]
  2. Cassidy A., Bingham S., Setchell K. Biological effects of isoflavones in young women: importance of the chemical composition of soyabean products. Br J Nutr. 1995 Oct;74(4):587–601. doi: 10.1079/bjn19950160. [DOI] [PubMed] [Google Scholar]
  3. Goodman M. T., Cologne J. B., Moriwaki H., Vaeth M., Mabuchi K. Risk factors for primary breast cancer in Japan: 8-year follow-up of atomic bomb survivors. Prev Med. 1997 Jan-Feb;26(1):144–153. doi: 10.1006/pmed.1996.9979. [DOI] [PubMed] [Google Scholar]
  4. Goodman M. T., Mabuchi K., Morita M., Soda M., Ochikubo S., Fukuhara T., Ikeda T., Terasaki M. Cancer incidence in Hiroshima and Nagasaki, Japan, 1958-1987. Eur J Cancer. 1994;30A(6):801–807. doi: 10.1016/0959-8049(94)90296-8. [DOI] [PubMed] [Google Scholar]
  5. Hirohata T., Shigematsu T., Nomura A. M., Nomura Y., Horie A., Hirohata I. Occurrence of breast cancer in relation to diet and reproductive history: a case-control study in Fukuoka, Japan. Natl Cancer Inst Monogr. 1985 Dec;69:187–190. [PubMed] [Google Scholar]
  6. Hirose K., Tajima K., Hamajima N., Inoue M., Takezaki T., Kuroishi T., Yoshida M., Tokudome S. A large-scale, hospital-based case-control study of risk factors of breast cancer according to menopausal status. Jpn J Cancer Res. 1995 Feb;86(2):146–154. doi: 10.1111/j.1349-7006.1995.tb03032.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hunter D. J., Willett W. C. Nutrition and breast cancer. Cancer Causes Control. 1996 Jan;7(1):56–68. doi: 10.1007/BF00115638. [DOI] [PubMed] [Google Scholar]
  8. Ingram D., Sanders K., Kolybaba M., Lopez D. Case-control study of phyto-oestrogens and breast cancer. Lancet. 1997 Oct 4;350(9083):990–994. doi: 10.1016/S0140-6736(97)01339-1. [DOI] [PubMed] [Google Scholar]
  9. Land C. E., Hayakawa N., Machado S. G., Yamada Y., Pike M. C., Akiba S., Tokunaga M. A case-control interview study of breast cancer among Japanese A-bomb survivors. I. Main effects. Cancer Causes Control. 1994 Mar;5(2):157–165. doi: 10.1007/BF01830262. [DOI] [PubMed] [Google Scholar]
  10. Land C. E., Hayakawa N., Machado S. G., Yamada Y., Pike M. C., Akiba S., Tokunaga M. A case-control interview study of breast cancer among Japanese A-bomb survivors. II. Interactions with radiation dose. Cancer Causes Control. 1994 Mar;5(2):167–176. doi: 10.1007/BF01830263. [DOI] [PubMed] [Google Scholar]
  11. Lee H. P., Gourley L., Duffy S. W., Estève J., Lee J., Day N. E. Risk factors for breast cancer by age and menopausal status: a case-control study in Singapore. Cancer Causes Control. 1992 Jul;3(4):313–322. doi: 10.1007/BF00146884. [DOI] [PubMed] [Google Scholar]
  12. Lee H. P., Gourley L., Duffy S. W., Estéve J., Lee J., Day N. E. Dietary effects on breast-cancer risk in Singapore. Lancet. 1991 May 18;337(8751):1197–1200. doi: 10.1016/0140-6736(91)92867-2. [DOI] [PubMed] [Google Scholar]
  13. Lu L. J., Anderson K. E., Grady J. J., Nagamani M. Effects of soya consumption for one month on steroid hormones in premenopausal women: implications for breast cancer risk reduction. Cancer Epidemiol Biomarkers Prev. 1996 Jan;5(1):63–70. [PubMed] [Google Scholar]
  14. Mabuchi K., Soda M., Ron E., Tokunaga M., Ochikubo S., Sugimoto S., Ikeda T., Terasaki M., Preston D. L., Thompson D. E. Cancer incidence in atomic bomb survivors. Part I: Use of the tumor registries in Hiroshima and Nagasaki for incidence studies. Radiat Res. 1994 Feb;137(2 Suppl):S1–16. [PubMed] [Google Scholar]
  15. Nagata C., Kabuto M., Kurisu Y., Shimizu H. Decreased serum estradiol concentration associated with high dietary intake of soy products in premenopausal Japanese women. Nutr Cancer. 1997;29(3):228–233. doi: 10.1080/01635589709514629. [DOI] [PubMed] [Google Scholar]
  16. Nagata C., Kawakami N., Shimizu H. Trends in the incidence rate and risk factors for breast cancer in Japan. Breast Cancer Res Treat. 1997 May;44(1):75–82. doi: 10.1023/a:1005726110649. [DOI] [PubMed] [Google Scholar]
  17. Nomura A., Henderson B. E., Lee J. Breast cancer and diet among the Japanese in Hawaii. Am J Clin Nutr. 1978 Nov;31(11):2020–2025. doi: 10.1093/ajcn/31.11.2020. [DOI] [PubMed] [Google Scholar]
  18. Pike M. C., Spicer D. V., Dahmoush L., Press M. F. Estrogens, progestogens, normal breast cell proliferation, and breast cancer risk. Epidemiol Rev. 1993;15(1):17–35. doi: 10.1093/oxfordjournals.epirev.a036102. [DOI] [PubMed] [Google Scholar]
  19. Preston D. L., Kato H., Kopecky K., Fujita S. Studies of the mortality of A-bomb survivors. 8. Cancer mortality, 1950-1982. Radiat Res. 1987 Jul;111(1):151–178. [PubMed] [Google Scholar]
  20. Setchell K. D., Borriello S. P., Hulme P., Kirk D. N., Axelson M. Nonsteroidal estrogens of dietary origin: possible roles in hormone-dependent disease. Am J Clin Nutr. 1984 Sep;40(3):569–578. doi: 10.1093/ajcn/40.3.569. [DOI] [PubMed] [Google Scholar]
  21. Thomas H. V., Reeves G. K., Key T. J. Endogenous estrogen and postmenopausal breast cancer: a quantitative review. Cancer Causes Control. 1997 Nov;8(6):922–928. doi: 10.1023/a:1018476631561. [DOI] [PubMed] [Google Scholar]
  22. Thompson D. E., Mabuchi K., Ron E., Soda M., Tokunaga M., Ochikubo S., Sugimoto S., Ikeda T., Terasaki M., Izumi S. Cancer incidence in atomic bomb survivors. Part II: Solid tumors, 1958-1987. Radiat Res. 1994 Feb;137(2 Suppl):S17–S67. [PubMed] [Google Scholar]
  23. Tokunaga M., Land C. E., Tokuoka S., Nishimori I., Soda M., Akiba S. Incidence of female breast cancer among atomic bomb survivors, 1950-1985. Radiat Res. 1994 May;138(2):209–223. [PubMed] [Google Scholar]
  24. Witte J. S., Ursin G., Siemiatycki J., Thompson W. D., Paganini-Hill A., Haile R. W. Diet and premenopausal bilateral breast cancer: a case-control study. Breast Cancer Res Treat. 1997 Feb;42(3):243–251. doi: 10.1023/a:1005710211184. [DOI] [PubMed] [Google Scholar]
  25. Wu A. H., Ziegler R. G., Horn-Ross P. L., Nomura A. M., West D. W., Kolonel L. N., Rosenthal J. F., Hoover R. N., Pike M. C. Tofu and risk of breast cancer in Asian-Americans. Cancer Epidemiol Biomarkers Prev. 1996 Nov;5(11):901–906. [PubMed] [Google Scholar]
  26. Yuan J. M., Wang Q. S., Ross R. K., Henderson B. E., Yu M. C. Diet and breast cancer in Shanghai and Tianjin, China. Br J Cancer. 1995 Jun;71(6):1353–1358. doi: 10.1038/bjc.1995.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Zheng W., Dai Q., Custer L. J., Shu X. O., Wen W. Q., Jin F., Franke A. A. Urinary excretion of isoflavonoids and the risk of breast cancer. Cancer Epidemiol Biomarkers Prev. 1999 Jan;8(1):35–40. [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES