Long-term weight change and breast cancer risk: the European prospective investigation into cancer and nutrition (EPIC)
2005

Weight Change and Breast Cancer Risk in Women

Sample size: 98352 publication 10 minutes Evidence: high

Author Information

Author(s): Lahmann P H, Schulz M, Hoffmann K, Boeing H, Tjønneland A, Olsen A, Overvad K, Key T J, Allen N E, Khaw K-T, Bingham S, Berglund G, Wirfält E, Berrino F, Krogh V, Trichopoulou A, Lagiou P, Trichopoulos D, Kaaks R, Riboli E

Primary Institution: German Institute of Human Nutrition Potsdam-Rehbrücke

Hypothesis

Does long-term weight change during adulthood affect breast cancer risk in premenopausal and postmenopausal women?

Conclusion

Large weight gain in postmenopausal women not using hormone replacement therapy is associated with an increased risk of breast cancer.

Supporting Evidence

  • Weight gain was positively associated with breast cancer risk in postmenopausal women not using hormone replacement therapy.
  • Women who gained 15-20 kg had a relative risk of 1.50 for breast cancer compared to those with stable weight.
  • Weight change was not associated with breast cancer risk in premenopausal women.

Takeaway

Gaining a lot of weight as an adult can make older women more likely to get breast cancer, especially if they aren't taking hormone medicine.

Methodology

The study used multivariate Cox regression models to analyze weight change and breast cancer risk among women from six European countries.

Potential Biases

Potential confounding bias due to unknown risk factors not included in the analysis.

Limitations

The study had a limited follow-up period of 5.8 years and relied on self-reported weight at age 20.

Participant Demographics

The study included 98,352 women aged 20-80, with 40,429 premenopausal and 57,923 postmenopausal participants.

Statistical Information

P-Value

0.0002

Confidence Interval

1.06–2.13

Statistical Significance

p<0.0002

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602763

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