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ABSTRACT: Risk factors for male breast cancer in Canada, 1994-1998
Relatively little attention has been paid to the aetiology of
male breast cancer and the current understanding of female breast
cancer, primarily related to reproductive events, cannot be
readily transferred to understanding the cancer in males.
However,
since male breast cancer occurs in the absence of factors related
to childbearing and menstruation, its aetiology may provide special
insights into the causes of breast cancer in women.
We examined
lifestyle risk factors for male breast cancer as part of a Canadian,
multi-site, population-based, case-control study. Eighty-one newly
diagnosed, histologically confirmed cases and 1905 male controls
aged 42-74 were analysed using unconditional logistic regression.
Increased risks were found for men with a mother or sister with
breast cancer (adjusted odds ratio (OR) 3.65, 95% confidence interval
(95% CI) 1.62-8.19).
Higher physical activity levels (moderate, and
strenuous recreational plus occupational) were associated with a
decreased risk of male breast cancer (highest quartile, adjusted
OR 0.48, 95% CI 0.26-0.91). Similarly, higher risks were associated
with higher weight 2 years before interview (2.19, 95% CI 1.08-4.43),
maximum weight (OR 2.66) and higher body mass index (OR 1.60).
Higher
vegetable consumption and coffee consumption were associated with
decreased risk, whereas higher beta-carotene, vitamin E and calcium
supplementation were associated with statistically significant
increased risk.
The small number of cases and multiple comparisons
preclude strong conclusions, but our study is consistent with studies
suggesting obesity and family history increase risk, and physical
activity decreases risk of breast cancer.
[08/01/2002; European Journal of Cancer Prevention]
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