TABLE 3.
Interactions of menopause status with BMI and breast densitya
ER/PR+HER2− | TNBC | ER/PR+HER2+ | ER/PR−HER2+ | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | p‐value | p‐interaction | HR | 95% CI | p‐value | p‐interaction | HR | 95% CI | p‐value | p‐interaction | HR | 95% CI | p‐value | p‐interaction | |
BMI interaction | ||||||||||||||||
Premenopausal | N = 872 cases | <0.001 | N = 86 cases | 0.795 | N = 132 cases | 0.101 | N = 49 cases | 0.403 | ||||||||
25–29 versus <25 | 1.22* | 1.04–1.44 | 0.013 | 1.49 | 0.90–2.47 | 0.124 | 1.41 | 0.95–2.11 | 0.091 | 0.82 | 0.41–1.66 | 0.573 | ||||
≥30 versus <25 | 1.22* | 1.01–1.48 | 0.044 | 1.42 | 0.78–2.60 | 0.253 | 1.31 | 0.80–2.14 | 0.283 | 0.82 | 0.35–1.90 | 0.646 | ||||
Postmenopausal | N = 1830 cases | N = 178 cases | N = 178 cases | N = 69 cases | ||||||||||||
25–29 versus <25 | 1.36* | 1.21–1.53 | <0.001 | 1.49* | 1.03–2.01 | 0.036 | 1.04 | 0.71–1.53 | 0.838 | 0.97 | 0.52–1.79 | 0.910 | ||||
≥30 versus <25 | 1.69* | 1.50–1.91 | <0.001 | 1.20 | 0.80–1.81 | 0.383 | 1.85* | 1.27–2.69 | 0.001 | 1.64 | 0.89–3.01 | 0.113 | ||||
Density interactionb | ||||||||||||||||
Premenopausal | N = 942 cases | <0.001 | N = 96 cases | 0.019 | N = 143 cases | 0.907 | N = 50 cases | 0.723 | ||||||||
Dense versus non‐dense | 2.11* | 1.76–2.53 | <0.001 | 2.84* | 1.61–5.04 | <0.001 | 1.62* | 1.04–2.50 | 0.031 | 1.91 | 0.87–4.22 | 0.109 | ||||
Postmenopausal | N = 1848 cases | N = 196 cases | N = 197 cases | N = 75 cases | ||||||||||||
Dense versus non‐dense | 1.47* | 1.34–1.62 | <0.001 | 1.38* | 1.00–1.03 | 0.042 | 1.98* | 1.45–2.71 | <0.001 | 2.14* | 1.29–3.58 | 0.003 |
Abbreviations: BMI, body mass index; ER/PR, estrogen receptor/progesterone receptor; HER2, human epidermal growth factor receptor 2; TNBC, triple‐negative breast cancer.
All models additionally adjusted for age, race, prior biopsy, atypical hyperplasia, age at menarche, age a first birth, and family history. Patients missing data on BMI or breast density were excluded from models assessing these interactions.
Non‐dense breasts comprise BI‐RADS A and B density categories. Dense breasts comprise the BI‐RADS C and D density categories.
p < 0.05.