Table 2

Relative risks of breast cancer by body fatness at ages 5, 10, and 20 years, and during childhood and adolescence among 109,267 premenopausal Nurses' Health Study II participants (1989–2001)


Casesa (n = 1318)
Person-years
Age-adjusted RR (95% CI)
Multivariate RR (95% CI)b

Figure at age 5 years

     1
350
252,779
1.00 (ref.)
1.00 (ref.)
     2
431
335,974
0.97 (0.84–1.11)
0.96 (0.83–1.11)
     3
304
251,625
0.89 (0.76–1.04)
0.88 (0.76–1.03)
     4
173
133,574
0.94 (0.78–1.13)
0.93 (0.77–1.12)
     ≥ 5
60
70,740
0.59 (0.45–0.78)
0.57 (0.43–0.75)
     P for trendc


0.002
0.001

Figure at age 10 years

     1
277
191,720
1.00 (ref.)
1.00 (ref.)
     2
423
323,197
0.95 (0.82–1.11)
0.96 (0.82–1.11)
     3
307
239,185
0.92 (0.79–1.09)
0.93 (0.79–1.10)
     4
197
165,957
0.84 (0.70–1.01)
0.84 (0.70–1.01)
     ≥ 5
114
124,633
0.62 (0.50–0.77)
0.61 (0.49–0.76)
     P for trendc


<0.0001
<0.0001

Figure at age 20 years

     1
73
44,399
1.00 (ref.)
1.00 (ref.)
     2
414
271,292
1.04 (0.81–1.33)
1.05 (0.82–1.35)
     3
474
397,651
0.85 (0.67–1.09)
0.87 (0.68–1.11)
     4
247
219,136
0.81 (0.62–1.05)
0.81 (0.63–1.06)
     ≥ 5
110
112,213
0.71 (0.53–0.95)
0.70 (0.52–0.94)
     P for trendc


<0.0001
<0.0001

Average childhood figure (ages 5–10 years)

     1
262
177,512
1.00 (ref.)
1.00 (ref.)
     1.5–2
416
322,714
0.92 (0.79–1.08)
0.93 (0.79–1.08)
     2.5–3
339
265,111
0.90 (0.77–1.06)
0.90 (0.76–1.06)
     3.5–4.5
253
215,175
0.82 (0.69–0.97)
0.81 (0.68–0.96)
     ≥ 5
48
64,180
0.49 (0.36–0.67)
0.48 (0.35–0.65)
     P for trendc


<0.0001
<0.0001

Average adolescent figure (ages 10–20 years)

     1
56
34,780
1.00 (ref.)
1.00 (ref.)
     1.5–2
398
267,086
1.07 (0.81–1.41)
1.08 (0.82–1.43)
     2.5–3
449
366,516
0.92 (0.69–1.21)
0.93 (0.71–1.24)
     3.5–4.5
363
312,070
0.85 (0.64–1.13)
0.86 (0.65–1.14)
     ≥ 5
52
64,240
0.58 (0.40–0.85)
0.57 (0.39–0.83)
     P for trendc


<0.0001
<0.0001

aIncluding both invasive and in situ cases. bAdjusted for age (months), time period (6 periods), birthweight (<5.5, 5.5–6.9, 7–8.4, 8.5–9.9, ≥ 10 lb), height (inches), recent alcohol consumption (0, 0.1–1.4, 1.5–4.9, 5.0–9.9, ≥ 10 g/day), parity and age at first birth (nulliparous, 1–2 pregnancies with age at first birth <25 years, 1–2 pregnancies with age at first birth 25–29 years, 1–2 pregnancies with age at first birth ≥ 30 years, ≥ 3 pregnancies with age at first birth <25 years, ≥ 3 pregnancies with age at first birth 25–29 years, ≥ 3 pregnancies with age at first birth ≥ 30 years), oral contraceptive use (never, past use <4 years, past use ≥ 4 years, current use <4 years, current use ≥ 4 years), history of benign breast disease (yes, no), and first-degree family history of breast cancer (yes, no). cWald test of coefficient for body fatness modeled as an ordinal variable. CI, confidence interval; RR, relative risk.

Baer et al. Breast Cancer Research 2005 7:R314   doi:10.1186/bcr998

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