Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.

<h4>Objective</h4>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.<h4>Data sou...

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Autores principales: Zahra Cheraghi, Jalal Poorolajal, Tahereh Hashem, Nader Esmailnasab, Amin Doosti Irani
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:3632c4b8b9fb4a39b588315bcf3241c12021-11-18T08:05:54ZEffect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.1932-620310.1371/journal.pone.0051446https://doaj.org/article/3632c4b8b9fb4a39b588315bcf3241c12012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23236502/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>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.<h4>Data sources</h4>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.<h4>Review methods</h4>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 (RR(i)) and rate ratio (RR(a)) for cohort studies and odds ratio (OR) in case-control studies.<h4>Results</h4>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); RR(i) = 0.97 (95% CI 0.82, 1.16); and RR(a) = 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); RR(i) = 1.16 (95% CI 1.08, 1.25); and RR(a) = 0.98 (95% CI 0.88, 1.09).<h4>Conclusion</h4>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.Zahra CheraghiZahra CheraghiJalal PoorolajalTahereh HashemNader EsmailnasabAmin Doosti IraniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 12, p e51446 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Zahra Cheraghi
Zahra Cheraghi
Jalal Poorolajal
Tahereh Hashem
Nader Esmailnasab
Amin Doosti Irani
Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
description <h4>Objective</h4>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.<h4>Data sources</h4>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.<h4>Review methods</h4>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 (RR(i)) and rate ratio (RR(a)) for cohort studies and odds ratio (OR) in case-control studies.<h4>Results</h4>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); RR(i) = 0.97 (95% CI 0.82, 1.16); and RR(a) = 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); RR(i) = 1.16 (95% CI 1.08, 1.25); and RR(a) = 0.98 (95% CI 0.88, 1.09).<h4>Conclusion</h4>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.
format article
author Zahra Cheraghi
Zahra Cheraghi
Jalal Poorolajal
Tahereh Hashem
Nader Esmailnasab
Amin Doosti Irani
author_facet Zahra Cheraghi
Zahra Cheraghi
Jalal Poorolajal
Tahereh Hashem
Nader Esmailnasab
Amin Doosti Irani
author_sort Zahra Cheraghi
title Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
title_short Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
title_full Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
title_fullStr Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
title_full_unstemmed Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
title_sort effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/3632c4b8b9fb4a39b588315bcf3241c1
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