Family history of later-onset breast cancer, breast healthy behavior and invasive breast cancer among postmenopausal women: a cohort study
2010

Family History and Breast Healthy Behaviors in Postmenopausal Women

Sample size: 85644 publication 10 minutes Evidence: moderate

Author Information

Author(s): Robert Gramling, Timothy L. Lash, Kenneth J. Rothman, Howard J. Cabral, Rebecca Silliman, Mary Roberts, Marcia L. Stefanick, Rosanne Harrigan, Monica L. Bertoia, Charles B. Eaton

Primary Institution: University of Rochester

Hypothesis

Does adherence to breast healthy behaviors modify breast cancer risk attributed to family history of later-onset breast cancer in postmenopausal women?

Conclusion

Participating in breast healthy behaviors was beneficial to postmenopausal women and the degree of this benefit was the same for women with and without a family history of later-onset breast cancer.

Supporting Evidence

  • 1997 women were diagnosed with invasive breast cancer during a mean follow-up of 5.4 years.
  • Women with a family history who engaged in all three healthy behaviors had a lower rate of breast cancer compared to those who did not.
  • Approximately 12% of participants reported a family history of breast cancer.

Takeaway

Women can lower their breast cancer risk by being active, managing their weight, and drinking less alcohol, whether or not they have a family history of breast cancer.

Methodology

The study analyzed breast cancer outcomes in relation to lifestyle behaviors collected via questionnaires from 85,644 postmenopausal women enrolled in the Women's Health Initiative Observational Study.

Potential Biases

Potential misclassification of family history due to changes in awareness during follow-up.

Limitations

The analysis is based on a single time point assessment of behaviors and family history, which may not capture changes over time.

Participant Demographics

Participants were postmenopausal women aged 50-79, predominantly white, with varying educational backgrounds and income levels.

Statistical Information

Confidence Interval

95% CI: -0.00359, 0.00388

Digital Object Identifier (DOI)

10.1186/bcr2727

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