Published online Aug 26, 2015. doi: 10.13105/wjma.v3.i4.193
Peer-review started: October 28, 2014
First decision: November 28, 2014
Revised: June 30, 2015
Accepted: July 11, 2015
Article in press: July 13, 2015
Published online: August 26, 2015
AIM: To evaluate existing evidence for the association between different type of brassiere exposures and the risk of breast cancer.
METHODS: Ovid Medline, CINAHL, Cochrane Data Base of Systematic Reviews, Pubmed, Scopus, Proquest, Sciencedirect, Wiley Online Library, WanFang Data, Hong Kong Index to Chinese Periodicals, China Journal Net, Chinese Medical Current Contents, Chinese Biomedical Literature Database, China Academic Journals Full-Text database, Taiwan Electronic Periodical Services and HyRead; reference lists of published studies; original research studies published in English or Chinese examining the association between type and duration of brassiere-wearing and breast cancer risk. Data were abstracted by a first reviewer and verified by a second. Study quality was rated according to predefined criteria. “Fair” or “good” quality studies were included. Results were summarised by meta-analysis whenever adequate material was available.
RESULTS: Twelve case-control studies were included in the review. Meta-analysis showed brassiere wearing during sleep was associated with a two times of increased odds.
CONCLUSION: The present review demonstrates insufficient evidence to establish a positive association between the duration and type of brassiere wearing and breast cancer. Further research is essential; specifically, a large-scale epidemiological study of a better design is needed to examine the association between various forms of brassiere exposure in detail and breast cancer risk, with adequate control of confounding variables.
Core tip: This systematic review and meta-analysis aimed to evaluate the association between 8 areas of brassiere-wearing practices and the risk of breast cancer. Twelve case-control studies met inclusion criteria for review. Although the meta-analysis shows statistically significant findings to support the association between brassiere wearing during sleep and breast cancer risk, evidence was insufficient to establish a positive association between brassiere wearing (duration and type) and breast cancer risk. A large-scale epidemiological study is needed to examine the relationship between various forms of brassiere exposure and breast cancer risk.