Differential patterns of reproductive and lifestyle risk factors for breast cancer according to birth cohorts among women in China, Japan and Korea

被引：7

作者：

Nabila, Salma ^{[1
,2
]}

Choi, Ji-Yeob ^{[1
,2
,3
,4
]}

Abe, Sarah Krull ^{[5
]}

Islam, Md Rashedul ^{[5
,6
]}

Rahman, Md Shafiur ^{[5
,7
]}

Saito, Eiko ^{[8
]}

Shin, Aesun ^{[4
,9
]}

Merritt, Melissa A. ^{[10
]}

Katagiri, Ryoko ^{[11
,12
]}

Shu, Xiao-Ou ^{[13
]}

Sawada, Norie ^{[11
]}

Tamakoshi, Akiko ^{[14
]}

Sakata, Ritsu ^{[15
]}

Hozawa, Atsushi ^{[16
]}

Kim, Jeongseon ^{[17
]}

Nagata, Chisato ^{[18
]}

Park, Sue K. ^{[9
]}

Kweon, Sun-Seog ^{[19
]}

Cai, Hui ^{[13
]}

Tsugane, Shoichiro ^{[11
,12
]}

Kimura, Takashi ^{[14
]}

Kanemura, Seiki ^{[16
]}

Sugawara, Yumi ^{[16
]}

Wada, Keiko ^{[18
]}

Shin, Min-Ho ^{[19
]}

Ahsan, Habibul ^{[20
]}

Boffetta, Paolo ^{[21
,22
]}

Chia, Kee Seng ^{[23
]}

Matsuo, Keitaro ^{[24
,25
]}

Qiao, You-Lin ^{[26
]}

Rothman, Nathaniel ^{[27
]}

Zheng, Wei ^{[13
]}

Inoue, Manami ^{[5
]}

Kang, Daehee ^{[4
,9
]}

机构：

[1] Seoul Natl Univ, Dept Biomed Sci, Grad Sch, 103 Daehak Ro, Seoul 03080, South Korea

[2] Seoul Natl Univ, BK21plus Biomed Sci Project, Coll Med, Seoul, South Korea

[3] Seoul Natl Univ, Med Res Ctr, Inst Hlth Policy & Management, Seoul, South Korea

[4] Seoul Natl Univ, Canc Res Inst, Seoul, South Korea

[5] Natl Canc Ctr, Inst Canc Control, Div Prevent, Tokyo, Japan

[6] Hitotsubashi Univ, Hitotsubashi Inst Adv Study, Tokyo, Japan

[7] Hamamatsu Univ, Res Ctr Child Mental Dev, Sch Med, Hamamatsu, Japan

[8] Natl Ctr Global Hlth & Med, Inst Global Hlth Policy Res, Tokyo, Japan

[9] Seoul Natl Univ, Coll Med, Dept Prevent Med, Seoul, South Korea

[10] Univ Sydney, Daffodil Ctr, Joint Venture Canc Council NSW, Sydney, Australia

[11] Natl Canc Ctr, Div Cohort Res, Inst Canc Control, Tokyo, Japan

[12] Natl Inst Biomed Innovat Hlth & Nutr, Natl Inst Hlth & Nutr, Tokyo, Japan

[13] Vanderbilt Univ, Vanderbilt Ingram Canc Ctr, Vanderbilt Epidemiol Ctr, Div Epidemiol,Med Ctr, Nashville, TN USA

[14] Hokkaido Univ, Fac Med, Dept Publ Hlth, Sapporo, Japan

[15] Radiat Effects Res Fdn, Hiroshima, Japan

[16] Tohoku Univ, Grad Sch Med, Sendai, Miyagi Prefectu, Japan

[17] Natl Canc Ctr, Grad Sch Canc Sci & Policy, Goyang Di, Gyeonggi Do, South Korea

[18] Gifu Univ, Grad Sch Med, Dept Epidemiol & Prevent Med, Gifu, Japan

[19] Chonnam Natl Univ, Dept Prevent Med, Med Sch, Gwangju, South Korea

[20] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL USA

[21] SUNY Stony Brook, Stony Brook Canc Ctr, Stony Brook, NY USA

[22] Univ Bologna, Dept Med & Surg Sci, Bologna, Italy

[23] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore

[24] Aichi Canc Ctr, Res Inst, Div Canc Epidemiol & Prevent, Nagoya, Japan

[25] Nagoya Univ, Dept Canc Epidemiol, Grad Sch Med, Nagoya, Japan

[26] Chinese Acad Med Sci & Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China

[27] NCI, Div Canc Epidemiol & Genet, Occupat & Environm Epidemiol Branch, Bethesda, MD USA

来源：

BREAST CANCER RESEARCH | 2024年 / 26卷 / 01期

基金：

新加坡国家研究基金会;

关键词：

Breast cancer; Birth cohort; Reproductive factors; Lifestyle factors; Women; Asia; Background; BODY-MASS INDEX; PASSIVE SMOKING; COLLABORATIVE COHORT; ALCOHOL; DESIGN; TRENDS; ASSOCIATIONS; METAANALYSIS; CONSUMPTION; RATIONALE;

D O I：

10.1186/s13058-024-01766-0

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundThe birth cohort effect has been suggested to influence the rate of breast cancer incidence and the trends of associated reproductive and lifestyle factors. We conducted a cohort study to determine whether a differential pattern of associations exists between certain factors and breast cancer risk based on birth cohorts.MethodsThis was a cohort study using pooled data from 12 cohort studies. We analysed associations between reproductive (menarche age, menopause age, parity and age at first delivery) and lifestyle (smoking and alcohol consumption) factors and breast cancer risk. We obtained hazard ratios (HRs) with 95% confidence intervals (CIs) using the Cox proportional hazard regression analysis on the 1920s, 1930s, 1940s and 1950s birth cohorts.ResultsParity was found to lower the risk of breast cancer in the older but not in the younger birth cohort, whereas lifestyle factors showed associations with breast cancer risk only among the participants born in the 1950s. In the younger birth cohort group, the effect size was lower for parous women compared to the other cohort groups (HR [95% CI] 0.86 [0.66-1.13] compared to 0.60 [0.49-0.73], 0.46 [0.38-0.56] and 0.62 [0.51-0.77]). Meanwhile, a higher effect size was found for smoking (1.45 [1.14-1.84] compared to 1.25 [0.99-1.58], 1.06 [0.85-1.32] and 0.86 [0.69-1.08]) and alcohol consumption (1.22 [1.01-1.48] compared to 1.10 [0.90-1.33], 1.15 [0.96-1.38], and 1.07 [0.91-1.26]).ConclusionWe observed different associations of parity, smoking and alcohol consumption with breast cancer risk across various birth cohorts. There are associations between reproductive factors and breast cancer risk.There are associations between smoking and alcohol consumption and increased breast cancer risk among Asian women.There are differential patterns of parity, age at first delivery and smoking status across birth cohorts. Reproductive risk factors were more apparent in the older birth cohorts, whereas smoking and alcohol consumption were only notable in the younger generation.

引用

页数：10

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