Maternal and prenatal factors and age at thelarche in the LEGACY Girls Study cohort: implications for breast cancer risk

Earlier onset of breast development (thelarche) is associated with increased breast cancer risk. Identifying modifiable factors associated with earlier thelarche may provide an opportunity for breast cancer risk reduction starting early in life, which could especially benefit girls with a greater ab...

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Veröffentlicht in:International journal of epidemiology 2023-02, Vol.52 (1), p.272-283
Hauptverfasser: Goldberg, Mandy, McDonald, Jasmine A, Houghton, Lauren C, Andrulis, Irene L, Knight, Julia A, Bradbury, Angela R, Schwartz, Lisa A, Buys, Saundra S, Frost, Caren J, Daly, Mary B, John, Esther M, Keegan, Theresa H M, Chung, Wendy K, Wei, Ying, Terry, Mary Beth
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container_end_page 283
container_issue 1
container_start_page 272
container_title International journal of epidemiology
container_volume 52
creator Goldberg, Mandy
McDonald, Jasmine A
Houghton, Lauren C
Andrulis, Irene L
Knight, Julia A
Bradbury, Angela R
Schwartz, Lisa A
Buys, Saundra S
Frost, Caren J
Daly, Mary B
John, Esther M
Keegan, Theresa H M
Chung, Wendy K
Wei, Ying
Terry, Mary Beth
description Earlier onset of breast development (thelarche) is associated with increased breast cancer risk. Identifying modifiable factors associated with earlier thelarche may provide an opportunity for breast cancer risk reduction starting early in life, which could especially benefit girls with a greater absolute risk of breast cancer due to family history. We assessed associations of maternal pre-pregnancy body mass index (BMI), physical activity during pregnancy, gestational weight gain and daughters' weight and length at birth with age at thelarche using longitudinal Weibull models in 1031 girls in the Lessons in Epidemiology and Genetics of Adult Cancer from Youth (LEGACY) Girls Study-a prospective cohort of girls, half of whom have a breast cancer family history (BCFH). Girls whose mothers had a pre-pregnancy BMI of ≥25 and gained ≥30 lbs were 57% more likely to experience earlier thelarche than girls whose mothers had a pre-pregnancy BMI of
doi_str_mv 10.1093/ije/dyac108
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Identifying modifiable factors associated with earlier thelarche may provide an opportunity for breast cancer risk reduction starting early in life, which could especially benefit girls with a greater absolute risk of breast cancer due to family history. We assessed associations of maternal pre-pregnancy body mass index (BMI), physical activity during pregnancy, gestational weight gain and daughters' weight and length at birth with age at thelarche using longitudinal Weibull models in 1031 girls in the Lessons in Epidemiology and Genetics of Adult Cancer from Youth (LEGACY) Girls Study-a prospective cohort of girls, half of whom have a breast cancer family history (BCFH). Girls whose mothers had a pre-pregnancy BMI of ≥25 and gained ≥30 lbs were 57% more likely to experience earlier thelarche than girls whose mothers had a pre-pregnancy BMI of &lt;25 and gained &lt;30 lbs [hazard ratio (HR) = 1.57, 95% CI: 1.16, 2.12]. This association was not mediated by childhood BMI and was similar in girls with and without a BCFH (BCFH: HR = 1.41, 95% CI: 0.87, 2.27; No BCFH: HR = 1.62, 95% CI: 1.10, 2.40). Daughters of women who reported no recreational physical activity during pregnancy were more likely to experience earlier thelarche compared with daughters of physically active women. Birthweight and birth length were not associated with thelarche. Earlier thelarche, a breast cancer risk factor, was associated with three potentially modifiable maternal risk factors-pre-pregnancy BMI, gestational weight gain and physical inactivity-in a cohort of girls enriched for BCFH.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/dyac108</identifier><identifier>PMID: 35613015</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Adult ; Body Mass Index ; Breast ; Breast Neoplasms - epidemiology ; Child ; Female ; Gestational Weight Gain ; Humans ; Infant, Newborn ; Miscellaneous ; Pregnancy ; Prospective Studies ; Risk</subject><ispartof>International journal of epidemiology, 2023-02, Vol.52 (1), p.272-283</ispartof><rights>The Author(s) 2022; all rights reserved. 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Identifying modifiable factors associated with earlier thelarche may provide an opportunity for breast cancer risk reduction starting early in life, which could especially benefit girls with a greater absolute risk of breast cancer due to family history. We assessed associations of maternal pre-pregnancy body mass index (BMI), physical activity during pregnancy, gestational weight gain and daughters' weight and length at birth with age at thelarche using longitudinal Weibull models in 1031 girls in the Lessons in Epidemiology and Genetics of Adult Cancer from Youth (LEGACY) Girls Study-a prospective cohort of girls, half of whom have a breast cancer family history (BCFH). Girls whose mothers had a pre-pregnancy BMI of ≥25 and gained ≥30 lbs were 57% more likely to experience earlier thelarche than girls whose mothers had a pre-pregnancy BMI of &lt;25 and gained &lt;30 lbs [hazard ratio (HR) = 1.57, 95% CI: 1.16, 2.12]. This association was not mediated by childhood BMI and was similar in girls with and without a BCFH (BCFH: HR = 1.41, 95% CI: 0.87, 2.27; No BCFH: HR = 1.62, 95% CI: 1.10, 2.40). Daughters of women who reported no recreational physical activity during pregnancy were more likely to experience earlier thelarche compared with daughters of physically active women. Birthweight and birth length were not associated with thelarche. Earlier thelarche, a breast cancer risk factor, was associated with three potentially modifiable maternal risk factors-pre-pregnancy BMI, gestational weight gain and physical inactivity-in a cohort of girls enriched for BCFH.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Body Mass Index</subject><subject>Breast</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Child</subject><subject>Female</subject><subject>Gestational Weight Gain</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Miscellaneous</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Risk</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUcFuEzEQtRAVDYUTd-QjElrqidfedQ9IVVRCpSAOLQdO1qx3tnHZ2KntIPL3bGlaldPovXl6M3qPsXcgPoEw8tTf0mm_RweifcFmUOu6krpVL9lMSCEq1TRwzF7nfCsE1HVtXrFjqTRIAWrG_nzDQingyDH0fJsoYJnAgK7ElP-ReEMcCy9rGjG5NXEf7gFfXSzPFz_50qcx86uy6_fcxXVM5Yz7zXb0DouPIfMhJt4lwly4w-Ao8eTzrzfsaMAx09vDPGE_vlxcL75Wq-_Ly8X5qnKyhVIBUGc6XesWa6dJdrKp2wEGBdC4DsG0jQA9EY3qRYfdnOZkDBppmimEVsoT9vnBd7vrNtQ7CiXhaLfJbzDtbURv_98Ev7Y38bc1RrRCqcngw8Egxbsd5WI3PjsaRwwUd9nOtTZKwJTyJP34IHUp5pxoeDoDwt53Zaeu7KGrSf3--WdP2sdy5F_cSJJQ</recordid><startdate>20230208</startdate><enddate>20230208</enddate><creator>Goldberg, Mandy</creator><creator>McDonald, Jasmine A</creator><creator>Houghton, Lauren C</creator><creator>Andrulis, Irene L</creator><creator>Knight, Julia A</creator><creator>Bradbury, Angela R</creator><creator>Schwartz, Lisa A</creator><creator>Buys, Saundra S</creator><creator>Frost, Caren J</creator><creator>Daly, Mary B</creator><creator>John, Esther M</creator><creator>Keegan, Theresa H M</creator><creator>Chung, Wendy K</creator><creator>Wei, Ying</creator><creator>Terry, Mary Beth</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6794-1206</orcidid><orcidid>https://orcid.org/0000-0002-1432-1580</orcidid><orcidid>https://orcid.org/0000-0002-4106-5033</orcidid></search><sort><creationdate>20230208</creationdate><title>Maternal and prenatal factors and age at thelarche in the LEGACY Girls Study cohort: implications for breast cancer risk</title><author>Goldberg, Mandy ; 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Identifying modifiable factors associated with earlier thelarche may provide an opportunity for breast cancer risk reduction starting early in life, which could especially benefit girls with a greater absolute risk of breast cancer due to family history. We assessed associations of maternal pre-pregnancy body mass index (BMI), physical activity during pregnancy, gestational weight gain and daughters' weight and length at birth with age at thelarche using longitudinal Weibull models in 1031 girls in the Lessons in Epidemiology and Genetics of Adult Cancer from Youth (LEGACY) Girls Study-a prospective cohort of girls, half of whom have a breast cancer family history (BCFH). Girls whose mothers had a pre-pregnancy BMI of ≥25 and gained ≥30 lbs were 57% more likely to experience earlier thelarche than girls whose mothers had a pre-pregnancy BMI of &lt;25 and gained &lt;30 lbs [hazard ratio (HR) = 1.57, 95% CI: 1.16, 2.12]. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Body Mass Index
Breast
Breast Neoplasms - epidemiology
Child
Female
Gestational Weight Gain
Humans
Infant, Newborn
Miscellaneous
Pregnancy
Prospective Studies
Risk
title Maternal and prenatal factors and age at thelarche in the LEGACY Girls Study cohort: implications for breast cancer risk
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