Skip to main content
Top
Published in: Cancer Causes & Control 5/2007

01-06-2007 | Original Paper

Breastfeeding and risk of ovarian cancer in two prospective cohorts

Authors: Kim N. Danforth, Shelley S. Tworoger, Jonathan L. Hecht, Bernard A. Rosner, Graham A. Colditz, Susan E. Hankinson

Published in: Cancer Causes & Control | Issue 5/2007

Login to get access

Abstract

Objective

To describe the association between breastfeeding and ovarian cancer risk in two prospective cohorts.

Materials & methods

We pooled data from the Nurses’ Health Study and Nurses’ Health Study II. There were 391 cases of epithelial ovarian cancer diagnosed among 149,693 parous women with up to 16 years of follow-up. Data were analyzed using multivariate Cox proportional hazards models, controlling for age, parity, duration of oral contraceptive use, tubal ligation, and age at menarche.

Results

Ever breastfeeding was associated with a non-significant reduction in ovarian cancer risk compared with never breastfeeding (RR = 0.86, 95% CI 0.70–1.06); the median duration of breastfeeding among women who breastfed was nine months. Breastfeeding of 18 or more months was associated with a significant decrease in ovarian cancer risk compared to never breastfeeding (RR = 0.66, 95% CI 0.46–0.96). For each month of breastfeeding the relative risk decreased by 2% (RR = 0.98 per month, 95% CI 0.97–1.00).

Conclusions

These data support a linear inverse association between breastfeeding and risk of epithelial ovarian cancer.
Literature
1.
go back to reference American Cancer Society (2006) Cancer facts & figures. American Cancer Society, Inc, Atlanta American Cancer Society (2006) Cancer facts & figures. American Cancer Society, Inc, Atlanta
2.
go back to reference US Preventive Services Task Force (1996) Guide to clinical preventive services, 2nd edn. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC US Preventive Services Task Force (1996) Guide to clinical preventive services, 2nd edn. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC
3.
go back to reference Risch HA (1998) Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone. J Natl Cancer Inst 90(23):1774–1786PubMedCrossRef Risch HA (1998) Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone. J Natl Cancer Inst 90(23):1774–1786PubMedCrossRef
4.
go back to reference McNeilly AS (2001) Lactational control of reproduction. Reproduc Fertility Develop 13(7–8):583–590CrossRef McNeilly AS (2001) Lactational control of reproduction. Reproduc Fertility Develop 13(7–8):583–590CrossRef
5.
go back to reference Whittemore AS, Harris R, Itnyre J (1992) Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case–control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group. Am J Epidemiol 136(10):1184–1203PubMed Whittemore AS, Harris R, Itnyre J (1992) Characteristics relating to ovarian cancer risk: collaborative analysis of 12 US case–control studies. II. Invasive epithelial ovarian cancers in white women. Collaborative Ovarian Cancer Group. Am J Epidemiol 136(10):1184–1203PubMed
6.
go back to reference Colditz GA, Atwood KA, Emmons K et al (2000) Harvard report on cancer prevention volume 4: Harvard Cancer Risk Index. Risk Index Working Group, Harvard Center for Cancer Prevention. Cancer Causes Control 11(6):477–488PubMedCrossRef Colditz GA, Atwood KA, Emmons K et al (2000) Harvard report on cancer prevention volume 4: Harvard Cancer Risk Index. Risk Index Working Group, Harvard Center for Cancer Prevention. Cancer Causes Control 11(6):477–488PubMedCrossRef
7.
go back to reference Chiaffarino F, Pelucchi C, Negri E et al (2005) Breastfeeding and the risk of epithelial ovarian cancer in an Italian population. Gynecol Oncol 98(2):304–308PubMedCrossRef Chiaffarino F, Pelucchi C, Negri E et al (2005) Breastfeeding and the risk of epithelial ovarian cancer in an Italian population. Gynecol Oncol 98(2):304–308PubMedCrossRef
8.
go back to reference Titus-Ernstoff L, Perez K, Cramer DW, Harlow BL, Baron JA, Greenberg ER (2001) Menstrual and reproductive factors in relation to ovarian cancer risk. Br J Cancer 84(5):714–721PubMedCrossRef Titus-Ernstoff L, Perez K, Cramer DW, Harlow BL, Baron JA, Greenberg ER (2001) Menstrual and reproductive factors in relation to ovarian cancer risk. Br J Cancer 84(5):714–721PubMedCrossRef
9.
go back to reference Tung KH, Wilkens LR, Wu AH et al (2005) Effect of anovulation factors on pre- and postmenopausal ovarian cancer risk: revisiting the incessant ovulation hypothesis. Am J Epidemiol 161(4):321–329PubMedCrossRef Tung KH, Wilkens LR, Wu AH et al (2005) Effect of anovulation factors on pre- and postmenopausal ovarian cancer risk: revisiting the incessant ovulation hypothesis. Am J Epidemiol 161(4):321–329PubMedCrossRef
10.
go back to reference Mills PK, Riordan DG, Cress RD (2004) Epithelial ovarian cancer risk by invasiveness and cell type in the Central Valley of California. Gynecol Oncol 95(1):215–225PubMedCrossRef Mills PK, Riordan DG, Cress RD (2004) Epithelial ovarian cancer risk by invasiveness and cell type in the Central Valley of California. Gynecol Oncol 95(1):215–225PubMedCrossRef
11.
go back to reference Zhang M, Lee AH, Binns CW (2004) Reproductive and dietary risk factors for epithelial ovarian cancer in China. Gynecol Oncol 92(1):320–326PubMedCrossRef Zhang M, Lee AH, Binns CW (2004) Reproductive and dietary risk factors for epithelial ovarian cancer in China. Gynecol Oncol 92(1):320–326PubMedCrossRef
12.
go back to reference Riman T, Nilsson S, Persson IR (2004) Review of epidemiological evidence for reproductive and hormonal factors in relation to the risk of epithelial ovarian malignancies. Acta Obstet Gynecol Scand 83(9):783–795PubMedCrossRef Riman T, Nilsson S, Persson IR (2004) Review of epidemiological evidence for reproductive and hormonal factors in relation to the risk of epithelial ovarian malignancies. Acta Obstet Gynecol Scand 83(9):783–795PubMedCrossRef
13.
go back to reference Colditz GA, Stampfer MJ, Willett WC et al (1987) Reproducibility and validity of self-reported menopausal status in a prospective cohort study. Am J Epidemiol 126(2):319–325PubMed Colditz GA, Stampfer MJ, Willett WC et al (1987) Reproducibility and validity of self-reported menopausal status in a prospective cohort study. Am J Epidemiol 126(2):319–325PubMed
14.
go back to reference Modugno F, Ness RB, Wheeler JE (2001) Reproductive risk factors for epithelial ovarian cancer according to histologic type and invasiveness. Ann Epidemiol 11(8):568–574PubMedCrossRef Modugno F, Ness RB, Wheeler JE (2001) Reproductive risk factors for epithelial ovarian cancer according to histologic type and invasiveness. Ann Epidemiol 11(8):568–574PubMedCrossRef
15.
go back to reference Tung KH, Goodman MT, Wu AH et al (2003) Reproductive factors and epithelial ovarian cancer risk by histologic type: a multiethnic case–control study. Am J Epidemiol 158(7):629–638PubMedCrossRef Tung KH, Goodman MT, Wu AH et al (2003) Reproductive factors and epithelial ovarian cancer risk by histologic type: a multiethnic case–control study. Am J Epidemiol 158(7):629–638PubMedCrossRef
16.
go back to reference Rosenblatt KA, Thomas DB (1993) Lactation and the risk of epithelial ovarian cancer. The WHO collaborative study of neoplasia and steroid contraceptives. Int J Epidemiol 22(2):192–197PubMedCrossRef Rosenblatt KA, Thomas DB (1993) Lactation and the risk of epithelial ovarian cancer. The WHO collaborative study of neoplasia and steroid contraceptives. Int J Epidemiol 22(2):192–197PubMedCrossRef
17.
go back to reference Riman T, Dickman PW, Nilsson S et al (2002) Risk factors for invasive epithelial ovarian cancer: results from a Swedish case–control study. Am J Epidemiol 156(4):363–373PubMedCrossRef Riman T, Dickman PW, Nilsson S et al (2002) Risk factors for invasive epithelial ovarian cancer: results from a Swedish case–control study. Am J Epidemiol 156(4):363–373PubMedCrossRef
18.
go back to reference Siskind V, Green A, Bain C, Purdie D (1997) Breastfeeding, menopause, and epithelial ovarian cancer. Epidemiology 8(2):188–891PubMedCrossRef Siskind V, Green A, Bain C, Purdie D (1997) Breastfeeding, menopause, and epithelial ovarian cancer. Epidemiology 8(2):188–891PubMedCrossRef
19.
go back to reference Yen ML, Yen BL, Bai CH, Lin RS (2003) Risk factors for ovarian cancer in Taiwan: a case–control study in a low-incidence population. Gynecol Oncol 89(2):318–324PubMedCrossRef Yen ML, Yen BL, Bai CH, Lin RS (2003) Risk factors for ovarian cancer in Taiwan: a case–control study in a low-incidence population. Gynecol Oncol 89(2):318–324PubMedCrossRef
20.
go back to reference Booth M, Beral V, Smith P (1989) Risk factors for ovarian cancer: a case–control study. Br J Cancer 60(4):592–598PubMed Booth M, Beral V, Smith P (1989) Risk factors for ovarian cancer: a case–control study. Br J Cancer 60(4):592–598PubMed
22.
23.
go back to reference Riman T, Persson I, Nilsson S (1998) Hormonal aspects of epithelial ovarian cancer: review of epidemiological evidence. Clinic Endocrinol 49(6):695–707CrossRef Riman T, Persson I, Nilsson S (1998) Hormonal aspects of epithelial ovarian cancer: review of epidemiological evidence. Clinic Endocrinol 49(6):695–707CrossRef
24.
go back to reference Ryan AS, Wenjun Z, Acosta A (2002) Breastfeeding continues to increase into the new millennium. Pediatrics 110(6):1103–1109PubMedCrossRef Ryan AS, Wenjun Z, Acosta A (2002) Breastfeeding continues to increase into the new millennium. Pediatrics 110(6):1103–1109PubMedCrossRef
Metadata
Title
Breastfeeding and risk of ovarian cancer in two prospective cohorts
Authors
Kim N. Danforth
Shelley S. Tworoger
Jonathan L. Hecht
Bernard A. Rosner
Graham A. Colditz
Susan E. Hankinson
Publication date
01-06-2007
Publisher
Kluwer Academic Publishers
Published in
Cancer Causes & Control / Issue 5/2007
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-007-0130-2

Other articles of this Issue 5/2007

Cancer Causes & Control 5/2007 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine