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Table 1 Epidemiology of breast cancer: abbreviated risk factor summary

From: Towards an integrated model for breast cancer etiology: The lifelong interplay of genes, lifestyle, and hormones

Risk factor

Direction of effecta

Well-confirmed risk factors

 

   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

 

   Current oral contraceptive use

↑

   Physical activity

↓

Limited study to date

 

   High prolactin levels

↑↑

   High premenopausal insulin-like growth factor I levels

↑↑

   In utero exposures

↑

   Nonsteroidal anti-inflammatory drug use

↓

  1. a Arrows indicate approximate magnitude of the relationship: ↑, slight to moderate increase in risk; ↑↑, moderate to large increase in risk; ↓, slight to moderate decrease in risk; ↓↓, moderate to large decrease in risk. b In Western countries – data are less consistent in other lower risk populations.