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Perinatal and childhood factors and risk of breast cancer subtypes in adulthood
BACKGROUND: Accumulated exposure to hormones and growth factors during early life may influence the future risk of breast cancer (BC). This study examines the influence of childhood-related, socio-demographic and anthropometric variables on BC risk, overall and by specific pathologic subtypes. METHO...
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creator | Lope, Virginia García Esquinas, Esther Pérez Gómez, Beatriz Altzibar, Jone M Gracia Lavedan, Esther Ederra, María Molina de la Torre, Antonio José Llorca, Francisco Javier Tardón, Adonina Moreno Aguado, Víctor Bayo, Juan Salas Trejo, Dolores Marcos Gragera, Rafael Pumarega, José Dierssen Sotos, Trinidad Barrio Lera, Juan Pablo Miguel Medina, M. A. Concepción de Tusquets, Ignasi Amiano, Pilar Boldo, Elena Kogevinas, Manolis Aragonés, Nuria Castaño Vinyals, Gemma Pollán, Marina |
description | BACKGROUND: Accumulated exposure to hormones and growth factors during early life may influence the future risk of breast cancer (BC). This study examines the influence of childhood-related, socio-demographic and anthropometric variables on BC risk, overall and by specific pathologic subtypes. METHODS: This is a case-control study where 1539 histologically-confirmed BC cases (23-85 years) and 1621 population controls, frequency matched by age, were recruited in 10 Spanish provinces. Perinatal and childhood-related characteristics were directly surveyed by trained staff. The association with BC risk, globally and according to menopausal status and pathologic subtypes, was evaluated using logistic and multinomial regression models, adjusting for tumor specific risk factors. RESULTS: Birth characteristics were not related with BC risk. However, women with high socioeconomic level at birth presented a decreased BC risk (OR=0.45; 95% CI=0.29-0.70), while those whose mothers were aged over 39 years at their birth showed an almost significant excess risk of hormone receptor positive tumors (HR+) (OR=1.35; 95% CI=0.99-1.84). Women who were taller than their girl mates before puberty showed increased postmenopausal BC risk (OR=1.26; 95% CI=1.03-1.54) and increased HR+ BC risk (OR=1.26; 95% CI=1.04-1.52). Regarding prepubertal weight, while those women who were thinner than average showed higher postmenopausal BC risk (OR=1.46; 95% CI=1.20-1.78), associated with HR+ tumors (OR=1.34; 95% CI=1.12-1.61) and with triple negative tumors (OR=1.56; 95% CI=1.03-2.35), those who were heavier than average presented lower premenopausal BC risk (OR=0.64; 95% CI=0.46-0.90) and lower risk of epidermal growth factor receptor positive tumors (OR=0.61; 95% CI=0.40-0.93). CONCLUSION: These data reflect the importance of hormones and growth factors in the early stages of life, when the mammary gland is in development and therefore more vulnerable to proliferative stimuli. |
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A. Concepción de ; Tusquets, Ignasi ; Amiano, Pilar ; Boldo, Elena ; Kogevinas, Manolis ; Aragonés, Nuria ; Castaño Vinyals, Gemma ; Pollán, Marina</creator><creatorcontrib>Lope, Virginia ; García Esquinas, Esther ; Pérez Gómez, Beatriz ; Altzibar, Jone M ; Gracia Lavedan, Esther ; Ederra, María ; Molina de la Torre, Antonio José ; Llorca, Francisco Javier ; Tardón, Adonina ; Moreno Aguado, Víctor ; Bayo, Juan ; Salas Trejo, Dolores ; Marcos Gragera, Rafael ; Pumarega, José ; Dierssen Sotos, Trinidad ; Barrio Lera, Juan Pablo ; Miguel Medina, M. A. Concepción de ; Tusquets, Ignasi ; Amiano, Pilar ; Boldo, Elena ; Kogevinas, Manolis ; Aragonés, Nuria ; Castaño Vinyals, Gemma ; Pollán, Marina</creatorcontrib><description>BACKGROUND: Accumulated exposure to hormones and growth factors during early life may influence the future risk of breast cancer (BC). This study examines the influence of childhood-related, socio-demographic and anthropometric variables on BC risk, overall and by specific pathologic subtypes. METHODS: This is a case-control study where 1539 histologically-confirmed BC cases (23-85 years) and 1621 population controls, frequency matched by age, were recruited in 10 Spanish provinces. Perinatal and childhood-related characteristics were directly surveyed by trained staff. The association with BC risk, globally and according to menopausal status and pathologic subtypes, was evaluated using logistic and multinomial regression models, adjusting for tumor specific risk factors. RESULTS: Birth characteristics were not related with BC risk. However, women with high socioeconomic level at birth presented a decreased BC risk (OR=0.45; 95% CI=0.29-0.70), while those whose mothers were aged over 39 years at their birth showed an almost significant excess risk of hormone receptor positive tumors (HR+) (OR=1.35; 95% CI=0.99-1.84). Women who were taller than their girl mates before puberty showed increased postmenopausal BC risk (OR=1.26; 95% CI=1.03-1.54) and increased HR+ BC risk (OR=1.26; 95% CI=1.04-1.52). Regarding prepubertal weight, while those women who were thinner than average showed higher postmenopausal BC risk (OR=1.46; 95% CI=1.20-1.78), associated with HR+ tumors (OR=1.34; 95% CI=1.12-1.61) and with triple negative tumors (OR=1.56; 95% CI=1.03-2.35), those who were heavier than average presented lower premenopausal BC risk (OR=0.64; 95% CI=0.46-0.90) and lower risk of epidermal growth factor receptor positive tumors (OR=0.61; 95% CI=0.40-0.93). CONCLUSION: These data reflect the importance of hormones and growth factors in the early stages of life, when the mammary gland is in development and therefore more vulnerable to proliferative stimuli.</description><identifier>ISSN: 1877-7821</identifier><language>eng</language><publisher>Elsevier</publisher><subject>Breast cancer ; Childhood ; Càncer de mama ; Infància</subject><ispartof>Cancer epidemiology, 2016-02</ispartof><rights>cc-by-nc-nd (c) Elsevier, 2016 info:eu-repo/semantics/openAccess <a href="http://creativecommons.org/licenses/by-nc-nd/3.0/es">http://creativecommons.org/licenses/by-nc-nd/3.0/es</a></rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891</link.rule.ids></links><search><creatorcontrib>Lope, Virginia</creatorcontrib><creatorcontrib>García Esquinas, Esther</creatorcontrib><creatorcontrib>Pérez Gómez, Beatriz</creatorcontrib><creatorcontrib>Altzibar, Jone M</creatorcontrib><creatorcontrib>Gracia Lavedan, Esther</creatorcontrib><creatorcontrib>Ederra, María</creatorcontrib><creatorcontrib>Molina de la Torre, Antonio José</creatorcontrib><creatorcontrib>Llorca, Francisco Javier</creatorcontrib><creatorcontrib>Tardón, Adonina</creatorcontrib><creatorcontrib>Moreno Aguado, Víctor</creatorcontrib><creatorcontrib>Bayo, Juan</creatorcontrib><creatorcontrib>Salas Trejo, Dolores</creatorcontrib><creatorcontrib>Marcos Gragera, Rafael</creatorcontrib><creatorcontrib>Pumarega, José</creatorcontrib><creatorcontrib>Dierssen Sotos, Trinidad</creatorcontrib><creatorcontrib>Barrio Lera, Juan Pablo</creatorcontrib><creatorcontrib>Miguel Medina, M. A. Concepción de</creatorcontrib><creatorcontrib>Tusquets, Ignasi</creatorcontrib><creatorcontrib>Amiano, Pilar</creatorcontrib><creatorcontrib>Boldo, Elena</creatorcontrib><creatorcontrib>Kogevinas, Manolis</creatorcontrib><creatorcontrib>Aragonés, Nuria</creatorcontrib><creatorcontrib>Castaño Vinyals, Gemma</creatorcontrib><creatorcontrib>Pollán, Marina</creatorcontrib><title>Perinatal and childhood factors and risk of breast cancer subtypes in adulthood</title><title>Cancer epidemiology</title><description>BACKGROUND: Accumulated exposure to hormones and growth factors during early life may influence the future risk of breast cancer (BC). This study examines the influence of childhood-related, socio-demographic and anthropometric variables on BC risk, overall and by specific pathologic subtypes. METHODS: This is a case-control study where 1539 histologically-confirmed BC cases (23-85 years) and 1621 population controls, frequency matched by age, were recruited in 10 Spanish provinces. Perinatal and childhood-related characteristics were directly surveyed by trained staff. The association with BC risk, globally and according to menopausal status and pathologic subtypes, was evaluated using logistic and multinomial regression models, adjusting for tumor specific risk factors. RESULTS: Birth characteristics were not related with BC risk. However, women with high socioeconomic level at birth presented a decreased BC risk (OR=0.45; 95% CI=0.29-0.70), while those whose mothers were aged over 39 years at their birth showed an almost significant excess risk of hormone receptor positive tumors (HR+) (OR=1.35; 95% CI=0.99-1.84). Women who were taller than their girl mates before puberty showed increased postmenopausal BC risk (OR=1.26; 95% CI=1.03-1.54) and increased HR+ BC risk (OR=1.26; 95% CI=1.04-1.52). Regarding prepubertal weight, while those women who were thinner than average showed higher postmenopausal BC risk (OR=1.46; 95% CI=1.20-1.78), associated with HR+ tumors (OR=1.34; 95% CI=1.12-1.61) and with triple negative tumors (OR=1.56; 95% CI=1.03-2.35), those who were heavier than average presented lower premenopausal BC risk (OR=0.64; 95% CI=0.46-0.90) and lower risk of epidermal growth factor receptor positive tumors (OR=0.61; 95% CI=0.40-0.93). CONCLUSION: These data reflect the importance of hormones and growth factors in the early stages of life, when the mammary gland is in development and therefore more vulnerable to proliferative stimuli.</description><subject>Breast cancer</subject><subject>Childhood</subject><subject>Càncer de mama</subject><subject>Infància</subject><issn>1877-7821</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqdy70KwjAUBeAMCtafd7gvUEiiNnUWxU0H93KbpDQaEslNB99eK4K7w-FwDnwTVohaqVLVUszYnOjGeVUJsS3Y-WKTC5jRAwYDunfe9DEa6FDnmOjzJkd3iB20ySJl0Bi0TUBDm58PS-ACoBl8Ht2STTv0ZFffXjBxPFz3p1LToJtk31BjbiK63xgjuZLNerOTkq__MS90rUi1</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Lope, Virginia</creator><creator>García Esquinas, Esther</creator><creator>Pérez Gómez, Beatriz</creator><creator>Altzibar, Jone M</creator><creator>Gracia Lavedan, Esther</creator><creator>Ederra, María</creator><creator>Molina de la Torre, Antonio José</creator><creator>Llorca, Francisco Javier</creator><creator>Tardón, Adonina</creator><creator>Moreno Aguado, Víctor</creator><creator>Bayo, Juan</creator><creator>Salas Trejo, Dolores</creator><creator>Marcos Gragera, Rafael</creator><creator>Pumarega, José</creator><creator>Dierssen Sotos, Trinidad</creator><creator>Barrio Lera, Juan Pablo</creator><creator>Miguel Medina, M. A. Concepción de</creator><creator>Tusquets, Ignasi</creator><creator>Amiano, Pilar</creator><creator>Boldo, Elena</creator><creator>Kogevinas, Manolis</creator><creator>Aragonés, Nuria</creator><creator>Castaño Vinyals, Gemma</creator><creator>Pollán, Marina</creator><general>Elsevier</general><scope>XX2</scope></search><sort><creationdate>20160201</creationdate><title>Perinatal and childhood factors and risk of breast cancer subtypes in adulthood</title><author>Lope, Virginia ; García Esquinas, Esther ; Pérez Gómez, Beatriz ; Altzibar, Jone M ; Gracia Lavedan, Esther ; Ederra, María ; Molina de la Torre, Antonio José ; Llorca, Francisco Javier ; Tardón, Adonina ; Moreno Aguado, Víctor ; Bayo, Juan ; Salas Trejo, Dolores ; Marcos Gragera, Rafael ; Pumarega, José ; Dierssen Sotos, Trinidad ; Barrio Lera, Juan Pablo ; Miguel Medina, M. A. Concepción de ; Tusquets, Ignasi ; Amiano, Pilar ; Boldo, Elena ; Kogevinas, Manolis ; Aragonés, Nuria ; Castaño Vinyals, Gemma ; Pollán, Marina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-csuc_recercat_oai_recercat_cat_2072_3492203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Breast cancer</topic><topic>Childhood</topic><topic>Càncer de mama</topic><topic>Infància</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lope, Virginia</creatorcontrib><creatorcontrib>García Esquinas, Esther</creatorcontrib><creatorcontrib>Pérez Gómez, Beatriz</creatorcontrib><creatorcontrib>Altzibar, Jone M</creatorcontrib><creatorcontrib>Gracia Lavedan, Esther</creatorcontrib><creatorcontrib>Ederra, María</creatorcontrib><creatorcontrib>Molina de la Torre, Antonio José</creatorcontrib><creatorcontrib>Llorca, Francisco Javier</creatorcontrib><creatorcontrib>Tardón, Adonina</creatorcontrib><creatorcontrib>Moreno Aguado, Víctor</creatorcontrib><creatorcontrib>Bayo, Juan</creatorcontrib><creatorcontrib>Salas Trejo, Dolores</creatorcontrib><creatorcontrib>Marcos Gragera, Rafael</creatorcontrib><creatorcontrib>Pumarega, José</creatorcontrib><creatorcontrib>Dierssen Sotos, Trinidad</creatorcontrib><creatorcontrib>Barrio Lera, Juan Pablo</creatorcontrib><creatorcontrib>Miguel Medina, M. A. Concepción de</creatorcontrib><creatorcontrib>Tusquets, Ignasi</creatorcontrib><creatorcontrib>Amiano, Pilar</creatorcontrib><creatorcontrib>Boldo, Elena</creatorcontrib><creatorcontrib>Kogevinas, Manolis</creatorcontrib><creatorcontrib>Aragonés, Nuria</creatorcontrib><creatorcontrib>Castaño Vinyals, Gemma</creatorcontrib><creatorcontrib>Pollán, Marina</creatorcontrib><collection>Recercat</collection><jtitle>Cancer epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lope, Virginia</au><au>García Esquinas, Esther</au><au>Pérez Gómez, Beatriz</au><au>Altzibar, Jone M</au><au>Gracia Lavedan, Esther</au><au>Ederra, María</au><au>Molina de la Torre, Antonio José</au><au>Llorca, Francisco Javier</au><au>Tardón, Adonina</au><au>Moreno Aguado, Víctor</au><au>Bayo, Juan</au><au>Salas Trejo, Dolores</au><au>Marcos Gragera, Rafael</au><au>Pumarega, José</au><au>Dierssen Sotos, Trinidad</au><au>Barrio Lera, Juan Pablo</au><au>Miguel Medina, M. A. Concepción de</au><au>Tusquets, Ignasi</au><au>Amiano, Pilar</au><au>Boldo, Elena</au><au>Kogevinas, Manolis</au><au>Aragonés, Nuria</au><au>Castaño Vinyals, Gemma</au><au>Pollán, Marina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal and childhood factors and risk of breast cancer subtypes in adulthood</atitle><jtitle>Cancer epidemiology</jtitle><date>2016-02-01</date><risdate>2016</risdate><issn>1877-7821</issn><abstract>BACKGROUND: Accumulated exposure to hormones and growth factors during early life may influence the future risk of breast cancer (BC). This study examines the influence of childhood-related, socio-demographic and anthropometric variables on BC risk, overall and by specific pathologic subtypes. METHODS: This is a case-control study where 1539 histologically-confirmed BC cases (23-85 years) and 1621 population controls, frequency matched by age, were recruited in 10 Spanish provinces. Perinatal and childhood-related characteristics were directly surveyed by trained staff. The association with BC risk, globally and according to menopausal status and pathologic subtypes, was evaluated using logistic and multinomial regression models, adjusting for tumor specific risk factors. RESULTS: Birth characteristics were not related with BC risk. However, women with high socioeconomic level at birth presented a decreased BC risk (OR=0.45; 95% CI=0.29-0.70), while those whose mothers were aged over 39 years at their birth showed an almost significant excess risk of hormone receptor positive tumors (HR+) (OR=1.35; 95% CI=0.99-1.84). Women who were taller than their girl mates before puberty showed increased postmenopausal BC risk (OR=1.26; 95% CI=1.03-1.54) and increased HR+ BC risk (OR=1.26; 95% CI=1.04-1.52). Regarding prepubertal weight, while those women who were thinner than average showed higher postmenopausal BC risk (OR=1.46; 95% CI=1.20-1.78), associated with HR+ tumors (OR=1.34; 95% CI=1.12-1.61) and with triple negative tumors (OR=1.56; 95% CI=1.03-2.35), those who were heavier than average presented lower premenopausal BC risk (OR=0.64; 95% CI=0.46-0.90) and lower risk of epidermal growth factor receptor positive tumors (OR=0.61; 95% CI=0.40-0.93). CONCLUSION: These data reflect the importance of hormones and growth factors in the early stages of life, when the mammary gland is in development and therefore more vulnerable to proliferative stimuli.</abstract><pub>Elsevier</pub><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Breast cancer Childhood Càncer de mama Infància |
title | Perinatal and childhood factors and risk of breast cancer subtypes in adulthood |
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