Effect of obesity and other lifestyle factors on mortality in women with breast cancer

International Journal of Cancer. Journal International Du Cancer
Luigino Dal MasoProspective Analysis of Case-control studies on Environmental factors and health (PACE) study group

Abstract

A few lifestyle characteristics before cancer diagnosis have been suggested to modify the prognosis of breast cancer. Follow-up information from 1,453 women with incident invasive breast cancer, diagnosed between 1991 and 1994 and interviewed within the framework of an Italian multicenter case-control study, was used to assess the effect of obesity and of a large spectrum of other factors on breast cancer mortality. Five hundred and three deaths, including 398 breast cancer deaths, were identified. Hazard ratios (HR) for all-cause and breast cancer mortality and corresponding 95% confidence intervals (CI), were calculated using Cox proportional hazards models and adjusted for age and breast cancer characteristics (stage and receptor status). Increased risk of death for breast cancer emerged for body mass index (BMI) >/= 30 kg/m(2) (HR = 1.38; 95% CI: 1.02-1.86), compared to <25, or waist-to-hip ratio (WHR) >/= 0.85 (HR = 1.27; 95% CI: 0.98-1.64), compared to <0.80, and the strongest association was observed for women with BMI >/=30 and high WHR (>/=0.85), compared to women with BMI <25 and WHR < 0.85 (HR = 1.57, 95% CI: 1.08-2.27). The unfavorable effect of high BMI was similar in women <55 and >/=55 years of age, whereas it wa...Continue Reading

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