New studies performed by Doctors from Denmark and Singapore in collaboration shows for the first time, that long term use of incense increases the risk of developing cancers of the respiratory tract.
Incense is an integral part of daily life in large parts of Asia. Researchers have shown that burning incense—which is made of plant materials mixed with oils—produces a mixture of possible carcinogens, including polyaromatic hydrocarbons, carbonyls and benzene. Because incense smoke is inhaled, a number of studies have looked at the possible link between incense burning and lung cancer, but results have been inconsistent. In addition, the possible association of incense use and other respiratory tract cancers has not been analyzed.
To investigate this, Dr. Jeppe Friborg of the Statens Serum Institut in Copenhagen, Denmark and colleagues in Singapore and the U.S. studied the associations between exposure to incense and the whole spectrum of respiratory tract cancers in a large population in Singapore.
The study involved 61,320 Singapore Chinese who were free of cancer and aged 45-74 years in 1993-1998. At that time, they completed a comprehensive interview on living conditions and dietary and lifestyle factors. The investigators followed these individuals through 2005, noting which participants developed cancer during that time.
Danish Dr. Friborg’s team documented a total of 325 upper respiratory tract cancers (including nasal/sinus, tongue, mouth, laryngeal and other cancers) and 821 lung cancers during follow-up. Incense use was associated with a significantly increased risk of upper respiratory tract cancer (other than nasopharyngeal), but there was no overall effect on lung cancer.
The researchers also noted that the duration and intensity of incense use were associated with an increased risk of squamous cell carcinomas in the entire respiratory tract. Squamous cells cover the internal and external surfaces of the body.
According to the study data, incense use seemed to add to the increased risk of upper respiratory tract squamous cell carcinoma in smokers. It also considerably increased the risk in never smokers, which points to an independent effect of incense smoke.
“Given the widespread and sometimes involuntary exposure to smoke of burning incense, these findings carry significant public health implications,” the writers wrote.
“Besides initiatives to reduce incense smoke exposure, future studies should be undertaken to identify the least harmful types of incense,” they added.
