Table 4.
Studies reporting on the association between physical activity 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 | ||||||
Adams-Campbell et al (2001)31 | 21–69 | PCC | AA: 704/1408 | Strenuous exercise in high school (hrs/week) | 7+ hrs/wk vs <1 hrs/wk | N/A | X | X | P | ||||
Premenopausal | 1.0 | 0.6–1.6 | |||||||||||
Postmenopausal | 1.1 | 0.6–2.1 | |||||||||||
Strenuous exercise at age 21 (for diagnosis at age ≥30) | Premenopausal | 0.5 | 0.3–0.8 | ||||||||||
Postmenopausal | 0.6 | 0.3–1.2 | |||||||||||
Strenuous exercise at age 30 (for diagnosis at age ≥40) | Premenopausal | 0.5 | 0.2–1.1 | ||||||||||
Postmenopausal | 0.5 | 0.2–1.2 | |||||||||||
Strenuous exercise at age 40 (for diagnosis at age ≥50) | Premenopausal | Not provided | |||||||||||
Postmenopausal | 0.3 | 0.1–0.9 | |||||||||||
John et al (2003)32 | 35–79 | PCC | AA: 409/461 W: 449/499 |
Lifetime physical activity (since menarche) (hrs/week) | |||||||||
Total activity | |||||||||||||
Premenopausal | ≥20.8 vs <9.1 | 0.76 | 0.36–1.61 | 0.68 | 0.35–1.34 | X | X | X | |||||
Postmenopausal | ≥21.7 vs <9.6 | 0.91 | 0.60–1.41 | 0.71 | 0.47–1.07 | X | X | ||||||
Total moderate activity | |||||||||||||
Premenopausal | ≥16.7 vs <6.8 | 0.44 | 0.20–0.99 | 0.77 | 0.38–1.56 | X | X | X | |||||
Postmenopausal | ≥17.8 vs <7.6 | 1.02 | 0.66–1.59 | 0.60 | 0.40–0.92 | X | X | ||||||
Recreational Activity | |||||||||||||
Premenopausal | ≥4.0 vs <1.5 | 0.79 | 0.39–1.60 | 1.37 | 0.73–2.55 | X | X | X | |||||
Postmenopausal | ≥2.7 vs <0.7 | 1.13 | 0.76–1.70 | 1.04 | 0.69–1.57 | X | X | ||||||
Total daily living activity | |||||||||||||
Premenopausal | ≥9.5 vs <4.0 | 0.71 | 0.30–1.67 | 0.81 | 0.38–1.73 | X | X | X | |||||
Postmenopausal | ≥10.5 vs <4.3 | 1.10 | 0.71–1.71 | 0.91 | 0.58–1.44 | X | X | ||||||
Mostly moderate or strenuous jobs | |||||||||||||
Premenopausal | ≥10.0 vs 0 | 0.87 | 0.40–1.91 | 0.67 | 0.35–1.28 | X | X | ||||||
Postmenopausal | ≥9.1 vs 0 | 0.62 | 0.39–1.00 | 0.77 | 0.51–1.16 | X | |||||||
Bernstein et al (2005)33 | 35–64 | PCC | AA:1605/1646 W: 2933/3033 |
Lifetime exercise activity | Annual hrs/week ≥3.0 vs inactive | 0.83 | 0.70–0.98 | 0.75 | 0.61–0.93 | ||||
Annual MET hrs/week ≥15.2 vs inactive | 0.81 | 0.69–0.96 | 0.77 | 0.62–0.95 | X | ||||||||
Ratnasinghe (2010)34 | PCC | AA:88/406 W: 1463/2406 |
Physical activity | X | X | ||||||||
time/wk | >3 vs <1 | 0.46 | 0.39–0.56 | 0.21 | 0.11–0.39 | ||||||||
min/time | >30 vs <10 | 0.51 | 0.42–0.62 | 0.27 | 0.14–0.52 | ||||||||
min/wk | >150 vs <30 | 0.55 | 0.46–0.67 | 0.25 | 0.14–0.52 |
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.