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Cancer Epidemiology Biomarkers & Prevention Vol. 13, 1121-1127, July 2004
© 2004 American Association for Cancer Research

A Prospective Study of Body Size in Different Periods of Life and Risk of Premenopausal Breast Cancer

Elisabete Weiderpass1,2,3,4, Tonje Braaten5, Cecilia Magnusson1, Merethe Kumle5, Harri Vainio6, Eiliv Lund5 and Hans-Olov Adami1,7

1 Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; 2 IARC, Lyon, France; 3 Finnish Cancer Registry, Helsinki, Finland; 4 Norwegian Cancer Registry, Oslo, Norway; 5 Department of Community Medicine, Medical Facility, Tromso University, Tromso, Norway; 6 Finnish Institute of Occupational Health, Helsinki, Finland; 7 Department of Epidemiology, School of Public Health, Harvard University, Boston, Massachusetts

Requests for reprints: Elisabete Weiderpass, IARC, 150, cours Albert Thomas, F-69008 Lyon, France. Phone: 33-4-72738049; Fax: 33-4-72738345. E-mail: elisabete.weiderpass{at}cancer.fi

The prevalence of obesity at all ages is increasing epidemically worldwide. Information on the association between premenopausal breast cancer and body size during childhood and teenage years is scarce. In 1991 to 1992, a prospective cohort study was assembled in Norway and Sweden. We included in the analysis presented here 99,717 premenopausal women. During the follow-up period, which ended in December 1999, 733 of these women developed a primary invasive breast cancer. Overweight and obesity [body mass index (BMI) > 25 kg/m2] at enrolment was associated with a decreased risk of premenopausal breast cancer (P for linear trend = 0.007). Apparent associations between perceived body shape at age 7 and BMI at age 18, with heavier builds at both ages seemingly being protective for premenopausal breast cancer risk, lost their statistical significance after adjustment for BMI at cohort enrolment. Body size at age 7 was correlated with BMI at age 18 (r = 0.43); BMI at age 18 was correlated with adult BMI (r = 0.48). Changes in body size from age 7 or 18 to adulthood did not affect per se risk of premenopausal breast cancer risk. Height was related to risk, with a statistically significantly 30% reduced risk only in women shorter than 160 cm as compared with taller ones. The decreased risk of premenopausal breast cancer was observed in overweight and obese women without, but not in those with, a family history of breast cancer.




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Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Cell Growth & Differentiation
Copyright © 2004 by the American Association for Cancer Research.