Table 3.
Studies reporting on the association between other anthropometric characteristics (current body mass index, body mass index at age 18, and waist-to-hip ratio) and breast cancer risk stratified by race
Reference | Age | Study Design | Sample Size | Exposure | Contrast | White | AA | Adjusted Covariates | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Risk Estimate | 95% CI | Risk Estimate | 95% CI | A | B | H | R | ||||||
Current/Recent Body Mass Index | |||||||||||||
Schatzkin et al (1987)27 | 25–70 | PCC | AA:529/589 | BMI | ≥30 vs ≤24 | N/A | X | X | P | ||||
Premenopausal | 1.2 | 0.7–2.1 | |||||||||||
Postmenopausal | 2.5 | 1.5–4.4 | |||||||||||
Mayberry (1994)28 | 20–54 | PCC | AA: 490/485 | BMI as an adult | ≥32.30 vs <24.90 | N/A | X | X | P | ||||
20–39 yrs of age | 3.9 | 1.3–11.6 | |||||||||||
40–54 yrs of age | 0.8 | 0.4–1.4 | |||||||||||
Brinton et al (1997)16 | 20–54 | PCC | AA: 281/296 W: 960/1033 |
Current BMI | <22.0 vs >28.8 | X | P | ||||||
20–39 yrs of age | 1.5 | 0.9–2.5 | 1.3 | 0.5–3.1 | |||||||||
40–54 yrs of age | 1.2 | 0.9–1.8 | 0.8 | 0.3–1.9 | |||||||||
Hall et al (2000)25 | 20–74 | PCC | AA: 350/353 W: 523/471 |
Current BMI | 30.13–59.26 vs 14.62–24.61 | ||||||||
Premenopausal | 0.46 | 0.20–0.80 | 0.89 | 0.38–2.07 | X | P | |||||||
Postmenopausal | 1.08 | 0.58–2.00 | 0.68 | 0.33–1.42 | X | X | |||||||
Zhu et al (2005)29 | 20–64 | PCC | AA:304/305 | BMI at reference date | ≥30 vs <25 | N/A | P | ||||||
Premenopausal | 2.49 | 0.87–7.59 | |||||||||||
Postmenopausal | 2.32 | 1.04–5.19 | |||||||||||
Palmer et al (2007)13 | 21–69 | PC | 59,000 AA: 1062 cases |
Current BMI | ≥35 vs <25 | N/A | X | X | X | ||||
Premenopausal | 0.87 | 0.62–1.21 | |||||||||||
Postmenopausal | 0.99 | 0.72–1.36 | |||||||||||
John et al (2010)26 | ≥35 | PCC | AA:154/160 W: 143/165 (Only includes premenopausal women) |
Quartile of current weight (kg) | >81.6 vs ≤61.2 | 0.55 | 0.23–1.34 | 1.62 | 0.26–1.14 | X | P | ||
Current BMI | ≥30 vs <25 | 0.60 | 0.28–1.30 | 0.65 | 0.35–1.23 | ||||||||
Berstad et al (2010)30 | 35–64 | PCC | AA:1622/1661 W:2953/3021 |
Recent BMI | 35+ vs <25 | X | X | P | |||||
Premenopausal | 0.86 | 0.57–1.29 | 0.81 | 0.56–1.19 | |||||||||
Postmenopausal | 0.75 | 0.53–1.06 | 1.26 | 0.85–1.85 | |||||||||
Body Mass Index at Age 18 | |||||||||||||
Mayberry (1994)28 | 20–54 | PCC | AA: 490/485 | BMI at age 18 | ≥30.70 vs <23.80 | N/A | X | X | P | ||||
20–39 yrs of age | 0.5 | 0.2–1.4 | |||||||||||
40–54 yrs of age | 1.5 | 0.9–2.7 | |||||||||||
Zhu et al (2005)29 | 20–64 | PCC | AA:304/305 | BMI at age 18 | ≥30 vs <25 | N/A | |||||||
Premenopausal | 1.84 | 0.27–12.45 | |||||||||||
Postmenopausal | 1.35 | 0.20–9.15 | |||||||||||
Palmer et al (2007)13 | 21–69 | PC | 59,000 AA: 1062 cases |
BMI at age 18 | ≥25 vs <20 | N/A | X | X | X | ||||
Premenopausal | 0.68 | 0.46–0.98 | |||||||||||
Postmenopausal | 0.53 | 0.35–0.81 | |||||||||||
Berstad et al (2010)30 | 35–64 | PCC | AA:1622/1661 W:2953/3021 |
BMI at age 18 | 25+ vs <20 | X | X | P | |||||
Premenopausal | 0.84 | 0.61–1.15 | 0.67 | 0.47–0.96 | |||||||||
Postmenopausal | 0.70 | 0.49–1.00 | 0.80 | 0.54–1.19 | |||||||||
Waist-to-Hip-Ratio | |||||||||||||
Hall et al (2000)25 | 20–74 | PCC | AA: 350/353 W: 523/471 |
Waist/hip ratio | 0.86–1.34 vs 0.60– 0.77 | ||||||||
Premenopausal | 2.44 | 1.17–5.09 | 2.50 | 1.10–5.67 | X | X | P | ||||||
Continuous | 1.04 | 1.01–1.08 | 1.05 | 1.00–1.10 | |||||||||
Postmenopausal | 1.64 | 0.88–3.07 | 1.62 | 0.70–3.79 | X | X | X | ||||||
Continuous | 1.03 | 1.00–1.06 | 1.03 | 0.99–1.07 | |||||||||
Palmer et al (2007)13 | 21–69 | PC | 59,000 AA: 1062 cases |
Waist circumference (in) | ≥37 vs <28 | N/A | X | X | X | ||||
Premenopausal | 1.04 | 0.73–1.48 | |||||||||||
Postmenopausal | 1.05 | 0.73–1.51 | |||||||||||
Waist-to-hip ratio | ≥0.87 vs <0.71 | X | X | X | |||||||||
Premenopausal | 1.19 | 0.87–1.64 | |||||||||||
Postmenopausal | 0.99 | 0.72–1.37 | |||||||||||
John et al (2010)26 | ≥35 | PCC | AA:154/160 W: 143/165 |
Quartile of waist-to-hip ratio | >0.85 vs ≤0.77 | 1.35 | 0.47–3.86 | 0.82 | 0.39–1.74 | X | P | ||
(only premenopausal) | Quartile of waist circumference (cm) | >98 vs ≤78.7 | 0.90 | 0.37–2.17 | 1.09 | 0.47–2.52 | X | P |
Abbreviations: PC: prospective cohort; PCC: population based case-control study; W: White; AA: African American
Key Covariates: A: age; B: Body Mass Index; H: hormone use; R: reproductive factors (age at menarche, age at menopause, parity); X: adjusted for that covariate; P: partially adjusted for reproductive factors.