Trajectories of alcohol consumption during life and the risk of developing breast cancer

Background Whether there are lifetime points of greater sensitivity to the deleterious effects of alcohol intake on the breasts remains inconclusive. Objective To compare the influence of distinctive trajectories of alcohol consumption throughout a woman’s life on development of breast cancer (BC)....

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Veröffentlicht in:British journal of cancer 2021-10, Vol.125 (8), p.1168-1176
Hauptverfasser: Donat-Vargas, Carolina, Guerrero-Zotano, Ángel, Casas, Ana, Baena-Cañada, José Manuel, Lope, Virginia, Antolín, Silvia, Garcia-Saénz, José Ángel, Bermejo, Begoña, Muñoz, Montserrat, Ramos, Manuel, de Juan, Ana, Jara Sánchez, Carlos, Sánchez-Rovira, Pedro, Antón, Antonio, Brunet, Joan, Gavilá, Joaquín, Salvador, Javier, Arriola Arellano, Esperanza, Bezares, Susana, Fernández de Larrea-Baz, Nerea, Pérez-Gómez, Beatriz, Martín, Miguel, Pollán, Marina
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container_issue 8
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container_title British journal of cancer
container_volume 125
creator Donat-Vargas, Carolina
Guerrero-Zotano, Ángel
Casas, Ana
Baena-Cañada, José Manuel
Lope, Virginia
Antolín, Silvia
Garcia-Saénz, José Ángel
Bermejo, Begoña
Muñoz, Montserrat
Ramos, Manuel
de Juan, Ana
Jara Sánchez, Carlos
Sánchez-Rovira, Pedro
Antón, Antonio
Brunet, Joan
Gavilá, Joaquín
Salvador, Javier
Arriola Arellano, Esperanza
Bezares, Susana
Fernández de Larrea-Baz, Nerea
Pérez-Gómez, Beatriz
Martín, Miguel
Pollán, Marina
description Background Whether there are lifetime points of greater sensitivity to the deleterious effects of alcohol intake on the breasts remains inconclusive. Objective To compare the influence of distinctive trajectories of alcohol consumption throughout a woman’s life on development of breast cancer (BC). Methods 1278 confirmed invasive BC cases and matched (by age and residence) controls from the Epi-GEICAM study (Spain) were used. The novel group-based trajectory modelling was used to identify different alcohol consumption trajectories throughout women’s lifetime. Results Four alcohol trajectories were identified. The first comprised women (45%) with low alcohol consumption (
doi_str_mv 10.1038/s41416-021-01492-w
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Objective To compare the influence of distinctive trajectories of alcohol consumption throughout a woman’s life on development of breast cancer (BC). Methods 1278 confirmed invasive BC cases and matched (by age and residence) controls from the Epi-GEICAM study (Spain) were used. The novel group-based trajectory modelling was used to identify different alcohol consumption trajectories throughout women’s lifetime. Results Four alcohol trajectories were identified. The first comprised women (45%) with low alcohol consumption (&lt;5 g/day) throughout their life. The second included those (33%) who gradually moved from a low alcohol consumption in adolescence to a moderate in adulthood (5 to &lt;15 g/day), never having a high consumption; and oppositely, women in the third trajectory (16%) moved from moderate consumption in adolescence, to a lower consumption in adulthood. Women in the fourth (6%) moved from a moderate alcohol consumption in adolescence to the highest consumption in adulthood (≥15 g/day), never having a low alcohol consumption. Comparing with the first trajectory, the fourth doubled BC risk (OR 2.19; 95% CI 1.27, 3.77), followed by the third (OR 1.44; 0.96, 2.16) and ultimately by the second trajectory (OR 1.17; 0.86, 1.58). The magnitude of BC risk was greater in postmenopausal women, especially in those with underweight or normal weight. When alcohol consumption was independently examined at each life stage, ≥15 g/day of alcohol consumption in adolescence was strongly associated with BC risk followed by consumption in adulthood. Conclusions The greater the alcohol consumption accumulated throughout life, the greater the risk of BC, especially in postmenopausal women. Alcohol consumption during adolescence may particularly influence BC risk.</description><identifier>ISSN: 0007-0920</identifier><identifier>ISSN: 1532-1827</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-021-01492-w</identifier><identifier>PMID: 34483338</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/499 ; Adolescent ; Adolescents ; Adult ; Alcohol ; Alcohol Drinking - adverse effects ; Alcohol Drinking - epidemiology ; Alcohol use ; Biomedical and Life Sciences ; Biomedicine ; Breast cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - etiology ; Cancer Research ; Case-Control Studies ; Child development ; Drug Resistance ; Epidemiology ; Female ; Humans ; Invasiveness ; Medicin och hälsovetenskap ; Middle Aged ; Molecular Medicine ; Oncology ; Post-menopause ; Postmenopause ; Premenopause ; Risk Factors ; Spain - epidemiology ; Surveys and Questionnaires ; Underweight ; Young Adult</subject><ispartof>British journal of cancer, 2021-10, Vol.125 (8), p.1168-1176</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Objective To compare the influence of distinctive trajectories of alcohol consumption throughout a woman’s life on development of breast cancer (BC). Methods 1278 confirmed invasive BC cases and matched (by age and residence) controls from the Epi-GEICAM study (Spain) were used. The novel group-based trajectory modelling was used to identify different alcohol consumption trajectories throughout women’s lifetime. Results Four alcohol trajectories were identified. The first comprised women (45%) with low alcohol consumption (&lt;5 g/day) throughout their life. The second included those (33%) who gradually moved from a low alcohol consumption in adolescence to a moderate in adulthood (5 to &lt;15 g/day), never having a high consumption; and oppositely, women in the third trajectory (16%) moved from moderate consumption in adolescence, to a lower consumption in adulthood. Women in the fourth (6%) moved from a moderate alcohol consumption in adolescence to the highest consumption in adulthood (≥15 g/day), never having a low alcohol consumption. Comparing with the first trajectory, the fourth doubled BC risk (OR 2.19; 95% CI 1.27, 3.77), followed by the third (OR 1.44; 0.96, 2.16) and ultimately by the second trajectory (OR 1.17; 0.86, 1.58). The magnitude of BC risk was greater in postmenopausal women, especially in those with underweight or normal weight. When alcohol consumption was independently examined at each life stage, ≥15 g/day of alcohol consumption in adolescence was strongly associated with BC risk followed by consumption in adulthood. Conclusions The greater the alcohol consumption accumulated throughout life, the greater the risk of BC, especially in postmenopausal women. 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Objective To compare the influence of distinctive trajectories of alcohol consumption throughout a woman’s life on development of breast cancer (BC). Methods 1278 confirmed invasive BC cases and matched (by age and residence) controls from the Epi-GEICAM study (Spain) were used. The novel group-based trajectory modelling was used to identify different alcohol consumption trajectories throughout women’s lifetime. Results Four alcohol trajectories were identified. The first comprised women (45%) with low alcohol consumption (&lt;5 g/day) throughout their life. The second included those (33%) who gradually moved from a low alcohol consumption in adolescence to a moderate in adulthood (5 to &lt;15 g/day), never having a high consumption; and oppositely, women in the third trajectory (16%) moved from moderate consumption in adolescence, to a lower consumption in adulthood. Women in the fourth (6%) moved from a moderate alcohol consumption in adolescence to the highest consumption in adulthood (≥15 g/day), never having a low alcohol consumption. Comparing with the first trajectory, the fourth doubled BC risk (OR 2.19; 95% CI 1.27, 3.77), followed by the third (OR 1.44; 0.96, 2.16) and ultimately by the second trajectory (OR 1.17; 0.86, 1.58). The magnitude of BC risk was greater in postmenopausal women, especially in those with underweight or normal weight. When alcohol consumption was independently examined at each life stage, ≥15 g/day of alcohol consumption in adolescence was strongly associated with BC risk followed by consumption in adulthood. Conclusions The greater the alcohol consumption accumulated throughout life, the greater the risk of BC, especially in postmenopausal women. Alcohol consumption during adolescence may particularly influence BC risk.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34483338</pmid><doi>10.1038/s41416-021-01492-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4328-1565</orcidid><orcidid>https://orcid.org/0000-0001-9237-3231</orcidid><orcidid>https://orcid.org/0000-0002-4299-8214</orcidid><orcidid>https://orcid.org/0000-0002-6986-4021</orcidid><orcidid>https://orcid.org/0000-0002-4523-4148</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0007-0920
ispartof British journal of cancer, 2021-10, Vol.125 (8), p.1168-1176
issn 0007-0920
1532-1827
1532-1827
language eng
recordid cdi_swepub_primary_oai_swepub_ki_se_459279
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; PubMed Central
subjects 692/308/174
692/499
Adolescent
Adolescents
Adult
Alcohol
Alcohol Drinking - adverse effects
Alcohol Drinking - epidemiology
Alcohol use
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer Research
Case-Control Studies
Child development
Drug Resistance
Epidemiology
Female
Humans
Invasiveness
Medicin och hälsovetenskap
Middle Aged
Molecular Medicine
Oncology
Post-menopause
Postmenopause
Premenopause
Risk Factors
Spain - epidemiology
Surveys and Questionnaires
Underweight
Young Adult
title Trajectories of alcohol consumption during life and the risk of developing breast cancer
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