Risk factor | Direction of effecta |
---|---|
Well-confirmed risk factors | Â |
   Family history in first-degree relative or genetic predisposition (e.g. BRCA1) | ↑↑ |
   Height | ↑ |
   Benign breast disease | ↑↑ |
   Mammographically dense breasts | ↑↑ |
   Parity | ↓ |
   Age at first birth > 30 years versus at < 20 years | ↑↑ |
   Lactation (longer durations) | ↓ |
   Menopause at > 54 years versus at < 45 years | ↑↑ |
   High endogenous estrogen levels | ↑↑ |
   Postmenopausal hormone use | ↑ |
   Ionizing radiation exposure in childhood | ↑↑ |
   Menarche at < 12 years versus at > 14 years | ↑ |
   High body mass index (postmenopausal) | ↑ |
   High body mass index (premenopausal)b | ↓ |
   Alcohol use (~1 or more drinks/day) | ↑ |
Probable relationship exists, based on substantial data | Â |
   Current oral contraceptive use | ↑ |
   Physical activity | ↓ |
Limited study to date | Â |
   High prolactin levels | ↑↑ |
   High premenopausal insulin-like growth factor I levels | ↑↑ |
   In utero exposures | ↑ |
   Nonsteroidal anti-inflammatory drug use | ↓ |