Table 3. Association between baseline weekday sleep duration and breast cancer risk among women in the Breast Cancer Detection Demonstration Project, by hormonal receptor status of breast cancer.
Weekday sleep duration, hour |
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---|---|---|---|---|---|---|
Breast cancer subtype | <6 | 6–<7 | 7–<8 | 8–<9 | 9+ | P for trend |
ER+ | ||||||
No. of cases/person-years | 18/13 106 | 124/54 537 | 221/94 491 | 378/130 102 | 98/32 387 | |
Multivariate RRa (95% CI) | 0.53 (0.33, 0.86) | 0.83 (0.68, 1.02) | 0.82 (0.69, 0.97) | Ref | 1.04 (0.83, 1.30) | 0.001 |
ER− | ||||||
No. of cases | 14/13 106 | 25/54 537 | 55/94 491 | 73/130 102 | 21/32 387 | |
Multivariate RRa (95% CI) | 2.12 (1.18, 3.82) | 0.84 (0.53, 1.33) | 1.02 (0.72, 1.45) | Ref | 1.17 (0.72, 1.91) | 0.65 |
PR+ | ||||||
No. of cases/person-years | 17/13 101 | 103/54 526 | 182/94 448 | 307/130 040 | 86/32 368 | |
Multivariate RRa (95% CI) | 0.62 (0.38, 1.02) | 0.85 (0.68, 1.07) | 0.83 (0.69, 1.00) | Ref | 1.12 (0.88, 1.42) | 0.003 |
PR− | ||||||
No. of cases | 14/13 101 | 42/54 526 | 82/94 448 | 128/130 040 | 28/32 368 | |
Multivariate RRa (95% CI) | 1.21 (0.69, 2.12) | 0.81 (0.57, 1.15) | 0.89 (0.67, 1.18) | Ref | 0.89 (0.59, 1.35) | 0.73 |
ER+PR+ | ||||||
No. of cases/person-years | 14/13 101 | 98/54 519 | 171/94 438 | 292/130 024 | 80/32 357 | |
Multivariate RRa (95% CI) | 0.54 (0.31, 0.93) | 0.86 (0.68, 1.08) | 0.82 (0.68, 1.00) | Ref | 1.10 (0.85, 1.41) | 0.003 |
ER−PR− | ||||||
No. of cases | 11/13 101 | 18/54 519 | 43/94 438 | 58/130 024 | 17/32 357 | |
Multivariate RRa (95% CI) | 2.07 (1.07, 4.02) | 0.77 (0.45, 1.30) | 1.03 (0.69, 1.52) | Ref | 1.19 (0.69, 2.04) | 0.89 |
Abbreviations: CI=confidence interval; ER=oestrogen receptor; PR=progesterone receptor; RR=relative risk.
Adjusted for age (continuous), race (black, white, other), education (less than high school, high school graduate, some college, college or higher), marital status (married, unmarried), body-mass index (<18.5, 18.5 – 24.9, 25 – 29.9, 30+ kg m−2), vigorous physical activity (<1, 1 – <2, 2+ hours per day), smoking status (former, current, never smoker), pack-year (0, >0 – 20, >20 – 40, >40), year since quitting (never smoker, current smoker, 0.5 – 4, 5 – 9, 10+ years), age at first live birth (<20, 20 – 29, 30+ years), number of live birth (0, 1 – 2, 2+), age at menarche (12 or younger, older than 12), menopause (yes, no), use of hormonal replacement therapy (yes, no), use of multivitamin (yes, no), history of diabetes (yes, no), family history of cancer (no history, breast or ovarian cancer, other cancer) and alcohol consumption (never drinker, 0 – 6, 7 – 15, 16+ g per day).