Skip to main content
Log in

Milk, Dairy Products and Cancer Risk (Italy)

  • Original Paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Background

Inconclusive information is available on the potential role of milk and dairy products on the risk of cancer at several sites.

Methods

We analyzed data from a large and integrated network of hospital-based case–control studies in Italy on cancers of the oral cavity and pharynx (598 cases, 1491 controls), oesophagus (304 cases, 743 controls), colorectum (1953 cases, 4154 controls), larynx (460 cases, 1088 controls), breast (2569 cases, 2588 controls), ovary (1031 cases, 2411 controls) and prostate (1294 cases, 1451 controls).

Results

Multivariate odds ratio (OR) for the highest consumption level of any type of milk was 0.94 (95% confidence interval, CI: 0.61–1.33) for cancers of the oral cavity and pharynx, 1.20 (95% CI: 0.76–1.90) for oesophageal, 0.77 (95% CI: 0.62–0.96) for colon, 0.80 (95% CI: 0.60–1.05) for rectal, 0.83 (95% CI: 0.56–1.21) for laryngeal, 0.91 (95% CI: 0.76–1.10) for breast, 0.89 (95% CI: 0.68–1.15) for ovarian and 1.08 (95% CI: 0.84–1.37) for prostate cancer. A significant trend in risk was found for colon cancer only. Inverse associations were observed between consumption of skim milk and cancers of colon (OR=0.84; 95% CI: 0.73–0.97), rectum (OR=0.76; 95% CI: 0.64–0.91), breast (OR=0.87; 95% CI: 0.77–0.98) and ovary (OR=0.77; 95% CI: 0.66–0.91). Conversely, whole milk consumption was directly associated with cancer of the rectum (OR=1.22; 95% CI: 1.03–1.44) and ovary (OR=1.25; 95% CI: 1.07–1.46). High consumption of cheese was inversely related to colon cancer risk (OR=0.80; 95% CI: 0.67–0.95).

Conclusions

There was a modest direct association between milk and dairy products and prostate cancer, and a moderate inverse one for colorectal cancer. However, our findings indicate that milk and dairy products are not strong risk indicators for any of the cancers considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. World Cancer Research Found (WCRF) (1997) Food, nutrition and the prevention of cancer: a global perspective. Washington DC, USA, American Institute for Cancer Research

    Google Scholar 

  2. Levi F, Pasche C, La Vecchia C, Lucchini F, Franceschi S, Monnier P (1998) Food groups and risk of oral and pharyngeal cancer. Int J Cancer 77:705–709

    Article  CAS  PubMed  Google Scholar 

  3. Franceschi S, Favero A, Conti E et al. (1999) Food groups, oils and butter, and cancer of the oral cavity and pharynx. Br J Cancer 80:614–620

    Article  CAS  PubMed  Google Scholar 

  4. Tavani A, Gallus S, La Vecchia C et al. (2001) Diet and risk of oral and pharyngeal cancer. An Italian case–control study. Eur J Cancer Prev 10:191–195

    Article  CAS  PubMed  Google Scholar 

  5. Uzcudun AE, Retolaza IR, Fernandez PB et al. (2002) Nutrition and pharyngeal cancer: results from a case–control study in Spain. Head Neck 24:830–840

    Article  PubMed  Google Scholar 

  6. Uzcudun AE, Retolaza IR, Grande AG et al. (2002) Pharyngeal cancer prevention: evidence from a case–control study involving 232 consecutive patients. J Laryngol Otol 116:523–531

    Article  Google Scholar 

  7. Bosetti C, La Vecchia C, Talamini R et al. (2000) Food groups and risk of squamous cell esophageal cancer in northern Italy. Int J Cancer 87:289–294

    Article  CAS  PubMed  Google Scholar 

  8. Levi F, Pasche C, Lucchini F et al. (2000) Food groups and oesophageal cancer risk in Vaud, Switzerland. Eur J Cancer Prev 9:257–263

    CAS  PubMed  Google Scholar 

  9. Chen H, Ward MH, Graubard BI et al. (2002) Dietary patterns and adenocarcinoma of the esophagus and distal stomach. Am J Clin Nutr 75:137–144

    CAS  PubMed  Google Scholar 

  10. Franceschi S, Favero A, La Vecchia C et al. (1997) Food groups and risk of colorectal cancer in Italy. Int J Cancer 72:56–61

    Article  CAS  PubMed  Google Scholar 

  11. Kato I, Akhmedkhanov A, Koenig K, Toniolo PG, Shore RE, Riboli E (1997) Prospective study of diet and female colorectal cancer: the New York University Women’s Health Study. Nutr Cancer 28:276–281

    CAS  PubMed  Google Scholar 

  12. Karagas MR, Tosteson TD, Greenberg ER et al. (1998) Effects of milk and milk products on rectal mucosal cell proliferation in humans. Cancer Epidemiol Biomarkers Prev 7:757–766

    CAS  PubMed  Google Scholar 

  13. Boutron-Ruault MC, Senesse P, Faivre J, Chatelain N, Belghiti C, Meance S (1999) Foods as risk factors for colorectal cancer: a case–control study in Burgundy (France). Eur J Cancer Prev 8:229–235

    CAS  PubMed  Google Scholar 

  14. Levi F, Pasche C, La Vecchia C, Lucchini F, Franceschi S (1999) Food groups and colorectal cancer risk. Br J Cancer 79:1283–1287

    CAS  PubMed  Google Scholar 

  15. Pietinen P, Malila N, Virtanen M et al. (1999) Diet and risk of colorectal cancer in a cohort of Finnish men. Cancer Causes Control 10:387–396

    Article  CAS  PubMed  Google Scholar 

  16. Jarvinen R, Knekt P, Hakulinen T, Aromaa A (2001) Prospective study on milk products, calcium and cancers of the colon and rectum. Eur J Clin Nutr 55:1000–1007

    CAS  PubMed  Google Scholar 

  17. Ma J, Giovannucci E, Pollak M et al. (2001) Milk intake, circulating levels of insulin-like growth factor-I, and risk of colorectal cancer in men. J Natl Cancer Inst 93:1330–1336

    Article  CAS  PubMed  Google Scholar 

  18. Zhang B, Li X, Nakama H et al. (2002) A case–control study on risk of changing food consumption for colorectal cancer. Cancer Invest 20:458–463

    Article  PubMed  Google Scholar 

  19. Cho E, Smith-Warner SA, Spiegelman D et al. (2004) Dairy foods, calcium, and colorectal cancer: a pooled analysis of 10 cohort studies. J Natl Cancer Inst 96:1015–1022

    CAS  PubMed  Google Scholar 

  20. Slattery ML, Neuhausen SL, Hoffman M et al. (2004) Dietary calcium, vitamin D, VDR genotypes and colorectal cancer. Int J Cancer 111:750–756

    Article  CAS  PubMed  Google Scholar 

  21. Norat T, Riboli E (2003) Dairy products and colorectal cancer. A review of possible mechanisms and epidemiological evidence. Eur J Clin Nutr 57:1–17

    Article  CAS  PubMed  Google Scholar 

  22. Maier H., Tisch M (1997) Epidemiology of laryngeal cancer: results of the Heidelberg case–control study. Acta Otalaryngol Suppl 527:160–164

    CAS  Google Scholar 

  23. Bosetti C, La Vecchia C, Talamini R et al. (2002) Food groups and laryngeal cancer risk: a case–control study from Italy and Switzerland. Int J Cancer 100:355–360

    Article  CAS  PubMed  Google Scholar 

  24. Missmer SA, Smith-Warner SA, Spiegelman D et al. (2002) Meat and dairy food consumption and breast cancer: a pooled analysis of cohort studies. Int J Epidemiol 31:78–85

    Article  PubMed  Google Scholar 

  25. Moorman PG, Terry PD (2004) Consumption of dairy products and the risk of breast cancer: a review of the literature. Am J Clin Nutr 80:5–14

    CAS  PubMed  Google Scholar 

  26. Webb PM, Bain CJ, Purdie DM, Harvey PW, Green A (1998) Milk consumption, galactose metabolism and ovarian cancer (Australia). Cancer Causes Control 9:637–644

    Article  CAS  PubMed  Google Scholar 

  27. Kushi LH, Mink PJ, Folsom AR et al. (1999) Prospective study of diet and ovarian cancer. Am J Epidemiol 149:21–31

    CAS  PubMed  Google Scholar 

  28. Cramer DW, Greenberg ER, Titus-Ernstoff L et al. (2000) A case–control study of galactose consumption and metabolism in relation to ovarian cancer. Cancer Epidemiol Biomarkers Prev 9:95–101

    CAS  PubMed  Google Scholar 

  29. Bosetti C, Negri E, Franceschi S et al. (2001) Diet and ovarian cancer risk: a case–control study in Italy. Int J Cancer 93:911–915

    Article  CAS  PubMed  Google Scholar 

  30. Bertone ER, Rosner BA, Hunter DJ et al. (2002) Dietary fat intake and ovarian cancer in a cohort of US women. Am J Epidemiol 156:22–31

    PubMed  Google Scholar 

  31. Goodman MT, Wu AH, Tung KH et al. (2002) Association of dairy products, lactose, and calcium with the risk of ovarian cancer. Am J Epidemiol 156:148–157

    PubMed  Google Scholar 

  32. Yen ML, Yen BL, Bai CH, Lin RS (2003) Risk factors for ovarian cancer in Taiwan: a case–control study in a low-incidence population. Gynecol Oncol 89:318–324

    Article  PubMed  Google Scholar 

  33. Fairfield KM, Hunter DJ, Colditz GA et al. (2004) A prospective study of dietary lactose and ovarian cancer. Int J Cancer 110:271–277

    Article  CAS  PubMed  Google Scholar 

  34. Pan SY, Ugnat AM, Mao Y, Wen SW, Johnson KC (2004) Canadian Cancer Registries Epidemiology Research Group. A case–control study of diet and the risk of ovarian cancer. Cancer Epidemiol Biomarkers Prev 13:1521–1527

    PubMed  Google Scholar 

  35. Qin LQ, Xu JY, Wang PY, Hashi A, Hoshi K, Sato A (2005) Milk/dairy products consumption, galactose metabolism and ovarian cancer: meta-analysis of epidemiological studies. Eur J Cancer Prev 14:13–19

    Article  PubMed  Google Scholar 

  36. Giovannucci E, Rimm EB, Wolk A et al. (1998) Calcium and fructose intake in relation to risk of prostate cancer. Cancer Res 58:442–447

    CAS  PubMed  Google Scholar 

  37. Schuurman AG, van den Brandt PA, Dorant E, Goldbohm RA (1999) Animal products, calcium and protein and prostate cancer risk in The Netherlands Cohort Study. Br J Cancer 80:1107–1113

    Article  CAS  PubMed  Google Scholar 

  38. Chan JM, Stampfer MJ, Ma J, Gann PH, Gaziano JM, Giovannucci EL (2001) Dairy products, calcium, and prostate cancer risk in the Physicians’ Health Study. Am J Clin Nutr 74:549–554

    CAS  PubMed  Google Scholar 

  39. Michaud DS, Augustsson K, Rimm EB, Stampfer MJ, Willett WC, Giovannucci E (2001) A prospective study on intake of animal products and risk of prostate cancer. Cancer Causes Control 12:557–567

    Article  CAS  PubMed  Google Scholar 

  40. Chan JM, Giovannucci E, Andersson SO, Yuen J, Adami HO, Wolk A (1998) Dairy products, calcium, phosphorous, vitamin D, and risk of prostate cancer (Sweden). Cancer Causes Control 9:559–566

    Article  CAS  PubMed  Google Scholar 

  41. Tzonou A, Signorello LB, Lagiou P, Wuu J, Trichopoulos D, Trichopoulou A (1999) Diet and cancer of the prostate: a case–control study in Greece. Int J Cancer 80:704–708

    Article  CAS  PubMed  Google Scholar 

  42. Bosetti C, Micelotta S, Dal Maso L et al. (2004) Food groups and risk of prostate cancer in Italy. Int J Cancer 110:424–428

    Article  CAS  PubMed  Google Scholar 

  43. Grant WB, (1999) An ecologic study of dietary links to prostate cancer. Altern Med Rev 4:162–169

    CAS  PubMed  Google Scholar 

  44. Ganmaa D, Li XM, Wang J, Qin LQ, Wang PY, Sato A (2002) Incidence and mortality of testicular and prostatic cancers in relation to world dietary practices. Int J Cancer 98:262–267

    Article  CAS  PubMed  Google Scholar 

  45. Grant W, (2004) A multicountry ecologic study of risk and risk reduction factors for prostate cancer mortality. Eur Urol 45:271–279

    Article  PubMed  Google Scholar 

  46. Rodriguez C, McCullough ML, Mondul AM et al. (2003) Calcium, dairy products, and risk of prostate cancer in a prospective cohort of United States men. Cancer Epidemiol Biomarkers Prev 12:597–603

    CAS  PubMed  Google Scholar 

  47. Sonoda T, Nagata Y, Mori M et al. (2004) A case–control study of diet and prostate cancer in Japan: possible protective effect of traditional Japanese diet. Cancer Sci 95:238–242

    CAS  PubMed  Google Scholar 

  48. Qin LQ, Xu JY, Wang PY, Kaneko T, Hoshi K, Sato A (2004) Milk consumption is a risk factor for prostate cancer: meta-analysis of case–control studies. Nutr Cancer 48:22–27

    PubMed  Google Scholar 

  49. Franceschi S, Favero A, La Vecchia C et al. (1995) Influence of food groups and food diversity on breast cancer risk in Italy. Int J Cancer 63:785–789

    CAS  PubMed  Google Scholar 

  50. Gallus S, Bosetti C, Negri E et al. (2003) Does pizza protect against cancer?. Int J Cancer 107:283–284

    Article  CAS  PubMed  Google Scholar 

  51. Franceschi S, Negri E, Salvini S et al. (1993) Reproducibility of an Italian food frequency questionnaire for cancer studies: results for specific food items. Eur J Cancer 29A:2298–2305

    CAS  PubMed  Google Scholar 

  52. Decarli A, Franceschi S, Ferraroni M et al. (1996) Validation of a food-frequency questionnaire to assess dietary intakes in cancer studies in Italy. Results for specific nutrients. Ann Epidemiol 6:110–118

    Article  CAS  PubMed  Google Scholar 

  53. Salvini S, Gnagnarella P, Parpinel MT et al. (1996) The food composition database for an Italian food frequency questionnaire. J Food Compos Anal 9:57–71

    Article  CAS  Google Scholar 

  54. Breslow NE, Day NE (1980) Statistical methods in cancer research. Vol. I, The analysis of case–control studies IARC Sci Publ, 32, IARC, Lyon

  55. Favero A, Salvini S, Russo A et al. (1997) Sources of macro- and micronutrients in Italian women: results from a food frequency questionnaire for cancer studies. Eur J Cancer Prev 6:277–287

    CAS  PubMed  Google Scholar 

  56. McCullough ML, Robertson AS, Rodriguez C et al. (2003) Calcium, vitamin D, dairy products, and risk of colorectal cancer in the Cancer Prevention Study II Nutrition Cohort (United States). Cancer Causes Control 14:1–12

    PubMed  Google Scholar 

  57. Hofstad B, Almendingen K, Vatn M et al. (1998) Growth and recurrence of colorectal polyps: a double-blind 3-year intervention with calcium and antioxidants. Digestion 59:148–156

    Article  CAS  PubMed  Google Scholar 

  58. Baron JA, Beach M, Mandel JS et al. (1999) Calcium supplements for the prevention of colorectal adenomas. Calcium Polyp Prevention Study Group. N Engl J Med 340:101–107

    CAS  PubMed  Google Scholar 

  59. Bonithon-Kopp C, Kronborg O, Giacosa A, Rath U, Faivre J (2000) Calcium and fibre supplementation in prevention of colorectal adenoma recurrence: a randomised intervention trial. European Cancer Prevention Organisation Study Group. Lancet 356:1300–1306

    CAS  PubMed  Google Scholar 

  60. Peters U, Chatterjee N, McGlynn KA et al. (2004) Calcium intake and colorectal adenoma in a US colorectal cancer early detection program. Am J Clin Nutr 80:1358–1365

    CAS  PubMed  Google Scholar 

  61. Terry P, Bergkvist L, Holmberg L, Wolk A (2001) No association between fat and fatty acids intake and risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev 10:913–914

    CAS  PubMed  Google Scholar 

  62. Giovannucci E, Goldin B (1997) The role of fat, fatty acids, and total energy intake in the etiology of human colon cancer. Am J Clin Nutr 66(6 Suppl):1564S–1571S

    CAS  PubMed  Google Scholar 

  63. Ronco AL, De Stefani E, Dattoli R (2002) Dairy foods and risk of breast cancer: a case–control study in Montevideo Uruguay. Eur J Cancer Prev 11:457–463

    Article  CAS  PubMed  Google Scholar 

  64. Shin MH, Holmes MD, Hankinson SE, Wu K, Colditz GA, Willett WC (2002) Intake of dairy products, calcium, and vitamin D and risk of breast cancer. J Natl Cancer Inst 94:1301–1311

    CAS  PubMed  Google Scholar 

  65. Chen YT, Mattison DR, Feigenbaum L, Fukui H, Schulman JD (1981) Reduction in oocyte number following prenatal exposure to a diet high in galactose. Science 214:1145–1147

    CAS  PubMed  Google Scholar 

  66. Cramer DW, Harlow BL, Willett WC et al. (1989) Galactose consumption and metabolism in relation to the risk of ovarian cancer. Lancet 2:66–71

    CAS  PubMed  Google Scholar 

  67. Cramer DW, Welch WR, Hutchison GB, Willett W, Scully RE (1984) Dietary animal fat in relation to ovarian cancer risk. Obstet Gynecol 63:833–838

    CAS  PubMed  Google Scholar 

  68. Huncharek M, Kupelnick B (2001) Dietary fat intake and risk of epithelial ovarian cancer: a meta-analysis of 6,689 subjects from 8 observational studies. Nutr Cancer 40:87–91

    CAS  PubMed  Google Scholar 

  69. Kolonel LN (2001) Fat, meat, and prostate cancer. Epidemiol Rev 23:72–81

    CAS  PubMed  Google Scholar 

  70. Veierod MB, Laake P, Thelle DS (1997) Dietary fat intake and risk of prostate cancer: a prospective study of 25,708 Norwegian men. Int J Cancer 73:634–638

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Financial support: This work was conducted with the contribution of the Italian Association for Cancer Research, the Italian League Against Cancer and the Italian Ministry of Education (COFIN 2003)

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Silvano Gallus.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gallus, S., Bravi, F., Talamini, R. et al. Milk, Dairy Products and Cancer Risk (Italy). Cancer Causes Control 17, 429–437 (2006). https://doi.org/10.1007/s10552-005-0423-2

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-005-0423-2

Keywords

Navigation