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Table 3 Adjusteda odds ratio (OR) and 95% confidence interval (CI) for breast cancer overall, triple negative breast cancer, and luminal-like subtype associated with BMI in premenopausal white women and premenopausal African-American women

From: Body mass index at age 18 years and recent body mass index in relation to risk of breast cancer overall and ER/PR/HER2-defined subtypes in white women and African-American women: a pooled analysis

 

All cases

Triple negative (ER–/PR–/HER2–)

Luminal-like (ER+ and/or PR+)

Number

OR (95% CI)

Number

OR (95% CI)

Number

OR (95% CI)

Premenopausal white women

 

 BMI at age 18 years, kg/m2

    

  < 20.0

946

Referent

108

Referent

553

Referent

  20.0–24.9

793

1.01 (0.84–1.22)

91

0.92 (0.66–1.30)

470

1.03 (0.83–1.28)

  ≥ 25.0

121

0.76 (0.53–1.10)

12

0.53 (0.26–1.09)

64

0.73 (0.47–1.13)

  Per 5 kg/m2 increase

0.86 (0.73–1.02)

 

0.61 (0.44–0.86)

 

0.87 (0.71–1.06)

  P value

 

0.08

 

0.004

 

0.16

   

P value for homogeneity of slope coefficients between two subtypes = 0.04

 Recent BMI, kg/m2

    

  < 25.0

1274

Referent

136

Referent

754

Referent

  25.0–29.9

373

0.87 (0.69–1.10)

51

1.30 (0.87–1.93)

205

0.78 (0.59–1.02)

  ≥ 30.0

213

0.72 (0.53–0.97)

24

1.00 (0.57–1.75)

128

0.71 (0.50–1.01)

  Per 5 kg/m2 increase

0.95 (0.86–1.05)

 

1.12 (0.94–1.34)

 

0.94 (0.83–1.06)

  P value

 

0.32

 

0.19

 

0.28

   

P value for homogeneity of slope coefficients between two subtypes = 0.04

Premenopausal African-American women

 

 BMI at age 18 years, kg/m2

    

  < 20.0

241

Referent

52

Referent

103

Referent

  20.0–24.9

274

0.98 (0.72–1.33)

53

0.92 (0.56–1.50)

107

0.90 (0.61–1.35)

  ≥ 25.0

52

0.66 (0.40–1.13)

13

0.71 (0.31–1.65)

19

0.60 (0.29–1.24)

  Per 5 kg/m2 increase

0.79 (0.62–1.00)

 

0.78 (0.54–1.15)

 

0.74 (0.54–1.03)

  P value

 

0.05

 

0.21

 

0.07

   

P value for homogeneity of slope coefficients between two subtypes = 0.80

Recent BMI, kg/m2

    

  < 25.0

271

Referent

58

Referent

114

Referent

  25.0–29.9

160

0.92 (0.66–1.29)

29

0.79 (0.45–1.37)

64

0.93 (0.60–1.44)

  ≥ 30.0

136

1.02 (0.68–1.53)

31

1.09 (0.58– 2.05)

51

0.94 (0.55–1.59)

  Per 5 kg/m2 increase

1.08 (0.92–1.25)

 

1.13 (0.90–1.43)

 

1.04 (0.85–1.28)

  P value

 

0.35

 

0.30

 

0.69

   

P value for homogeneity of slope coefficients between two subtypes = 0.53

  1. Abbreviations: ER estrogen receptor, PR progesterone receptor, HER2, human epidermal growth factor receptor-2, BMI body mass index
  2. aORs obtained from multivariable polychotomous unconditional logistic regression models with mutual adjustment of BMI at age 18 years and recent BMI and with adjustment for source study, study site, education, reference age, first-degree breast cancer family history, age at menarche, number of completed pregnancies, lifetime recreational physical activity, alcohol intake, cigarette smoking status, and oral contraceptive use