Breast cancer linked with night shifts - study 

http://www.tiscali.co.uk/news/cgi-bin/newswire.cgi/news/reuters/topnews/
2001/10/16/idsffh02291_2001-10-16_20-09-56_gri672901.html

16/10/2001 22:42

By Maggie Fox, Health and Science Correspondent

WASHINGTON (Reuters) - Women who work night shifts may have a 60 percent
greater risk of breast cancer, researchers have said.

The finding may have to do with the body's response to light, the
researchers, at the Fred Hutchison Cancer Research Centre in Seattle,
said on Tuesday.

A gland in the brain known as the pineal gland produces the hormone
melatonin when the body is exposed to light -- sunlight or artificial
light. This production is disrupted when people are up at night with the
lights on.

"Exposure to light at night may increase the risk of breast cancer by
suppressing the normal nocturnal production of melatonin by the pineal
gland which, in turn, could increase the release of oestrogen by the
ovaries," the researchers wrote in their report, published in the
Journal of the National Cancer Institute.

Breast cancer is linked with production of oestrogen, the so-called
female hormone.

The researchers, led by Scott Davis, studied 813 patients aged 20 to 74
who had breast cancer, and compared them to 793 women who did not.

They asked the women about work and sleep habits and bedroom lighting in
the previous 10 years. "Graveyard shift work was associated with
increased breast cancer risk," the researchers wrote.

The increased risk was 60 percent -- a significant amount. And the more
hours the women worked overnight, the higher the risk.

The researchers said women had a twofold increase in the risk of breast
cancer if they worked at least four and a half years of night shift
work, during which they were awake at least three nights a week between
1 a.m. and 2 a.m.

Davis said his team got the idea to check the links between light
exposure and breast cancer after studies were done showing that blind
women have a lower risk of breast cancer.

They also said there was a very slightly higher risk of breast cancer in
women whose bedrooms were the brightest at night. But getting up once in
a while did not seem to increase risk.

"Risk did not increase with interrupted sleep accompanied by turning on
a light," Davis's team wrote.

They said more study is needed before doctors start recommending that
women avoid night shifts. For one thing, it may not actually be light
that is causing the effect.

"Among shift workers, quite a number of factors could affect the
mechanisms that control the body's circadian rhythms," Davis said in a
statement.

"One is stress, considering the kinds of shift work, from police, fire
and rescue work to nuclear power plant monitoring to factory work,
medicine and nursing."

"There is an urgent need for further exploration of the relationship
between exposure to light at night, shift work, including timing during
the night, and cancers that may be influenced by melatonin," Johnni
Hansen of the Danish Cancer Society in Copenhagen, wrote in an editorial
that accompanied the study.

Risk of breast cancer goes up as a woman ages. The American Cancer
Society says 197,000 people will get breast cancer this year and 40,000
will die of it. It is the second-biggest cancer killer of women, after
lung cancer.


C 2001 Reuters Click for restrictions

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