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Osteoporosis International

, Volume 19, Issue 10, pp 1497–1504 | Cite as

Bone mineral density at menopause does not predict breast cancer incidence

  • F. A. TrémollieresEmail author
  • J.-M. Pouillès
  • J. Laparra
  • C. Ribot
Original Article

Abstract

Summary

In this prospective study in 2,137 perimenopausal and early postmenopausal women who were followed over a 13.1-year period of time, we observed no association between bone mineral density measured at the beginning of menopause and the subsequent risk of breast cancer.

Introduction

This study aimed to investigate the relationship between BMD and the risk of breast cancer (BC) in young postmenopausal women.

Methods

As part of a clinical research program, 2,137 women who were perimenopausal or within their 5 first postmenopausal years were scanned between 1988–1990 and reviewed on average 13.1 years after their initial examination. Ninety-eight incident BC cases were recorded throughout the follow-up.

Results

Women with incident BC significantly differed from those who had never had BC with regard to age at menarche, age of birth of 1st child, familial history of BC and postmenopausal hormone therapy (PHT) use. There was no significant difference between the two groups for baseline DXA of the spine. There was a trend for BC cases for having lower femoral neck BMD compared to women without BC. However, women with low BMD were more likely to have taken PHT by the end of the study. In Cox multivariate analyses the relationship between BC risk and femoral neck BMD no longer existed.

Conclusions

There was no relationship between BMD measured within the first postmenopausal years and the risk of BC, which makes unlikely the possibility of using BMD as a predictor factor for BC in early postmenopausal women.

Keywords

BMD Breast cancer Early postmenopause Postmenopausal hormone therapy 

Notes

Acknowledgements

This work was part of the MENOS study and was carried out with the financial support of Lilly France and Pierre Fabre Laboratories. We gratefully acknowledge the excellent assistance of C. Cauneille and F. Cigagna in maintaining all patient data and we thank all women who kindly participated in the MENOS study. We also thank the team «Méthodes en Recherche Clinique» of the Laboratoire d’Epidémiologie (Pr. Thierry Lang) at the Toulouse University Hospital for statistical analysis and H. Lauren for the linguistic revision of the manuscript.

Conflict of interest statement

The authors report no conflict of interest.

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2008

Authors and Affiliations

  • F. A. Trémollieres
    • 1
    • 2
    Email author
  • J.-M. Pouillès
    • 1
  • J. Laparra
    • 1
  • C. Ribot
    • 1
    • 2
  1. 1.Unité Ménopause et Maladies Osseuses et MétaboliquesHôpital Paule de ViguierToulouse Cedex 9France
  2. 2.Unité INSERM U858 - I2MRCHU RangueilToulouse cedex 4France

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