Table 6.
Abdominal adiposity and breast cancer risk in postmenopausal women not currently using hormone therapy by current BMI
| Current BMI < 25.0kg/m2 | Current BMI ≥ 25.0kg/m2 | ||||||
|---|---|---|---|---|---|---|---|
| All breast cancer | Cases (n=396) | Controls (n=648) | OR a 95% CI | Cases (n=402) | Controls (n=680) | OR a 95% CI | P interaction |
| Waist (cm) b | |||||||
| M1: ≤ 90.5 | 151 | 272 | 1.00 | 140 | 321 | 0.87 0.65-1.18 | 0.25 |
| M2: > 90.5 | 27 | 26 | 1.90 1.05-3.44 | 387 | 585 | 1.21 0.93-1.57 | |
| Waist-to-height ratio b | |||||||
| M1: ≤ 0.58 | 156 | 276 | 1.00 | 152 | 310 | 0.93 0.69-1.24 | 0.93 |
| M2: > 0.58 | 22 | 22 | 1.87 0.98-3.56 | 375 | 596 | 1.17 0.90-1.52 | |
| ER+PR+ breast cancer | Cases (n=194) | Controls (n=648) | OR a 95% CI | Cases (n=220) | Controls (n=680) | OR a 95% CI | P interaction |
| Waist (cm) b | |||||||
| M1: ≤ 90.5 | 73 | 272 | 1.00 | 67 | 321 | 0.92 0.62-1.36 | 0.16 |
| M2: > 90.5 | 10 | 26 | 1.53 0.69-3.39 | 213 | 585 | 1.55 1.11-2.17 | |
| Waist-to-height ratio b | |||||||
| M1: ≤ 0.58 | 75 | 276 | 1.00 | 75 | 310 | 1.02 0.70-1.50 | 0.47 |
| M2: > 0.58 | 8 | 22 | 1.53 0.63-3.68 | 205 | 596 | 1.52 1.08-2.12 | |
Abbreviations: BMI, body mass index; CI, confidence interval; ER+, estrogen receptor–positive; OR, odds ratio; PR+, progesterone receptor–positive.
a OR and 95% CI adjusted for age (years, continuous), race/ethnicity (non-Hispanic White, African American, Hispanic), place of birth (US-born, foreign-born), education (some high school or less, high school or vocational/technical school graduate, some college, college graduate), family history of breast cancer in first-degree relatives (no, yes), personal history of biopsy-confirmed benign breast disease (no, yes), age at menarche (≤11, 12, 13, ≥14 years), number of full-term pregnancies (nulliparous, 1, 2, 3, ≥4), age at first full-term pregnancy (nulliparous, ≤19, 20–24, 25–29, ≥30 years), lifetime breast-feeding (nulliparous, 0, ≤6, 7–12, 13–24, ≥25 months), lifetime physical activity (quartiles, hours/week), alcohol consumption in reference year (0, 0.1-4.9, 5–9.9, 10–19.9, ≥20 g/day), and total caloric intake (quartiles, kcal/day).
b Based on median among all postmenopausal controls.