Breast Cancer Research and Treatment

, Volume 162, Issue 1, pp 139–149

Body size from birth through adolescence in relation to risk of benign breast disease in young women

  • Catherine S. Berkey
  • Bernard Rosner
  • Rulla M. Tamimi
  • Walter C. Willett
  • Martha Hickey
  • Adetunji Toriola
  • A. Lindsay Frazier
  • Graham A. Colditz
Epidemiology

DOI: 10.1007/s10549-016-4084-5

Cite this article as:
Berkey, C.S., Rosner, B., Tamimi, R.M. et al. Breast Cancer Res Treat (2017) 162: 139. doi:10.1007/s10549-016-4084-5

Abstract

Purpose

Body size, from birth throughout adulthood, is associated with breast cancer risk, but few studies have investigated early-life body size and benign breast disease (BBD), a well-established breast cancer risk factor. We consider whether prenatal factors and size at birth, 10, 18 year, and intervening growth, are related to BBD risk.

Methods

The Growing Up Today Study includes 9032 females who completed questionnaires annually from 1996 to 2001, then 2003, 2005, 2007, 2010, and 2013. In 1996, their mothers provided pregnancy-related data. From 2005 to 2013, participants (18 year+) reported whether they had ever been diagnosed with biopsy-confirmed BBD (N = 142 cases).

Results

Girls had greater adiposity (BMI; kg/m2) at 10 year if they were larger at birth, if mother’s pre-pregnancy BMI was higher, or if gestational weight gain was greater (all p < .01). Maternal height was (positively) associated (p < .05) with adolescent peak height growth velocity (PHV; in./year). Greater 10 year adiposity was associated with lower PHV and less height growth 10–18 year (both p < .01). Adiposity at 10 year was inversely associated with BBD (OR 0.83/(kg/m2), p < .01) as was increasing adiposity 10–18 year (OR 0.85/(kg/m2), p = .01). In a separate model, 10 year height (OR 1.13/in., p = .02) and height growth 10–18 year (OR 1.19/in.; p < .01) were positively associated. PHV was similarly positively associated (OR 2.58, p = .01, fastest versus slowest growth quartiles). In a multivariable model of BBD risk, gestational weight gain (daughters at highest risk if <20 lb gained), PHV (slowest growing girls at lowest risk), age 10 year height (positive), and BMI (inverse) were the most critical childhood risk factors (each p < .05).

Conclusions

Body size factors from pregnancy through adolescence were independently associated with BBD risk in young women.

Keywords

Maternal pre-pregnancy BMI Gestational weight gain Prenatal Birth weight Childhood adiposity Height growth 

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Catherine S. Berkey
    • 1
  • Bernard Rosner
    • 1
  • Rulla M. Tamimi
    • 1
  • Walter C. Willett
    • 2
  • Martha Hickey
    • 3
  • Adetunji Toriola
    • 4
  • A. Lindsay Frazier
    • 5
  • Graham A. Colditz
    • 6
  1. 1.Channing Division of Network Medicine, Department of MedicineBrigham and Women’s Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Departments of Nutrition and EpidemiologyHarvard T.H. Chan School of Public HealthBostonUSA
  3. 3.Department of Obstetrics and GynaecologyUniversity of Melbourne and The Royal Women’s HospitalMelbourneAustralia
  4. 4.Division of Public Health Sciences, Department of Surgery, Alvin J Siteman Cancer CenterWashington University School of MedicineSt. LouisUSA
  5. 5.Department of Pediatric OncologyDana-Farber Cancer InstituteBostonUSA
  6. 6.Alvin J. Siteman Cancer CenterWashington University School of MedicineSt. LouisUSA

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