Effect of Body Mass Index on Breast Cancer during Premenopausal and Postmenopausal Periods: A Meta-Analysis
Open Access
- 6 December 2012
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 7 (12), e51446
- https://doi.org/10.1371/journal.pone.0051446
Abstract
Objective: There is no universal consensus on the relationship between body mass index (BMI) and breast cancer. This meta-analysis was conducted to estimate the overall effect of overweight and obesity on breast cancer risk during pre- and post-menopausal period. Data Sources: All major electronic databases were searched until April 2012 including Web of Knowledge, Medline, Scopus, and ScienceDirect. Furthermore, the reference lists and related scientific conference databases were searched. Review Methods: All prospective cohort and case-control studies investigating the association between BMI and breast cancer were retrieved irrespective of publication date and language. Women were assessed irrespective of age, race and marital status. The exposure of interest was BMI. The primary outcome of interest was all kinds of breast cancers confirmed pathologically. Study quality was assessed using the checklist of STROBE. Study selection and data extraction were performed by two authors separately. The effect measure of choice was risk ratio (RRi) and rate ratio (RRa) for cohort studies and odds ratio (OR) in case-control studies. Results: Of 9163 retrieved studies, 50 studies were included in meta-analysis including 15 cohort studies involving 2,104,203 subjects and 3,414,806 person-years and 35 case-control studies involving 71,216 subjects. There was an inverse but non-significant correlation between BMI and breast cancer risk during premenopausal period: OR = 0.93 (95% CI 0.86, 1.02); RRi = 0.97 (95% CI 0.82, 1.16); and RRa = 0.99 (95% CI 0.94, 1.05), but a direct and significant correlation during postmenopausal period: OR = 1.15 (95% CI 1.07, 1.24); RRi = 1.16 (95% CI 1.08, 1.25); and RRa = 0.98 (95% CI 0.88, 1.09). Conclusion: The results of this meta-analysis showed that body mass index has no significant effect on the incidence of breast cancer during premenopausal period. On the other hand, overweight and obesity may have a minimal effect on breast cancer, although significant, but really small and not clinically so important.This publication has 63 references indexed in Scilit:
- Metabolic syndrome and the risk of breast cancer in postmenopausal womenAnnals of Oncology, 2011
- Adult Body Size, Hormone Receptor Status, and Premenopausal Breast Cancer Risk in a Multiethnic Population: The San Francisco Bay Area Breast Cancer StudyAmerican Journal of Epidemiology, 2010
- Breast cancer in the Thai Cohort Study: An exploratory case-control analysisThe Breast, 2009
- Breast Cancer Risk Factors Defined by Estrogen and Progesterone Receptor Status: The Multiethnic Cohort StudyAmerican Journal of Epidemiology, 2009
- Obesity, Mammography Use and Accuracy, and Advanced Breast Cancer RiskJNCI Journal of the National Cancer Institute, 2008
- Menopausal Hormone Therapy and Breast Cancer Risk in the NIH-AARP Diet and Health Study CohortCancer Epidemiology, Biomarkers & Prevention, 2008
- Anthropometric factors and breast cancer risk among urban and rural women in South India: a multicentric case–control studyBritish Journal of Cancer, 2008
- Measuring inconsistency in meta-analysesBMJ, 2003
- Dietary factors protective against breast cancer in Japanese premenopausal and postmenopausal womenInternational Journal of Cancer, 2003
- Meta-analysis in clinical trialsControlled Clinical Trials, 1986