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Bone Rep. 2017 Sep 21;7:83-89. doi: 10.1016/j.bonr.2017.09.004. eCollection 2017 Dec.

Bone mineral density and breast cancer risk: Results from the Vorarlberg Health Monitoring & Prevention Program and meta-analysis.

Bone reports

G Nagel, R S Peter, E Klotz, W Brozek, H Concin

Affiliations

  1. Institute of Epidemiology and Medical Biometry, Ulm University, Helmholtzstrasse 22, 89081 Ulm, Germany.
  2. Agency for Preventive and Social Medicine, Rheinstrasse 61, 6900 Bregenz, Austria.
  3. Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of the Vienna Health Insurance Fund (WGKK) and Trauma Center Meidling of the Austrian Workers' Compensation Board (AUVA), 1st Medical Department, Hanusch Hospital, Vienna, Austria.

PMID: 29018837 PMCID: PMC5626919 DOI: 10.1016/j.bonr.2017.09.004

Abstract

We investigated the association between bone mineral density (BMD) and breast cancer risk in a large prospective cohort and quantified the evidence in a meta-analysis of prospective studies. Baseline BMD has been measured by dual energy X-ray absorptiometry (DXA, N = 1418). Data on medication and lifestyle has been collected by questionnaire. Cox proportional Hazards models were applied to calculate Hazard Ratios for breast cancer. In addition, a meta-analysis on categorical and dose-response values including the current results has been performed applying random-effects models. During mean follow-up of 16.3 (SD 3.3) years of 1380 women (mean age 55.5 ± 6.3 years), 52 cases of invasive breast cancer were identified. We found no statistically significant association of BMD with breast cancer risk (per one z-score increase, HR 0.91, 95% CI 0.67-1.23). In the meta-analysis, however, breast cancer risk increased by 15% and 16% per 0.1 g/m

Keywords: Bone mineral density; Breast cancer; Epidemiology; Meta-analysis; VHM&PP

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