Volume 43, Number 1, 65-72, DOI: 10.1023/A:1005745824388

Association of body mass index, physical activity, and reproductive histories with breast cancer: a case-control study in Gifu, Japan

Yao-Hua Hu, Chisato Nagata, Hiroyuki Shimizu, Nobuyuki Kaneda and Yoshitomo Kashiki

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Abstract

To further clarify risk factors for breast cancerin Japanese women, a self-administered questionnaire was completedby 157 cases with histologically confirmed breast cancerfrom 1989 to 1993 and by 369 ageand residential area matched controls in Gifu, Japan.Conditional logistic regression model was used to assessthe relations. Multivariate analyses showed that breast cancerrisk decreased with body mass index for premenopausalwomen (RR=0.45; 95% CI=0.22–0.92for BMI ge 23 vs. < 21="">2)),but the risk increased with body mass indexfor postmenopausal women (RR=1.98; 95% CI= 0.86–4.55 for BMI ge 24 vs. <21.5>2)). The risk increased with a smallnumber of births in pre- and post-menopausal women(1.83; 1.11–2.99 and 6.06; 2.40–15.3 for 1–2 birthsand nulliparity, respectively, vs. ge 3 births). Ex-or current smoking increased the risk of breastcancer (2.31; 1.19–4.49). Reduced risk of premenopausal breastcancer was associated with high energy expenditure inphysical activity during teenage, although the trend wasnot statistically significant.

breast cancer - body mass index - parity - physical activity - pre-menopause - post-menopause

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