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Published in: Breast Cancer Research and Treatment 1/2017

01-02-2017 | Epidemiology

Body size from birth through adolescence in relation to risk of benign breast disease in young women

Authors: Catherine S. Berkey, Bernard Rosner, Rulla M. Tamimi, Walter C. Willett, Martha Hickey, Adetunji Toriola, A. Lindsay Frazier, Graham A. Colditz

Published in: Breast Cancer Research and Treatment | Issue 1/2017

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Abstract

Purpose

Body size, from birth throughout adulthood, is associated with breast cancer risk, but few studies have investigated early-life body size and benign breast disease (BBD), a well-established breast cancer risk factor. We consider whether prenatal factors and size at birth, 10, 18 year, and intervening growth, are related to BBD risk.

Methods

The Growing Up Today Study includes 9032 females who completed questionnaires annually from 1996 to 2001, then 2003, 2005, 2007, 2010, and 2013. In 1996, their mothers provided pregnancy-related data. From 2005 to 2013, participants (18 year+) reported whether they had ever been diagnosed with biopsy-confirmed BBD (N = 142 cases).

Results

Girls had greater adiposity (BMI; kg/m2) at 10 year if they were larger at birth, if mother’s pre-pregnancy BMI was higher, or if gestational weight gain was greater (all p < .01). Maternal height was (positively) associated (p < .05) with adolescent peak height growth velocity (PHV; in./year). Greater 10 year adiposity was associated with lower PHV and less height growth 10–18 year (both p < .01). Adiposity at 10 year was inversely associated with BBD (OR 0.83/(kg/m2), p < .01) as was increasing adiposity 10–18 year (OR 0.85/(kg/m2), p = .01). In a separate model, 10 year height (OR 1.13/in., p = .02) and height growth 10–18 year (OR 1.19/in.; p < .01) were positively associated. PHV was similarly positively associated (OR 2.58, p = .01, fastest versus slowest growth quartiles). In a multivariable model of BBD risk, gestational weight gain (daughters at highest risk if <20 lb gained), PHV (slowest growing girls at lowest risk), age 10 year height (positive), and BMI (inverse) were the most critical childhood risk factors (each p < .05).

Conclusions

Body size factors from pregnancy through adolescence were independently associated with BBD risk in young women.
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Metadata
Title
Body size from birth through adolescence in relation to risk of benign breast disease in young women
Authors
Catherine S. Berkey
Bernard Rosner
Rulla M. Tamimi
Walter C. Willett
Martha Hickey
Adetunji Toriola
A. Lindsay Frazier
Graham A. Colditz
Publication date
01-02-2017
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 1/2017
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-016-4084-5

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