Table 3.
Body Size and Breast Cancer Risk in Premenopausal Women, by Race/Ethnicitya, in the San Francisco Bay Area Breast Cancer Study, 1995–2004
All |
Hispanics |
African Americans |
Non-Hispanic Whites |
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No. of Cases (n = 672) | No. of Controls (n = 808) | ORb | 95% CI | No. of Cases (n = 375) | No. of Controls (n = 483) | ORc | 95% CI | No. of Cases (n = 154) | No. of Controls (n = 160) | ORc | 95% CI | No. of Cases (n = 143) | No. of Controls (n = 165) | ORc | 95% CI | |
Current height, cmd | ||||||||||||||||
Quartile 1 | 109 | 202 | 1.0 | 61 | 122 | 1.0 | 25 | 42 | 1.0 | 30 | 42 | 1.0 | ||||
Quartile 2 | 147 | 202 | 1.69 | 0.86, 1.69 | 87 | 120 | 1.38 | 0.88, 2.15 | 37 | 38 | 1.51 | 0.71, 3.21 | 34 | 43 | 1.14 | 0.53, 2.42 |
Quartile 3 | 196 | 202 | 2.22 | 1.13, 2.22 | 84 | 121 | 1.23 | 0.78, 1.94 | 59 | 40 | 2.55 | 1.24, 5.21 | 34 | 39 | 1.38 | 0.65, 2.95 |
Quartile 4 | 220 | 202 | 2.53 | 1.23, 2.53 | 143 | 120 | 1.84 | 1.18, 2.85 | 33 | 40 | 1.39 | 0.65, 2.94 | 45 | 41 | 1.81 | 0.87, 3.74 |
Ptrend | <0.01 | 0.01 | 0.20 | 0.09 | ||||||||||||
Quartile of current weight, kge | ||||||||||||||||
≤61.2 | 227 | 229 | 1.0 | 134 | 125 | 1.0 | 31 | 27 | 1.0 | 62 | 77 | 1.0 | ||||
61.3–68.0 | 148 | 182 | 0.76 | 0.56, 1.04 | 86 | 121 | 0.61 | 0.40, 0.93 | 35 | 34 | 0.70 | 0.31, 1.56 | 27 | 27 | 1.25 | 0.60, 2.60 |
68.1–81.6 | 181 | 214 | 0.70 | 0.52, 0.95 | 102 | 146 | 0.48 | 0.32, 0.73 | 41 | 37 | 0.75 | 0.35, 1.62 | 38 | 31 | 1.86 | 0.94, 3.70 |
>81.6 | 116 | 183 | 0.51 | 0.36, 0.72 | 53 | 91 | 0.43 | 0.26, 0.69 | 47 | 62 | 1.62 | 0.26, 1.14 | 16 | 30 | 0.55 | 0.23, 1.34 |
Ptrend | <0.01 | <0.01 | 0.13 | 0.96 | ||||||||||||
Current BMIf,g | ||||||||||||||||
<25.0 | 298 | 262 | 1.0 | 146 | 118 | 1.0 | 59 | 46 | 1.0 | 93 | 98 | 1.0 | ||||
25.0–29.9 | 195 | 274 | 0.65 | 0.49, 0.85 | 125 | 190 | 0.56 | 0.38, 0.81 | 40 | 50 | 0.54 | 0.29, 1.03 | 30 | 34 | 1.02 | 0.54, 1.93 |
≥30.0 | 179 | 272 | 0.60 | 0.45, 0.79 | 104 | 175 | 0.52 | 0.35, 0.77 | 55 | 64 | 0.65 | 0.35, 1.23 | 20 | 33 | 0.60 | 0.28, 1.30 |
Ptrend | <0.01 | <0.01 | 0.20 | 0.28 | ||||||||||||
Current body build | ||||||||||||||||
1–3 (slim) | 123 | 104 | 1.0 | 65 | 55 | 1.0 | 21 | 13 | 1.0 | 37 | 36 | 1.0 | ||||
4 | 153 | 173 | 0.74 | 0.52, 1.06 | 75 | 95 | 0.76 | 0.45, 1.28 | 37 | 41 | 0.40 | 0.14, 0.94 | 41 | 37 | 0.86 | 0.40, 1.82 |
5–6 | 301 | 357 | 0.73 | 0.52, 1.00 | 185 | 239 | 0.68 | 0.43, 1.06 | 68 | 55 | 0.64 | 0.26, 1.54 | 48 | 63 | 0.80 | 0.40, 1.59 |
7–9 (heavy) | 91 | 170 | 0.40 | 0.27, 0.60 | 46 | 92 | 0.40 | 0.23, 0.71 | 28 | 49 | 0.25 | 0.10, 0.65 | 17 | 29 | 0.39 | 0.16, 0.98 |
Ptrend | <0.01 | <0.01 | 0.03 | 0.08 | ||||||||||||
Quartile of young-adult weight, kgh | ||||||||||||||||
≤53.5 | 180 | 205 | 1.0 | 118 | 132 | 1.0 | 24 | 26 | 1.0 | 38 | 47 | 1.0 | ||||
53.6–58.3 | 194 | 185 | 1.10 | 0.81, 1.50 | 113 | 109 | 1.03 | 0.68, 1.55 | 39 | 32 | 1.56 | 0.66, 3.71 | 42 | 44 | 1.67 | 0.79, 3.56 |
58.4–63.5 | 159 | 202 | 0.77 | 0.56, 1.07 | 78 | 122 | 0.59 | 0.38, 0.90 | 47 | 41 | 1.16 | 0.52, 2.59 | 34 | 39 | 1.19 | 0.55, 2.57 |
>63.5 | 131 | 188 | 0.65 | 0.46, 0.92 | 61 | 95 | 0.56 | 0.35, 0.90 | 43 | 59 | 0.68 | 0.30, 1.52 | 27 | 34 | 1.12 | 0.47, 2.68 |
Ptrend | <0.01 | <0.01 | 0.12 | 0.96 | ||||||||||||
Quartile of young-adult BMIi | ||||||||||||||||
≤20.9 | 210 | 195 | 1.0 | 95 | 85 | 1.0 | 41 | 42 | 1.0 | 74 | 68 | 1.0 | ||||
21.0–22.7 | 200 | 195 | 1.07 | 0.80, 1.44 | 121 | 105 | 1.29 | 0.84, 1.99 | 48 | 37 | 1.67 | 0.83, 3.35 | 31 | 53 | 0.52 | 0.28, 0.96 |
22.8–24.9 | 136 | 195 | 0.79 | 0.57, 1.08 | 81 | 128 | 0.74 | 0.48, 1.17 | 37 | 41 | 0.97 | 0.49, 1.93 | 18 | 26 | 0.86 | 0.39, 1.91 |
>24.9 | 118 | 195 | 0.73 | 0.52, 1.01 | 73 | 140 | 0.65 | 0.41, 1.04 | 27 | 38 | 0.87 | 0.41, 1.86 | 18 | 17 | 1.03 | 0.43, 2.46 |
Ptrend | 0.02 | 0.01 | 0.42 | 0.77 | ||||||||||||
Weight change, kgj | ||||||||||||||||
Loss >3.0 | 24 | 33 | 0.57 | 13 | 17 | 0.57 | 7 | 6 | 1.17 | 4 | 10 | 0.35 | ||||
None/stable | 146 | 115 | 1.0 | 0.31, 1.06 | 82 | 57 | 1.0 | 0.24, 1.36 | 23 | 17 | 1.0 | 0.28, 4.91 | 41 | 41 | 1.0 | 0.09, 1.38 |
Gain 3.1–10.0 | 217 | 240 | 0.73 | 0.53, 1.02 | 119 | 142 | 0.60 | 0.38, 0.95 | 45 | 48 | 0.61 | 0.27, 1.39 | 53 | 50 | 1.35 | 0.69, 2.65 |
Gain 10.1–20.0 | 155 | 205 | 0.54 | 0.38, 0.76 | 94 | 138 | 0.40 | 0.25, 0.65 | 34 | 33 | 0.68 | 0.28, 1.62 | 27 | 34 | 0.87 | 0.40, 1.90 |
Gain >20.0 | 122 | 187 | 0.44 | 0.30, 0.63 | 62 | 104 | 0.35 | 0.21, 0.59 | 44 | 54 | 0.52 | 0.22, 1.22 | 16 | 29 | 0.57 | 0.22, 1.45 |
Ptrendk | <0.01 | <0.01 | 0.32 | 0.23 | ||||||||||||
Quartile of waist circumference, cm | ||||||||||||||||
≤78.7 | 192 | 197 | 1.0 | 103 | 95 | 1.0 | 17 | 23 | 1.0 | 72 | 79 | 1.0 | ||||
78.8–87.0 | 132 | 190 | 0.77 | 0.56, 1.07 | 76 | 131 | 0.59 | 0.38, 0.91 | 31 | 31 | 1.60 | 0.65, 3.93 | 25 | 28 | 0.96 | 0.46, 1.98 |
87.1–98.0 | 155 | 193 | 0.87 | 0.63, 1.21 | 93 | 135 | 0.71 | 0.46, 1.10 | 42 | 30 | 1.89 | 0.79, 4.50 | 20 | 28 | 0.75 | 0.35, 1.65 |
>98.0 | 154 | 191 | 0.80 | 0.57, 1.12 | 91 | 110 | 0.74 | 0.47, 1.17 | 47 | 60 | 1.09 | 0.47, 2.52 | 16 | 21 | 0.90 | 0.37, 2.17 |
Ptrend | 0.30 | 0.35 | 0.87 | 0.59 | ||||||||||||
Quartile of hip circumference, cm | ||||||||||||||||
≤99.5 | 153 | 194 | 1.0 | 85 | 116 | 1.0 | 16 | 20 | 1.0 | 52 | 58 | 1.0 | ||||
99.6–106.6 | 164 | 191 | 1.16 | 0.84, 1.60 | 106 | 127 | 1.20 | 0.78, 1.83 | 27 | 27 | 1.58 | 0.60, 4.18 | 31 | 37 | 1.08 | 0.54, 2.17 |
106.7–116.3 | 170 | 194 | 1.00 | 0.72, 1.38 | 93 | 126 | 0.87 | 0.56, 1.35 | 51 | 38 | 1.51 | 0.62, 3.70 | 26 | 30 | 1.07 | 0.51, 2.27 |
>116.3 | 146 | 191 | 0.91 | 0.65, 1.28 | 79 | 102 | 1.01 | 0.63, 1.61 | 43 | 58 | 0.91 | 0.37, 2.22 | 24 | 31 | 0.97 | 0.44, 2.15 |
Ptrend | 0.43 | 0.64 | 0.46 | 0.99 | ||||||||||||
Quartile of waist-to-hip ratio | ||||||||||||||||
≤0.77 | 223 | 202 | 1.0 | 103 | 88 | 1.0 | 33 | 29 | 1.0 | 87 | 85 | 1.0 | ||||
0.78–0.81 | 137 | 199 | 0.62 | 0.45, 0.85 | 86 | 125 | 0.63 | 0.41, 0.97 | 28 | 36 | 0.61 | 0.27, 1.37 | 23 | 38 | 0.55 | 0.28, 1.10 |
0.82–0.85 | 117 | 178 | 0.64 | 0.45, 0.89 | 78 | 126 | 0.64 | 0.41, 1.00 | 29 | 30 | 0.83 | 0.37, 1.86 | 10 | 22 | 0.40 | 0.15, 1.02 |
>0.85 | 156 | 190 | 0.78 | 0.56, 1.08 | 96 | 131 | 0.71 | 0.46, 1.11 | 47 | 48 | 0.82 | 0.39, 1.74 | 13 | 11 | 1.35 | 0.47, 3.86 |
Ptrend | 0.15 | 0.19 | 0.90 | 0.38 | ||||||||||||
Quartile of waist-to-height ratio | ||||||||||||||||
≤0.50 | 234 | 221 | 1.0 | 110 | 96 | 1.0 | 34 | 32 | 1.0 | 90 | 93 | 1.0 | ||||
0.51–0.55 | 121 | 187 | 0.62 | 0.45, 0.86 | 71 | 120 | 0.56 | 0.36, 0.88 | 33 | 43 | 0.78 | 0.37, 1.64 | 17 | 24 | 0.57 | 0.26, 1.24 |
0.56–0.61 | 137 | 176 | 0.88 | 0.63, 1.23 | 91 | 133 | 0.79 | 0.50, 1.23 | 33 | 21 | 1.68 | 0.73, 3.85 | 13 | 22 | 0.70 | 0.29, 1.67 |
>0.61 | 141 | 187 | 0.76 | 0.54, 1.06 | 91 | 122 | 0.74 | 0.47, 1.17 | 37 | 48 | 0.80 | 0.37, 1.72 | 13 | 17 | 0.73 | 0.29, 1.89 |
Ptrend | 0.31 | 0.47 | 0.95 | 0.27 |
Abbreviations: BMI, body mass index; CI, confidence interval; OR, odds ratio.
All P values for interaction by race/ethnicity were >0.05.
Adjusted for age (continuous), race/ethnicity (Hispanic, African American, non-Hispanic white), place of birth (US-born, foreign-born), education level (some high school or less, high school graduate or vocational/technical school, some college, college graduate), family history of breast cancer (no, yes), personal history of benign breast disease (no, yes), years of age at menarche (≤11, 12, 13, ≥14), number of full-term pregnancies (0, 1, 2, 3, ≥4), months of breastfeeding (nulliparous, 0, ≤6, 7–12, 13–24, >24), lifetime physical activity (quartiles according to the distribution among premenopausal controls), average daily grams of alcohol consumption (0, 0.1–4.9, 5–9.9, 10–19.9, ≥20), average daily total caloric intake (quartiles according to the distribution among premenopausal controls), and current height (quartiles according to the distribution among premenopausal controls).
Adjusted for above variables except for race/ethnicity.
Based on measured height (or self-reported adult height when measured height not available). Quartile cutpoints for all race/ethnicities combined are ≤154.6, 154.7–159.3, 159.4–164.6, and >164.6. Analyses in each racial/ethnic group are based on race-specific quartiles of height among controls. Quartile cutpoints by race/ethnicity are ≤152.4, 152.5–156.7, 156.8–160.5, and >160.5 for Hispanics, ≤159.9, 160.0–163.9, 164.0–169.3, and >169.3 for African Americans, and ≤159.6, 159.7–164.0, 164.1–168.1, and >168.1 for non-Hispanic whites.
Based on self-reported weight (or measured weight when self-reported weight not available).
Based on self-reported weight and measured height (if not available, then based on measured weight and/or self-reported height).
BMI is determined as weight in kilograms divided by height in meters squared.
Between ages 25–30 for cases diagnosed from April 1995 to April 1998 and matched controls and between ages 20–29 for cases diagnosed from May 1998 to April 2002 and matched controls.
Based on usual weight in a woman's 20s and measured height at interview (or self-reported adult height when measured height not available).
Self-reported weight (or measured weight if self-reported weight not available) at interview minus self-reported usual weight in a woman's 20s.
P for trend excludes women with loss of >3.0 kg.