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. 2001 Jul-Aug;93(7-8):267–275.

Strenuous physical activity and breast cancer risk in African-American women.

L L Adams-Campbell 1, L Rosenberg 1, R S Rao 1, J R Palmer 1
PMCID: PMC2594032  PMID: 11491277

Abstract

OBJECTIVES: Some studies of white women suggest that exercise reduces the incidence of breast cancer. There are no data on black women. We assessed the relationship between strenuous physical activity and prevalent breast cancer among participants in the Black Women's Health Study. METHODS: Data on strenuous recreational physical activity at various ages and other factors were collected in 1995 by mail questionnaire from 64,524 United States black women aged 21 to 69 years. The 704 women who reported breast cancer (cases) were matched on age and on menopausal status at the time of the breast cancer diagnosis with 1408 women who did not report breast cancer (controls). Odds ratios for levels of physical activity at various ages were derived from conditional logistic regression with control for potential confounding factors. RESULTS: Odds ratios for > or =7 h per week relative to < 1 were significantly reduced for strenuous activity at age 21 for breast cancer overall and premenopausal breast cancer, at age 30 for breast cancer overall, and at age 40 for postmenopausal breast cancer. There was no evidence of a reduction associated with exercise in high school. CONCLUSIONS: The findings of the present study suggest that strenuous physical activity in early adulthood is associated with a reduced risk of breast cancer in African-American women.

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Selected References

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  1. Adams-Campbell L. L., Rosenberg L., Washburn R. A., Rao R. S., Kim K. S., Palmer J. Descriptive epidemiology of physical activity in African-American women. Prev Med. 2000 Jan;30(1):43–50. doi: 10.1006/pmed.1999.0604. [DOI] [PubMed] [Google Scholar]
  2. Ainsworth B. E., Keenan N. L., Strogatz D. S., Garrett J. M., James S. A. Physical activity and hypertension in black adults: the Pitt County Study. Am J Public Health. 1991 Nov;81(11):1477–1479. doi: 10.2105/ajph.81.11.1477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Ainsworth B. E., Sternfeld B., Slattery M. L., Daguisé V., Zahm S. H. Physical activity and breast cancer: evaluation of physical activity assessment methods. Cancer. 1998 Aug 1;83(3 Suppl):611–620. doi: 10.1002/(sici)1097-0142(19980801)83:3+<611::aid-cncr3>3.3.co;2-u. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. 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]
  6. Bild D. E., Jacobs D. R., Jr, Sidney S., Haskell W. L., Anderssen N., Oberman A. Physical activity in young black and white women. The CARDIA Study. Ann Epidemiol. 1993 Nov;3(6):636–644. doi: 10.1016/1047-2797(93)90087-k. [DOI] [PubMed] [Google Scholar]
  7. Caspersen C. J., Christenson G. M., Pollard R. A. Status of the 1990 physical fitness and exercise objectives--evidence from NHIS 1985. Public Health Rep. 1986 Nov-Dec;101(6):587–592. [PMC free article] [PubMed] [Google Scholar]
  8. 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]
  9. 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]
  10. 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]
  11. Folsom A. R., Cook T. C., Sprafka J. M., Burke G. L., Norsted S. W., Jacobs D. R., Jr Differences in leisure-time physical activity levels between blacks and whites in population-based samples: the Minnesota Heart Survey. J Behav Med. 1991 Feb;14(1):1–9. doi: 10.1007/BF00844764. [DOI] [PubMed] [Google Scholar]
  12. Fraser G. E., Shavlik D. Risk factors, lifetime risk, and age at onset of breast cancer. Ann Epidemiol. 1997 Aug;7(6):375–382. doi: 10.1016/s1047-2797(97)00042-2. [DOI] [PubMed] [Google Scholar]
  13. Frisch R. E., Wyshak G., Albright N. L., Albright T. E., Schiff I., Witschi J., Marguglio M. Lower lifetime occurrence of breast cancer and cancers of the reproductive system among former college athletes. Am J Clin Nutr. 1987 Jan;45(1 Suppl):328–335. doi: 10.1093/ajcn/45.1.328. [DOI] [PubMed] [Google Scholar]
  14. Gammon M. D., John E. M., Britton J. A. Recreational and occupational physical activities and risk of breast cancer. J Natl Cancer Inst. 1998 Jan 21;90(2):100–117. doi: 10.1093/jnci/90.2.100. [DOI] [PubMed] [Google Scholar]
  15. Hu Y. H., Nagata C., Shimizu H., Kaneda N., Kashiki Y. Association of body mass index, physical activity, and reproductive histories with breast cancer: a case-control study in Gifu, Japan. Breast Cancer Res Treat. 1997 Mar;43(1):65–72. doi: 10.1023/a:1005745824388. [DOI] [PubMed] [Google Scholar]
  16. Lewis C. E., Raczynski J. M., Heath G. W., Levinson R., Cutter G. R. Physical activity of public housing residents in Birmingham, Alabama. Am J Public Health. 1993 Jul;83(7):1016–1020. doi: 10.2105/ajph.83.7.1016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lewis C. E., Smith D. E., Wallace D. D., Williams O. D., Bild D. E., Jacobs D. R., Jr Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in black and white young adults: the CARDIA study. Am J Public Health. 1997 Apr;87(4):635–642. doi: 10.2105/ajph.87.4.635. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Macera C. A., Croft J. B., Brown D. R., Ferguson J. E., Lane M. J. Predictors of adopting leisure-time physical activity among a biracial community cohort. Am J Epidemiol. 1995 Sep 15;142(6):629–635. doi: 10.1093/oxfordjournals.aje.a117686. [DOI] [PubMed] [Google Scholar]
  19. Marcus P. M., Newman B., Moorman P. G., Millikan R. C., Baird D. D., Qaqish B., Sternfeld B. Physical activity at age 12 and adult breast cancer risk (United States). Cancer Causes Control. 1999 Aug;10(4):293–302. doi: 10.1023/a:1008971417282. [DOI] [PubMed] [Google Scholar]
  20. McTiernan A., Ulrich C., Slate S., Potter J. Physical activity and cancer etiology: associations and mechanisms. Cancer Causes Control. 1998 Oct;9(5):487–509. doi: 10.1023/a:1008853601471. [DOI] [PubMed] [Google Scholar]
  21. 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]
  22. 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]
  23. Paffenbarger R. S., Jr, Hyde R. T., Wing A. L. Physical activity and incidence of cancer in diverse populations: a preliminary report. Am J Clin Nutr. 1987 Jan;45(1 Suppl):312–317. doi: 10.1093/ajcn/45.1.312. [DOI] [PubMed] [Google Scholar]
  24. 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]
  25. Schoenborn C. A. Health habits of U.S. adults, 1985: the "Alameda 7" revisited. Public Health Rep. 1986 Nov-Dec;101(6):571–580. [PMC free article] [PubMed] [Google Scholar]
  26. Taioli E., Barone J., Wynder E. L. A case-control study on breast cancer and body mass. The American Health Foundation--Division of Epidemiology. Eur J Cancer. 1995;31A(5):723–728. doi: 10.1016/0959-8049(95)00046-l. [DOI] [PubMed] [Google Scholar]
  27. 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]
  28. Verloop J., Rookus M. A., van der Kooy K., van Leeuwen F. E. Physical activity and breast cancer risk in women aged 20-54 years. J Natl Cancer Inst. 2000 Jan 19;92(2):128–135. doi: 10.1093/jnci/92.2.128. [DOI] [PubMed] [Google Scholar]
  29. Washburn R. A., Kline G., Lackland D. T., Wheeler F. C. Leisure time physical activity: are there black/white differences? Prev Med. 1992 Jan;21(1):127–135. doi: 10.1016/0091-7435(92)90012-7. [DOI] [PubMed] [Google Scholar]

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