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Table 1 Hazard ratios for invasive breast cancer by age, body mass index and BI-RADS density (baseline)

From: Development and evaluation of a method to assess breast cancer risk using a longitudinal history of mammographic density: a cohort study

Baseline variable

No. of women (%)

Follow-up, 1000 women-years

No. of invasive breast cancers

Hazard ratio*

(95% CI)

Total

132,439 (100)

874

2704

-

Age (years)

 

 40–49

60,325 (45.6)

418

977

1 [Reference]

 50–59

43,878 (33.1)

317

1057

1.41 (1.29–1.53)

 60–73

28,236 (21.3)

139

670

2.26 (2.04–2.50)

 Continuous

Median (IQR) = 50 (44–58)

LR-χ2(df = 1) = 309.1 (p < 0.001)

BMI (kg/m2): < 55 years

 

 Underweight (< 18.5)

1087 (1.3)

7

13

0.70 (0.41–1.22)

 Healthy (≥ 18.5 to 25)

33,808 (38.8)

246

623

1 [Reference]

 Overweight (≥ 25 to 30)

26,428 (30.3)

186

513

1.10 (0.98–1.23)

 Obese (≥ 30 to 35)

13,126 (15.1)

92

221

0.96 (0.82–1.11)

 Morbidly obese (≥ 35)

12,707 (14.6)

87

211

0.98 (0.84–1.15)

 Continuous

Median (IQR) = 26.6 (23.0–31.2)

LR-χ2(df = 1) = 0.02 (p = 0.89)

BMI (kg/m2): ≥ 55 years

 

 Underweight (< 18.5)

570 (1.3)

3

12

1.18 (0.66–2.10)

 Healthy (≥ 18.5 to 25)

14,905 (32.9)

85

308

1 [Reference]

 Overweight (≥ 25 to 30)

16,440 (36.3)

92

449

1.35 (1.17–1.56)

 Obese (≥ 30 to 35)

7665 (16.9)

44

194

1.22 (1.02–1.46)

 Morbidly obese (≥ 35)

5703 (12.6)

33

160

1.33 (1.10–1.60)

 Continuous

Median (IQR) = 27.4 (23.8–31.0)

LR-χ2(df = 1) = 6.9 (p = 0.01)

BI-RADS density

 

 Fatty

10,387 (7.8)

61

107

0.59 (0.48–0.72)

 Scattered

46,206 (34.9)

309

786

1 [Reference]

 Heterogeneous

57,158 (43.2)

376

1338

1.76 (1.61–1.93)

 Extremely dense

18,688 (14.1)

128

473

2.31 (2.04–2.63)

 Continuous

Median (IQR) = 3 (2–3)

LR-χ2(df = 1) = 91.8 (p < 0.001)

  1. n = 132,439
  2. 95% CIs from Wald tests
  3. LR-χ2(df = 1) is the likelihood-ratio trend test for each variable alone
  4. BI-RADS  Breast Imaging Reporting and Data System, BMI body mass index, df degrees of freedom, IQR interquartile range, 95% CI 95% confidence interval
  5. *Hazard ratios from proportional-hazards Cox models (model for BI-RADS density is adjusted for continuous age and continuous BMI, models for age and BMI are univariable)