1998
DOI: 10.1038/sj.ijo.0800769
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Teenage obesity in relation to breast cancer risk

Abstract: While most studies show a higher body mass in Western women to be positively associated with an increased breast cancer risk in postmenopausal women, they show a negative association in the case of premenopausal women. A review of case-control and cohort studies suggest that such protection applies mainly to obesity in teenage girls, whereas obesity appearing after the teenage years is more likely to be associated with a higher risk of postmenopausal breast cancer. The mechanisms are uncertain. There is eviden… Show more

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Cited by 67 publications
(62 citation statements)
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“…The latter observation may be due to the fact that in premenopausal women, who are naturally oestrogenized, anovulation due to obesity results in a decrease in oestrogen and progesterone production. [30][31][32] Moreover, in a study on Several anthropometric measurements and breast cancer risk B Tehard et al premenopausal obese women, Potischman et al 29 noted that injected radiolabelled oestrogen was sequestered by adipose tissue, reducing levels of free oestradiol. A global decrease in ovarian activity and oestrogen storage due to obesity would lead to a decreased risk of premenopausal breast cancer.…”
Section: Discussionmentioning
confidence: 99%
“…The latter observation may be due to the fact that in premenopausal women, who are naturally oestrogenized, anovulation due to obesity results in a decrease in oestrogen and progesterone production. [30][31][32] Moreover, in a study on Several anthropometric measurements and breast cancer risk B Tehard et al premenopausal obese women, Potischman et al 29 noted that injected radiolabelled oestrogen was sequestered by adipose tissue, reducing levels of free oestradiol. A global decrease in ovarian activity and oestrogen storage due to obesity would lead to a decreased risk of premenopausal breast cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Neither adult body mass index nor waist-to-hip ratio modified the effect of perceived adolescent weight on breast cancer risk. The biological mechanism that Stoll (1998) proposed to help explain the reduced risk of premenopausal breast cancer associated with adolescent obesity in some studies was that obesity triggered a hyperinsulinemic insulin resistance at puberty that could lead to abnormal ovarian steroidogenesis and anovulation. Most of the women in this study grew up during a period when food and meat were rationed and adolescent obesity was rare, thus perceived weight at the age of 15 may not reflect adolescent obesity as defined among Western women.…”
Section: Discussionmentioning
confidence: 99%
“…We observed larger differences for PR+ (RR, 0.90) versus PRÀ (RR, 0.62) tumors, however, which is inconsistent with the finding of no differences in progesterone concentrations noted above. Obese adolescent and preadolescent girls also have elevated levels of insulin and insulin-like growth factor I, and this leads to impaired ovarian steroid metabolism and anovulation (35).…”
Section: Discussionmentioning
confidence: 99%