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British Journal of Cancer logoLink to British Journal of Cancer
. 1999 Aug;80(11):1852–1858. doi: 10.1038/sj.bjc.6690610

Lifetime exercise activity and breast cancer risk among post-menopausal women

C L Carpenter 1, R K Ross 1, A Paganini-Hill 1, L Bernstein 1
PMCID: PMC2374273  PMID: 10468309

Abstract

Lifetime exercise activity has been linked to breast cancer risk among young women. However, no study has specifically evaluated whether lifetime exercise activity is related to the breast cancer risk of post-menopausal women. We conducted a population-based case-control study of post-menopausal white women (1123 newly diagnosed cases and 904 healthy controls) aged 55–64 who lived in Los Angeles County, California, USA to evaluate this relationship. Although neither exercise activity from menarche to age 40 years, nor exercise after age 40 separately predicted breast cancer risk, risk was lower among women who had exercised each week for at least 17.6 MET-hours (metabolic equivalent of energy expenditure multiplied by hours of activity) since menarche than among inactive women (odds ratio (OR) = 0.55; 95% confidence interval (CI) 0.37–0.83). Exercise activity was not protective for women who gained considerable (> 17%) weight during adulthood. However, among women with more stable weight, breast cancer risk was substantially reduced for those who consistently exercised at high levels throughout their lifetime (OR = 0.42; 95% CI 0.24–0.75), those who exercised more than 4 h per week for at least 12 years (OR = 0.59; 95% CI 0.40–0.88), and those who exercised vigorously (24.5 MET-hours per week) during the most recent 10 years (OR = 0.52; 95% CI 0.32–0.85). Strenuous exercise appears to reduce breast cancer risk among post-menopausal women who do not gain sizable amounts of weight during adulthood. © 1999 Cancer Research Campaign

Keywords: breast neoplasms, exercise, weight gain, post-menopausal women

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Selected References

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  1. Ainsworth B. E., Haskell W. L., Leon A. S., Jacobs D. R., Jr, Montoye H. J., Sallis J. F., Paffenbarger R. S., Jr Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993 Jan;25(1):71–80. doi: 10.1249/00005768-199301000-00011. [DOI] [PubMed] [Google Scholar]
  2. Albanes D., Blair A., Taylor P. R. Physical activity and risk of cancer in the NHANES I population. Am J Public Health. 1989 Jun;79(6):744–750. doi: 10.2105/ajph.79.6.744. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Apter D., Reinilä M., Vihko R. Some endocrine characteristics of early menarche, a risk factor for breast cancer, are preserved into adulthood. Int J Cancer. 1989 Nov 15;44(5):783–787. doi: 10.1002/ijc.2910440506. [DOI] [PubMed] [Google Scholar]
  4. Ballard-Barbash R., Schatzkin A., Taylor P. R., Kahle L. L. Association of change in body mass with breast cancer. Cancer Res. 1990 Apr 1;50(7):2152–2155. [PubMed] [Google Scholar]
  5. Barnes-Josiah D., Potter J. D., Sellers T. A., Himes J. H. Early body size and subsequent weight gain as predictors of breast cancer incidence (Iowa, United States). Cancer Causes Control. 1995 Mar;6(2):112–118. doi: 10.1007/BF00052771. [DOI] [PubMed] [Google Scholar]
  6. Bernstein L., Henderson B. E., Hanisch R., Sullivan-Halley J., Ross R. K. Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst. 1994 Sep 21;86(18):1403–1408. doi: 10.1093/jnci/86.18.1403. [DOI] [PubMed] [Google Scholar]
  7. Bernstein L., Ross R. K., Henderson B. E. Prospects for the primary prevention of breast cancer. Am J Epidemiol. 1992 Jan 15;135(2):142–152. doi: 10.1093/oxfordjournals.aje.a116267. [DOI] [PubMed] [Google Scholar]
  8. Bernstein L., Ross R. K., Lobo R. A., Hanisch R., Krailo M. D., Henderson B. E. The effects of moderate physical activity on menstrual cycle patterns in adolescence: implications for breast cancer prevention. Br J Cancer. 1987 Jun;55(6):681–685. doi: 10.1038/bjc.1987.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Brinton L. A., Swanson C. A. Height and weight at various ages and risk of breast cancer. Ann Epidemiol. 1992 Sep;2(5):597–609. doi: 10.1016/1047-2797(92)90004-a. [DOI] [PubMed] [Google Scholar]
  10. Broocks A., Pirke K. M., Schweiger U., Tuschl R. J., Laessle R. G., Strowitzki T., Hörl E., Hörl T., Haas W., Jeschke D. Cyclic ovarian function in recreational athletes. J Appl Physiol (1985) 1990 May;68(5):2083–2086. doi: 10.1152/jappl.1990.68.5.2083. [DOI] [PubMed] [Google Scholar]
  11. Cauley J. A., Gutai J. P., Kuller L. H., LeDonne D., Powell J. G. The epidemiology of serum sex hormones in postmenopausal women. Am J Epidemiol. 1989 Jun;129(6):1120–1131. doi: 10.1093/oxfordjournals.aje.a115234. [DOI] [PubMed] [Google Scholar]
  12. Chen C. L., White E., Malone K. E., Daling J. R. Leisure-time physical activity in relation to breast cancer among young women (Washington, United States). Cancer Causes Control. 1997 Jan;8(1):77–84. doi: 10.1023/a:1018439306604. [DOI] [PubMed] [Google Scholar]
  13. Coogan P. F., Newcomb P. A., Clapp R. W., Trentham-Dietz A., Baron J. A., Longnecker M. P. Physical activity in usual occupation and risk of breast cancer (United States). Cancer Causes Control. 1997 Jul;8(4):626–631. doi: 10.1023/a:1018402615206. [DOI] [PubMed] [Google Scholar]
  14. D'Avanzo B., Nanni O., La Vecchia C., Franceschi S., Negri E., Giacosa A., Conti E., Montella M., Talamini R., Decarli A. Physical activity and breast cancer risk. Cancer Epidemiol Biomarkers Prev. 1996 Mar;5(3):155–160. [PubMed] [Google Scholar]
  15. Dorgan J. F., Brown C., Barrett M., Splansky G. L., Kreger B. E., D'Agostino R. B., Albanes D., Schatzkin A. Physical activity and risk of breast cancer in the Framingham Heart Study. Am J Epidemiol. 1994 Apr 1;139(7):662–669. doi: 10.1093/oxfordjournals.aje.a117056. [DOI] [PubMed] [Google Scholar]
  16. Dosemeci M., Hayes R. B., Vetter R., Hoover R. N., Tucker M., Engin K., Unsal M., Blair A. Occupational physical activity, socioeconomic status, and risks of 15 cancer sites in Turkey. Cancer Causes Control. 1993 Jul;4(4):313–321. doi: 10.1007/BF00051333. [DOI] [PubMed] [Google Scholar]
  17. Frisch R. E., Gotz-Welbergen A. V., McArthur J. W., Albright T., Witschi J., Bullen B., Birnholz J., Reed R. B., Hermann H. Delayed menarche and amenorrhea of college athletes in relation to age of onset of training. JAMA. 1981 Oct 2;246(14):1559–1563. [PubMed] [Google Scholar]
  18. Frisch R. E., Wyshak G., Albright N. L., Albright T. E., Schiff I., Jones K. P., Witschi J., Shiang E., Koff E., Marguglio M. Lower prevalence of breast cancer and cancers of the reproductive system among former college athletes compared to non-athletes. Br J Cancer. 1985 Dec;52(6):885–891. doi: 10.1038/bjc.1985.273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Frisch R. E., Wyshak G., Vincent L. Delayed menarche and amenorrhea in ballet dancers. N Engl J Med. 1980 Jul 3;303(1):17–19. doi: 10.1056/NEJM198007033030105. [DOI] [PubMed] [Google Scholar]
  20. Gammon M. D., Schoenberg J. B., Britton J. A., Kelsey J. L., Coates R. J., Brogan D., Potischman N., Swanson C. A., Daling J. R., Stanford J. L. Recreational physical activity and breast cancer risk among women under age 45 years. Am J Epidemiol. 1998 Feb 1;147(3):273–280. doi: 10.1093/oxfordjournals.aje.a009447. [DOI] [PubMed] [Google Scholar]
  21. Huang Z., Hankinson S. E., Colditz G. A., Stampfer M. J., Hunter D. J., Manson J. E., Hennekens C. H., Rosner B., Speizer F. E., Willett W. C. Dual effects of weight and weight gain on breast cancer risk. JAMA. 1997 Nov 5;278(17):1407–1411. [PubMed] [Google Scholar]
  22. Hunter D. J., Willett W. C. Diet, body size, and breast cancer. Epidemiol Rev. 1993;15(1):110–132. doi: 10.1093/oxfordjournals.epirev.a036096. [DOI] [PubMed] [Google Scholar]
  23. Kelsey J. L., Gammon M. D., John E. M. Reproductive factors and breast cancer. Epidemiol Rev. 1993;15(1):36–47. doi: 10.1093/oxfordjournals.epirev.a036115. [DOI] [PubMed] [Google Scholar]
  24. Key T. J., Pike M. C. The role of oestrogens and progestagens in the epidemiology and prevention of breast cancer. Eur J Cancer Clin Oncol. 1988 Jan;24(1):29–43. doi: 10.1016/0277-5379(88)90173-3. [DOI] [PubMed] [Google Scholar]
  25. Kirschner M. A., Ertel N., Schneider G. Obesity, hormones, and cancer. Cancer Res. 1981 Sep;41(9 Pt 2):3711–3717. [PubMed] [Google Scholar]
  26. MacDonald P. C., Edman C. D., Hemsell D. L., Porter J. C., Siiteri P. K. Effect of obesity on conversion of plasma androstenedione to estrone in postmenopausal women with and without endometrial cancer. Am J Obstet Gynecol. 1978 Feb 15;130(4):448–455. doi: 10.1016/0002-9378(78)90287-9. [DOI] [PubMed] [Google Scholar]
  27. McTiernan A., Stanford J. L., Weiss N. S., Daling J. R., Voigt L. F. Occurrence of breast cancer in relation to recreational exercise in women age 50-64 years. Epidemiology. 1996 Nov;7(6):598–604. doi: 10.1097/00001648-199611000-00006. [DOI] [PubMed] [Google Scholar]
  28. Mezzetti M., La Vecchia C., Decarli A., Boyle P., Talamini R., Franceschi S. Population attributable risk for breast cancer: diet, nutrition, and physical exercise. J Natl Cancer Inst. 1998 Mar 4;90(5):389–394. doi: 10.1093/jnci/90.5.389. [DOI] [PubMed] [Google Scholar]
  29. Mittendorf R., Longnecker M. P., Newcomb P. A., Dietz A. T., Greenberg E. R., Bogdan G. F., Clapp R. W., Willett W. C. Strenuous physical activity in young adulthood and risk of breast cancer (United States). Cancer Causes Control. 1995 Jul;6(4):347–353. doi: 10.1007/BF00051410. [DOI] [PubMed] [Google Scholar]
  30. Nelson M. E., Meredith C. N., Dawson-Hughes B., Evans W. J. Hormone and bone mineral status in endurance-trained and sedentary postmenopausal women. J Clin Endocrinol Metab. 1988 May;66(5):927–933. doi: 10.1210/jcem-66-5-927. [DOI] [PubMed] [Google Scholar]
  31. Potischman N., Swanson C. A., Siiteri P., Hoover R. N. Reversal of relation between body mass and endogenous estrogen concentrations with menopausal status. J Natl Cancer Inst. 1996 Jun 5;88(11):756–758. doi: 10.1093/jnci/88.11.756. [DOI] [PubMed] [Google Scholar]
  32. Rockhill B., Willett W. C., Hunter D. J., Manson J. E., Hankinson S. E., Spiegelman D., Colditz G. A. Physical activity and breast cancer risk in a cohort of young women. J Natl Cancer Inst. 1998 Aug 5;90(15):1155–1160. doi: 10.1093/jnci/90.15.1155. [DOI] [PubMed] [Google Scholar]
  33. Russell J. B., Mitchell D., Musey P. I., Collins D. C. The relationship of exercise to anovulatory cycles in female athletes: hormonal and physical characteristics. Obstet Gynecol. 1984 Apr;63(4):452–456. [PubMed] [Google Scholar]
  34. Thomas H. V., Key T. J., Allen D. S., Moore J. W., Dowsett M., Fentiman I. S., Wang D. Y. Re: Reversal of relation between body mass and endogenous estrogen concentrations with menopausal status. J Natl Cancer Inst. 1997 Mar 5;89(5):396–398. doi: 10.1093/jnci/89.5.396. [DOI] [PubMed] [Google Scholar]
  35. Thune I., Brenn T., Lund E., Gaard M. Physical activity and the risk of breast cancer. N Engl J Med. 1997 May 1;336(18):1269–1275. doi: 10.1056/NEJM199705013361801. [DOI] [PubMed] [Google Scholar]
  36. Vihko R., Apter D. Endocrine characteristics of adolescent menstrual cycles: impact of early menarche. J Steroid Biochem. 1984 Jan;20(1):231–236. doi: 10.1016/0022-4731(84)90209-7. [DOI] [PubMed] [Google Scholar]
  37. Vihko V. J., Apter D. L., Pukkala E. I., Oinonen M. T., Hakulinen T. R., Vihko R. K. Risk of breast cancer among female teachers of physical education and languages. Acta Oncol. 1992;31(2):201–204. doi: 10.3109/02841869209088903. [DOI] [PubMed] [Google Scholar]
  38. Williamson D. F., Madans J., Anda R. F., Kleinman J. C., Kahn H. S., Byers T. Recreational physical activity and ten-year weight change in a US national cohort. Int J Obes Relat Metab Disord. 1993 May;17(5):279–286. [PubMed] [Google Scholar]
  39. Ziegler R. G., Hoover R. N., Nomura A. M., West D. W., Wu A. H., Pike M. C., Lake A. J., Horn-Ross P. L., Kolonel L. N., Siiteri P. K. Relative weight, weight change, height, and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1996 May 15;88(10):650–660. doi: 10.1093/jnci/88.10.650. [DOI] [PubMed] [Google Scholar]

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