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Table 3 Age-adjusted and multivariable-adjusted hazard ratios for the association between body fatness and postmenopausal breast cancer overall

From: Trajectories of body mass index in adulthood and risk of subtypes of postmenopausal breast cancer

 

Study sample (n = 148,866)

Cases

Age-adjusted HR (95% CI)

Complete-case study sample (n = 142,771)

Cases

MV-adjusted HR (95% CI)a

(n = 7223)

(n = 6933)

Age at onset (yrs)b

BMI ≥ 25

Never OW

83,606

3939

Ref

79,966

3766

Ref

< 40

26,375

1220

1.01 (0.95–1.08)

25,112

1173

1.00 (0.93–1.07)

40–49

25,208

1356

1.16 (1.09–1.23)

24,422

1311

1.14 (1.07–1.21)

≥ 50

13,677

708

1.18 (1.09–1.28)

13,271

683

1.16 (1.07–1.26)

ptrendc

  

 < 0.01

  

 < 0.01

BMI ≥ 30

Never OB

133,840

6504

Ref

128,327

6232

Ref

< 40

3242

120

0.80 (0.66–0.95)

3082

119

0.81 (0.68–0.97)

40–49

5858

286

1.02 (0.91–1.15)

5640

282

1.02 (0.91–1.15)

≥ 50

5926

313

1.17 (1.05–1.32)

5722

300

1.14 (1.02–1.29)

ptrendc

  

0.03

  

0.06

Duration (per 10 yrs)b

BMI 25

65,260

3284

1.02 (1.00–1.04)

62,805

3167

1.02 (0.99–1.04)

BMI 30

15,026

719

0.99 (0.94–1.05)

14,444

701

0.99 (0.93–1.05)

Intensity (per 100 units)b

OWY

65,260

3284

1.00 (0.95–1.06)

62,805

3167

1.00 (0.94–1.05)

OBY

15,026

719

0.92 (0.78–1.08)

14,444

701

0.92 (0.78–1.08)

Trajectoriesd, e

Normal-stable

62,729

3031

Ref

65,507

3166

Ref

Normal-overweight

58,079

2864

1.03 (0.98–1.08)

60,440

2987

1.02 (0.96–1.07)

Normal-obesity

17,374

854

1.03 (0.95–1.11)

18,117

885

1.01 (0.94–1.09)

Overweight-obesity

3454

144

0.88 (0.74–1.04)

3609

145

0.88 (0.75–1.05)

Obesity-decrease

1135

40

0.70 (0.51–0.96)

1193

40

0.71 (0.52–0.96)

ptrendc

  

0.45

  

0.28

  1. BMI body mass index, CI confidence interval, HR hazard ratio, MV multivariable, OBY weighted cumulative obesity years, OWY weighted cumulative overweight years, p p-value
  2. aAdjusted for age, age at menarche, parity, age at first birth, breast cancer in mother, smoking, MHT use
  3. bBased on linear mixed-effects models
  4. cp trend, continuous variable
  5. dBased on group-based trajectory modeling
  6. eNormal weight: 18.5–24.9 kg/m2; overweight: 25–29.9 kg/m2; obesity: ≥ 30 kg/m2