Evidence map›Paper›PMID 28384095›Full record

ArticleJournal of women's health (2002)2017

Age-Specific Indicators of a Healthy Lifestyle and Postmenopausal Breast Cancer.

Kathleen M McClain, Lauren E McCullough, Patrick T Bradshaw, Sumitra Shantakumar, Mary Beth Terry, Alfred I Neugut, Marilie D Gammon

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kathleen M McClain1 Department of Epidemiology, University of North Carolina , Chapel Hill, North Carolina.
Lauren E McCullough2 Department of Epidemiology, Emory University , Atlanta, Georgia .
Patrick T Bradshaw3 Division of Epidemiology and Biostatistics, School of Public Health, University of California , Berkeley, California.
Sumitra Shantakumar4 GlaxoSmithKline , Singapore, Singapore .
Mary Beth Terry5 Department of Epidemiology, Columbia University , New York, New York.
Alfred I Neugut5 Department of Epidemiology, Columbia University , New York, New York.
Marilie D Gammon1 Department of Epidemiology, University of North Carolina , Chapel Hill, North Carolina.

Funding

Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
NCI NIH HHS T32 CA057726
6 · The paper itself

Abstract

introductionModifiable lifestyle factors have been consistently associated with breast cancer, and risk may vary by menopausal status. However, whether these associations vary according to age among postmenopausal women remains unresolved.

methodsUsing postmenopausal women from a population-based case-control study (990 cases and 1006 frequency-matched controls), we conducted multivariable-adjusted unconditional logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for lifestyle factors (lifetime alcohol intake, body mass index [BMI] in the year before diagnosis, lifetime recreational physical activity [RPA], and nonsteroidal anti-inflammatory drug use) in association with breast cancer stratified by age (<65 vs. 65+). We examined estrogen-related subgroups by (1) further stratifying by hormone replacement therapy (HRT) use and (2) restricting cases to estrogen receptor (ER)+/progesterone receptor (PR)+ cancers.

resultsPostmenopausal breast cancer incidence in women 65 years and older was positively associated with alcohol intake (OR = 1.79 for 15-30 g/day vs. nondrinkers, 95% CI: 1.03-3.12) and BMI (OR = 1.83 for BMI ≥30 vs. <25, 95% CI: 1.29-2.60), and inversely with RPA (OR = 0.69 for fourth quartile vs. inactive, 95% CI: 0.47-1.03). For postmenopausal women younger than 65, ORs were closer to the null. Tests for heterogeneity by age were significant at the p < 0.10 level for BMI and RPA, but not alcohol. Among older women, associations were stronger among never users of HRT and for those with ER+/PR+ cancers. The inverse associations with aspirin use did not differ by age.

conclusionsInterventions targeting modifiable lifestyle factors may reduce the burden of postmenopausal breast cancer among older women.

Indexed as

Age FactorsBody Mass IndexHealthy LifestyleMotor ActivityPostmenopauseAgedAlcohol DrinkingAnti-Inflammatory Agents, Non-SteroidalBreast NeoplasmsCase-Control StudiesEstrogen Replacement TherapyFemaleHormone Replacement TherapyHumansIncidenceMiddle AgedAnti-Inflammatory Agents, Non-Steroidalalcoholaspirinbreast cancerobesityphysical activityrisk factors

Identifiers

PMID28384095
PMCPMC5695743

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.