Résumé :
|
[BDSP. Notice produite par INIST-CNRS qR0xs8I9. Diffusion soumise à autorisation]. Large body size has been associated with a reduced risk of premenopausal breast cancer in non-Hispanic white women. Data on other racial/ethnic populations are limited. The authors examined the association between premenopausal breast cancer risk and adult body size in 672 cases and 808 controls aged>35 years from a population-based case-control study conducted in 1995-2004 in the San Francisco Bay Area (Hispanics : 375 cases, 483 controls ; African Americans : 154 cases, 160 controls ; non-Hispanic whites : 143 cases, 165 controls). Multivariate adjusted odds ratios and 95% confidence intervals were calculated using unconditional logistic regression. Height was associated with increased breast cancer risk (highest vs. lowest quartile : odds ratio=1.77,95% confidence interval : 1.23,2.53 ; Ptrend<0.01) ; the association did not vary by hormone receptor status or race/ethnicity. Body mass index (measured as weight (kg) divided by height (m) squared) was inversely associated with risk in all 3 racial/ethnic groups, but only for estrogen receptor-and progesterone receptor-positive tumors (body mass index>30 vs.<25 : odds ratio=0.42 ; 95% confidence interval : 0.29,0.61). Other body size measures (current weight, body build, adult weight gain, young adult weight and body mass index, waist circumference, and waist-to-height ratio) were similarly inversely associated with risk of estrogen receptor-and progesterone receptor-positive breast cancer but not estrogen receptor-and progesterone receptor-negative disease. Despite racial/ethnic differences in body size, inverse associations were similar across the 3 racial/ethnic groups when stratified by hormone receptor status.
|