F A Ramírez-Marrero1, C M Nazario2, R V Rosario-Rosado2, M Schelske-Santos3, I Mansilla-Rivera4, J Nie5, J Hernández-Santiago2, J L Freudenheim5. 1. College of Education, Physical Education and Recreation Department, University of Puerto Rico Río Piedras Campus, San Juan, Puerto Rico. Farah.ramirez1@upr.edu. 2. Graduate School of Public Health, Biostatistics and Epidemiology Department, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico. 3. Natural Sciences, Nutrition and Dietetics Department, University of Puerto Rico Río Piedras Campus, San Juan, Puerto Rico. 4. Graduate School of Public Health, Department of Environmental Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico. 5. School of Public Health and Health Professions, Department of Epidemiology and Environmental Health, University at Buffalo, State University of New York, Buffalo, NY, USA.
Abstract
INTRODUCTION: Increased risk of postmenopausal breast cancer associated with anthropometric measures including Body Mass Index (BMI), adult weight gain, and waist circumference has been observed in North American and European populations, but little evidence is available for Hispanic women. Breast cancer is the leading type of cancer, and leading cause of cancer-related deaths among Hispanic women in Puerto Rico (PR). However, compared with the United States, breast cancer incidence rates are lower but increasing more rapidly. PURPOSE: To examine associations between anthropometric characteristics and breast cancer risk in Hispanic women in PR. METHODS: Data from a population-based case-control study in the San Juan metropolitan region (cases = 315; controls = 348) were used to examine associations between anthropometric measures and breast cancer risk, also considering menopausal status and hormone therapy (HT). RESULTS: Among premenopausal participants, there was a significant trend for lower odds of breast cancer with higher BMI and borderline significant with higher waist to height ratio (WHtR). For postmenopausal participants, a significant trend for lower odds of breast cancer was observed with higher WHtR, and waist to hip ratio (WHR), borderline significant with higher BMI, and higher odds with height. Among postmenopausal participants using HT, a significant trend for lower odds of breast cancer was observed with higher waist circumference, WHtR, WHR, and body shape index. CONCLUSION: Our study provides evidence of anthropometric differences in relation to breast cancer risk in PR compared to previous studies. Future studies should include analyses of fat and lean mass distribution, and hormone receptor status to further understand anthropometry and breast cancer risk among Hispanic women.
INTRODUCTION: Increased risk of postmenopausal breast cancer associated with anthropometric measures including Body Mass Index (BMI), adult weight gain, and waist circumference has been observed in North American and European populations, but little evidence is available for Hispanic women. Breast cancer is the leading type of cancer, and leading cause of cancer-related deaths among Hispanic women in Puerto Rico (PR). However, compared with the United States, breast cancer incidence rates are lower but increasing more rapidly. PURPOSE: To examine associations between anthropometric characteristics and breast cancer risk in Hispanic women in PR. METHODS: Data from a population-based case-control study in the San Juan metropolitan region (cases = 315; controls = 348) were used to examine associations between anthropometric measures and breast cancer risk, also considering menopausal status and hormone therapy (HT). RESULTS: Among premenopausal participants, there was a significant trend for lower odds of breast cancer with higher BMI and borderline significant with higher waist to height ratio (WHtR). For postmenopausal participants, a significant trend for lower odds of breast cancer was observed with higher WHtR, and waist to hip ratio (WHR), borderline significant with higher BMI, and higher odds with height. Among postmenopausal participants using HT, a significant trend for lower odds of breast cancer was observed with higher waist circumference, WHtR, WHR, and body shape index. CONCLUSION: Our study provides evidence of anthropometric differences in relation to breast cancer risk in PR compared to previous studies. Future studies should include analyses of fat and lean mass distribution, and hormone receptor status to further understand anthropometry and breast cancer risk among Hispanic women.
Authors: Daikwon Han; Jing Nie; Matthew R Bonner; Susan E McCann; Paola Muti; Maurizio Trevisan; Farah A Ramirez-Marrero; Dominica Vito; Jo L Freudenheim Journal: Int J Cancer Date: 2006-12-15 Impact factor: 7.396
Authors: Geoffrey C Kabat; Xiaonan Xue; Victor Kamensky; Dorothy Lane; Jennifer W Bea; Chu Chen; Lihong Qi; Marcia L Stefanick; Rowan T Chlebowski; Jean Wactawski-Wende; Sylvia Wassertheil-Smoller; Thomas E Rohan Journal: Cancer Causes Control Date: 2014-11-28 Impact factor: 2.506
Authors: Martha L Slattery; Carol Sweeney; Sandra Edwards; Jennifer Herrick; Kathy Baumgartner; Roger Wolff; Maureen Murtaugh; Richard Baumgartner; Anna Giuliano; Tim Byers Journal: Breast Cancer Res Treat Date: 2007-03 Impact factor: 4.872
Authors: Xiaoli Chen; Wei Lu; Wei Zheng; Kai Gu; Zhi Chen; Ying Zheng; Xiao Ou Shu Journal: Breast Cancer Res Treat Date: 2010-01-08 Impact factor: 4.872
Authors: L Mellemkjær; J Christensen; K Frederiksen; J L Baker; A Olsen; T I A Sørensen; A Tjønneland Journal: Br J Cancer Date: 2012-06-07 Impact factor: 7.640
Authors: Elisa V Bandera; Urmila Chandran; Gary Zirpoli; Zhihong Gong; Susan E McCann; Chi-Chen Hong; Gregory Ciupak; Karen Pawlish; Christine B Ambrosone Journal: BMC Cancer Date: 2013-10-14 Impact factor: 4.430
Authors: Jue-Sheng Ong; Jiyuan An; Matthew H Law; David C Whiteman; Rachel E Neale; Puya Gharahkhani; Stuart MacGregor Journal: Br J Cancer Date: 2018-03-27 Impact factor: 7.640