Physical activity and mammographic breast density in the EPIC-Norfolk cohort study.
Physical inactivity and high mammographic breast density have both been associated with increased breast cancer risk. However, the association between physical activity and mammographic breast density remains inconsistent. In the European Prospective Investigation of Cancer (EPIC)-Norfolk population-based cohort study (United Kingdom), the authors investigated the cross-sectional association between physical activity level at baseline during 1993-1997 and breast density among 1,394 postmenopausal, cancer-free women. Usual physical activity was assessed by a brief, validated questionnaire. Percentage breast density was determined visually from mammograms by three trained radiologists using the Boyd six-category scale. The association between physical activity level and breast density risk category was examined. No statistically significant association between physical activity and percentage breast density was observed in the unadjusted or adjusted regression models. A suggested increase in breast density for the most active women in the unadjusted regression analysis (odds ratio = 1.13, 95% confidence interval: 0.71, 1.80) was reversed after inclusion of body mass index and reproductive and lifestyle variables (odds ratio = 0.78, 95% confidence interval: 0.45, 1.34). The lack of an association between physical activity and percentage breast density suggests that an association between physical activity and breast cancer risk is unlikely to be mediated through an effect on mammographic breast density.
Peters
Tricia M
TM
MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United Kingdom.
Ekelund
Ulf
U
Leitzmann
Michael
M
Easton
Douglas
D
Warren
Ruth
R
Luben
Robert
R
Bingham
Sheila
S
Khaw
Kay-Tee
KT
Wareham
Nicholas J
NJ
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D001940:Breast / Q000033:anatomy & histology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000517:prevention & control; D003430:Cross-Sectional Studies; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D006113:United Kingdom