Cohort studyindependent cross-checkabstract checked I-GRN-118 standard review
Rice was not clearly linked to cancer in US women
Association between rice consumption and risk of cancer incidence in the California Teachers Study.
Overview
Sanchez TR et al.. Cancer Causes Control 2020 · PMID 32974796 · DOI 10.1007/s10552-020-01350-9
Rice intake was not associated with most arsenic-related cancers; breast cancer showed a borderline 7% higher risk.
Does the study support the specific claim? Partly · Methodological quality: moderate
Plain-language summary
Study explained simply
- What did the researchers want to find out?
Test rice and cancer.
- How was the study done?
Cohort study.
- How many people, animals or samples were studied?
Large cohort of women.
- What was actually found?
Mostly no association.
- How large was the observed effect?
HR 0.87-1.11.
- What do the results mean in everyday life?
Low intakes did not show clear harm.
- What are the study's limitations?
Low intake, no biomarker.
- What does it say about Elawady's specific claim?
Partly supports low concern at normal intake.
- Do the results apply to Germany and Europe?
Moderate.
- What can explicitly not be concluded from this study?
Cannot reassure about high intakes or infants.
Scientific in-depth review
1. Full reference
- Authors
- Sanchez TR et al.
- Journal
- Cancer Causes Control
- Year
- 2020
- Identifier
- PMID 32974796 DOI 10.1007/s10552-020-01350-9 · PMC7572641
- Verification
- verified – PubMed efetch 2026-10-26; Crossref works API 2026-10-26
- Retracted
- no
- Corrections
- none
- Extent checked
- abstract only
- Conflicts of interest and funding
NIH (NCI, NIEHS) grants
2. Research question
Is rice consumption associated with incidence of arsenic-related cancers?
3. Study design and population
- Study design
- Cohort study – Prospective cohort (California Teachers Study)
- Population
Women in the California Teachers Study
- Country
USA
- Period
not stated in abstract
- Sample size
not stated in abstract (cases: 7351 breast, 1100 lung, 411 pancreatic, 344 bladder, 238 kidney)
- Inclusion and exclusion criteria
Cohort participants
4. Methods and endpoints
- Exposure / intervention
Rice intake quartiles (<9.6 to >=42.8 g/day)
- Comparator
Lowest quartile
- Endpoints
Incident bladder, breast, kidney, lung, pancreatic cancer
- Statistical methods
Cox models
5. Actual results
- Results
Highest vs lowest quartile HR: breast 1.07 (1.00-1.15), lung 0.87 (0.72-1.04), pancreatic 0.95 (0.66-1.37), bladder 1.11 (0.81-1.52), kidney 1.07 (0.72-1.59).
- Absolute risks
not reported
- Authors' conclusion
Rice was not associated with kidney, lung or pancreatic cancer; possibly a small excess for breast and a non-significant excess for bladder cancer; studies in high-intake populations needed.
6. Strengths
- Large, prospective
7. Weaknesses
- Low rice intake
- No arsenic biomarker
- Women only
8. Risk of bias
- Orienting tool
- ROBINS-E
- Type of assessment
- simplified assessment (abstract only)
- Full formal assessment
- no
- Overall risk of bias
- some concerns
- Rationale
FFQ; residual confounding.
9. Assessment of the statistical interpretation
Mostly null; low intakes limit power to detect arsenic effects.
10. Relevance to the specific claim
Partial support: no clear cancer signal from rice at low US intakes.
11. Independent contrary findings
Low intakes; I-GRN-06 risk assessment.
12. Transferability to Germany and Europe
Moderate.
13. Overall methodological judgement
Weak null evidence.
| Multidimensional assessment | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | moderate |
| Risk of bias | some concerns |
| Precision of results | moderate |
| Directness | indirect |
| Reproducibility | not replicated |
| Consistency with the overall evidence | mixed |
| Regional transferability | moderate |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
High-intake populations with biomarkers.
15. Linked fact checks
- Concerns about arsenic in rice are unfounded and can be dismissed ('we love arsenic'). – Studies supporting the claim