Pregnancy-related characteristics and breast cancer risk

Breast tissues undergo extensive physiologic changes during pregnancy, which may affect breast carcinogenesis. Gestational hypertension, preeclampsia/eclampsia, gestational diabetes, pregnancy weight gain, and nausea and vomiting (N&V) during pregnancy may be indicative of altered hormonal and m...

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Veröffentlicht in:Cancer causes & control 2013-09, Vol.24 (9), p.1675-1685
Hauptverfasser: Brasky, Theodore M., Li, Yanli, Jaworowicz, David J., Potischman, Nancy, Ambrosone, Christine B., Hutson, Alan D., Nie, Jing, Shields, Peter G., Trevisan, Maurizio, Rudra, Carole B., Edge, Stephen B., Freudenheim, Jo L.
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container_end_page 1685
container_issue 9
container_start_page 1675
container_title Cancer causes & control
container_volume 24
creator Brasky, Theodore M.
Li, Yanli
Jaworowicz, David J.
Potischman, Nancy
Ambrosone, Christine B.
Hutson, Alan D.
Nie, Jing
Shields, Peter G.
Trevisan, Maurizio
Rudra, Carole B.
Edge, Stephen B.
Freudenheim, Jo L.
description Breast tissues undergo extensive physiologic changes during pregnancy, which may affect breast carcinogenesis. Gestational hypertension, preeclampsia/eclampsia, gestational diabetes, pregnancy weight gain, and nausea and vomiting (N&V) during pregnancy may be indicative of altered hormonal and metabolic profiles and could impact breast cancer risk. Here, we examined associations between these characteristics of a woman's pregnancy and her subsequent breast cancer risk. Participants were parous women that were recruited to a population-based case–control study (Western New York Exposures and Breast Cancer Study). Cases (n = 960), aged 35–79 years, had incident, primary, histologically confirmed breast cancer. Controls (n = 1,852) were randomly selected from motor vehicle records (
doi_str_mv 10.1007/s10552-013-0242-9
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Gestational hypertension, preeclampsia/eclampsia, gestational diabetes, pregnancy weight gain, and nausea and vomiting (N&V) during pregnancy may be indicative of altered hormonal and metabolic profiles and could impact breast cancer risk. Here, we examined associations between these characteristics of a woman's pregnancy and her subsequent breast cancer risk. Participants were parous women that were recruited to a population-based case–control study (Western New York Exposures and Breast Cancer Study). Cases (n = 960), aged 35–79 years, had incident, primary, histologically confirmed breast cancer. Controls (n = 1,852) were randomly selected from motor vehicle records (<65 years) or Medicare rolls (≥65 years). Women were queried on their lifetime pregnancy experiences. Multivariable-adjusted logistic regression was used to estimate odds ratios (ORs) and 95 % confidence intervals (CIs). N&V during pregnancy was inversely associated with breast cancer risk. Relative to those who never experienced N&V, ever experiencing N&V was associated with decreased risk (OR 0.69, 95 % CI 0.56–0.84) as were increased N&V severity (p trend < 0.001), longer duration (p trend < 0.01), and larger proportion of affected pregnancies (p trend < 0.0001) among women with ≥3 pregnancies. Associations were stronger for more recent pregnancies (<5 years). Findings did not differ by menopausal status or breast cancer subtype including estrogen receptor and HER2 expression status. Other pregnancy characteristics examined were not associated with risk. We observed strong inverse associations between pregnancy N&V and breast cancer risk. Replication of these findings and exploration of underlying mechanisms could provide important insight into breast cancer etiology and prevention.]]></description><identifier>ISSN: 0957-5243</identifier><identifier>ISSN: 1573-7225</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-013-0242-9</identifier><identifier>PMID: 23737027</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adult ; Aged ; Biomedical and Life Sciences ; Biomedicine ; Breast cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - pathology ; Cancer ; Cancer Research ; Case control studies ; Epidemiology ; Female ; Gestational diabetes ; Hematology ; Humans ; Middle Aged ; Nausea ; New York - epidemiology ; Oncology ; Original Paper ; Postmenopause ; Pregnancy ; Pregnancy Complications - epidemiology ; Public Health ; Risk Factors ; Tumors ; Vomiting ; Weight Gain</subject><ispartof>Cancer causes &amp; control, 2013-09, Vol.24 (9), p.1675-1685</ispartof><rights>Springer Science+Business Media Dordrecht 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-ad275729f23069bf2e3fc1f68f3753d93a03293f1e6185f8210e5ef922198bbb3</citedby><cites>FETCH-LOGICAL-c525t-ad275729f23069bf2e3fc1f68f3753d93a03293f1e6185f8210e5ef922198bbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24717794$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24717794$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27924,27925,41488,42557,51319,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23737027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brasky, Theodore M.</creatorcontrib><creatorcontrib>Li, Yanli</creatorcontrib><creatorcontrib>Jaworowicz, David J.</creatorcontrib><creatorcontrib>Potischman, Nancy</creatorcontrib><creatorcontrib>Ambrosone, Christine B.</creatorcontrib><creatorcontrib>Hutson, Alan D.</creatorcontrib><creatorcontrib>Nie, Jing</creatorcontrib><creatorcontrib>Shields, Peter G.</creatorcontrib><creatorcontrib>Trevisan, Maurizio</creatorcontrib><creatorcontrib>Rudra, Carole B.</creatorcontrib><creatorcontrib>Edge, Stephen B.</creatorcontrib><creatorcontrib>Freudenheim, Jo L.</creatorcontrib><title>Pregnancy-related characteristics and breast cancer risk</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description><![CDATA[Breast tissues undergo extensive physiologic changes during pregnancy, which may affect breast carcinogenesis. Gestational hypertension, preeclampsia/eclampsia, gestational diabetes, pregnancy weight gain, and nausea and vomiting (N&V) during pregnancy may be indicative of altered hormonal and metabolic profiles and could impact breast cancer risk. Here, we examined associations between these characteristics of a woman's pregnancy and her subsequent breast cancer risk. Participants were parous women that were recruited to a population-based case–control study (Western New York Exposures and Breast Cancer Study). Cases (n = 960), aged 35–79 years, had incident, primary, histologically confirmed breast cancer. Controls (n = 1,852) were randomly selected from motor vehicle records (<65 years) or Medicare rolls (≥65 years). Women were queried on their lifetime pregnancy experiences. Multivariable-adjusted logistic regression was used to estimate odds ratios (ORs) and 95 % confidence intervals (CIs). N&V during pregnancy was inversely associated with breast cancer risk. 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control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>24</volume><issue>9</issue><spage>1675</spage><epage>1685</epage><pages>1675-1685</pages><issn>0957-5243</issn><issn>1573-7225</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract><![CDATA[Breast tissues undergo extensive physiologic changes during pregnancy, which may affect breast carcinogenesis. Gestational hypertension, preeclampsia/eclampsia, gestational diabetes, pregnancy weight gain, and nausea and vomiting (N&V) during pregnancy may be indicative of altered hormonal and metabolic profiles and could impact breast cancer risk. Here, we examined associations between these characteristics of a woman's pregnancy and her subsequent breast cancer risk. Participants were parous women that were recruited to a population-based case–control study (Western New York Exposures and Breast Cancer Study). Cases (n = 960), aged 35–79 years, had incident, primary, histologically confirmed breast cancer. Controls (n = 1,852) were randomly selected from motor vehicle records (<65 years) or Medicare rolls (≥65 years). Women were queried on their lifetime pregnancy experiences. Multivariable-adjusted logistic regression was used to estimate odds ratios (ORs) and 95 % confidence intervals (CIs). N&V during pregnancy was inversely associated with breast cancer risk. Relative to those who never experienced N&V, ever experiencing N&V was associated with decreased risk (OR 0.69, 95 % CI 0.56–0.84) as were increased N&V severity (p trend < 0.001), longer duration (p trend < 0.01), and larger proportion of affected pregnancies (p trend < 0.0001) among women with ≥3 pregnancies. Associations were stronger for more recent pregnancies (<5 years). Findings did not differ by menopausal status or breast cancer subtype including estrogen receptor and HER2 expression status. Other pregnancy characteristics examined were not associated with risk. We observed strong inverse associations between pregnancy N&V and breast cancer risk. Replication of these findings and exploration of underlying mechanisms could provide important insight into breast cancer etiology and prevention.]]></abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>23737027</pmid><doi>10.1007/s10552-013-0242-9</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - pathology
Cancer
Cancer Research
Case control studies
Epidemiology
Female
Gestational diabetes
Hematology
Humans
Middle Aged
Nausea
New York - epidemiology
Oncology
Original Paper
Postmenopause
Pregnancy
Pregnancy Complications - epidemiology
Public Health
Risk Factors
Tumors
Vomiting
Weight Gain
title Pregnancy-related characteristics and breast cancer risk
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