Department of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Radiology, University of Maryland Medical Center , Baltimore , Maryland , USA.
Nutr Cancer. 2019;71(8):1276-1282. doi: 10.1080/01635581.2019.1604005. Epub 2019 Apr 26.
Anthropometric indices have a debatable relationship with breast cancer (BC) among different ethnicity. In the current study, we have evaluated the relationship between anthropometric indices and BC in Iranian participants. Between 2012 and 2014, a total of 7,805 women were enrolled from different mammography centers in Isfahan province, Iran. For each participant, a detailed questionnaire was filled out and anthropometric indices were measured by trained technicians. We used logistic regression models to estimate odds ratios (OR) and 95% confidence interval (CI) for BC risk associated with anthropometry measurements, stratified on menopausal status. In the postmenopausal group, weight ≥68 kg compared to weight <61.75 kg was associated with decreased risk of BC (OR = 0.78; 95% CI: 0.63-0.97). Postmenopausal women with Waist-Hip Ratio (WHR) ≥ 0.85 compared to WHR < 0.77 were at increased risk of BC (OR = 1.36; 95% CI: 1.07-1.73). Both premenopausal and postmenopausal women had a decreased risk of BC with higher Obesity Index (OI) and Relative Weight. Ethnicity appears to play an important role in the discrepancies between results of different studies about the correlation of anthropometric features with BC.
人体测量指数与不同种族的乳腺癌(BC)之间存在争议的关系。在目前的研究中,我们评估了伊朗参与者中人体测量指数与 BC 之间的关系。2012 年至 2014 年,共有 7805 名女性从伊朗伊斯法罕省的不同乳房 X 光检查中心招募。为每位参与者填写了详细的问卷,并由经过培训的技术人员测量了人体测量指数。我们使用逻辑回归模型来估计与人体测量测量相关的 BC 风险的优势比(OR)和 95%置信区间(CI),按绝经状态分层。在绝经后组中,体重≥68 公斤与体重<61.75 公斤相比,BC 的风险降低(OR = 0.78; 95%CI:0.63-0.97)。与 WHR<0.77 相比,WHR≥0.85 的绝经后妇女 BC 的风险增加(OR = 1.36; 95%CI:1.07-1.73)。无论是绝经前还是绝经后妇女,随着肥胖指数(OI)和相对体重的增加,BC 的风险都会降低。种族似乎在人体测量特征与 BC 相关性的不同研究结果之间的差异中起着重要作用。