A recent paper from the Tata Memorial Hospital,
Mumbai, published in a reputed Indian medical journal, has concluded
that alcohol consumption dramatically increases the risk of cancer.
The
report points at alcohol consumption being one of the leading risk
factors for multiple health issues, especially non-communicable diseases
and infectious diseases (HIV, viral hepatitis, and tuberculosis).
Alcohol consumption is estimated to be the third-most important
modifiable risk factor for death and disability worldwide. With 1.4 lakh
deaths annually, alcohol-induced liver cirrhosis makes up the biggest
burden posed by alcohol use. Almost one lakh deaths that occur on Indian
roads each year are indirectly related to alcohol abuse.
According to Dr Pankaj Chaturvedi, Deputy Director at Center for
Cancer Epidemiology, Tata Memorial Hospital, until now, there was
conflicting evidence of alcohol being a direct causative agent for
cancers in Indian medical literature. For conclusive answers, they
performed a systematic review and meta-analysis of 29 eligible studies,
involving 2,86,986 subjects. “The findings suggest that alcohol users
are 2.15 times more at risk of cancer compared to non-users. This can be
attributed to its solvent property, which assists the carcinogen in
permeating the cells lining the upper aero-digestive tract. The pooled
analysis of all prospective studies demonstrated a 152 per cent higher
risk of cancer among alcohol users, while the retrospective studies
found an increased risk of 232 per cent,” he said.
Dr Hitesh
Singhavi, Research Fellow and the first author of the paper, said once
the alcohol is metabolised in the body, the byproduct acetaldehyde is
responsible for the carcinogenic effect, which also reduces immunity,
leading to the initiatiation of carcinogenesis at various sites.
Malabsorption, especially of folate, in the presence of alcohol leads to
initiating colon cancer. It may also manipulate hormonal levels in
women to influence breast cancer.
“The pattern of alcohol
consumption is diverse in India, making it a unique subset to analyse.
It has also been found that Indians drink a higher concentration of
alcohol by weight, especially on an empty stomach, thus making them more
vulnerable to alcohol-related toxicities,” he said.
Dr Rajesh
Dixit, Director at Center for Cancer Epidemiology, Tata Memorial
Hospital, said they have analysed the relationship, specifically between
alcohol users and oral cavity cancer, which is the one of the most
common life-threatening malignancies in India. “We found that alcohol
raises the risk of oral cancer by 200%. This result concluded that
alcohol independently increases the risk of oral cavity cancers,” said
Dr Dixit.
To conclude, there are no safe levels of alcohol
consumption and its consumption increases the overall risk of cancer
among Indians, particularly doubling the incidence of oral cavity
cancer.