Maternal height and breast cancer risk: results from a study nested within the EPIC-Greece cohort

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作者
Michail Katsoulis
Carlo La Vecchia
Antonia Trichopoulou
Pagona Lagiou
机构
[1] Hellenic Health Foundation,Farr Institute of Health Informatics Research
[2] University College London,Department of Clinical Sciences and Community Health
[3] Università degli Studi di Milano,Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine
[4] National and Kapodistrian University of Athens,Department of Epidemiology
[5] Harvard T. H. Chan School of Public Health,undefined
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Breast Cancer; Breast Cancer Risk; Mediation Analysis; Adult Height; European Prospective Investigation Into Cancer;
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摘要
The positive association of adult height with breast cancer (BC) risk has been hypothesized to be partly accounted for by an association of this risk with maternal height (operating in utero to modify hormone effects). In a case–control study (271 BC patients and 791 controls) nested within the EPIC-Greece cohort, we applied mediation analysis to calculate the direct and indirect (through the woman’s own height) effect of maternal height on BC risk. Per 5 cm increase in maternal height and depending on its reference value: the indirect effect odds ratio ranges from 1.02 to 1.07; the direct effect odds ratio from 1.06 to 1.11; and the total (direct and indirect effects) from 1.08 to 1.19. The effect sizes consistently increased for higher reference categories of maternal height, but did not generally reach statistical significance, possibly due to the limited sample size.
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页码:457 / 463
页数:6
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