与亚洲女性乳腺癌风险相关的生活方式和生殖因素的系统回顾和荟萃分析。

IF 3.7 3区 医学 Q2 ONCOLOGY Cancer Epidemiology Biomarkers & Prevention Pub Date : 2024-10-02 DOI:10.1158/1055-9965.EPI-24-0005
Boon Hong Ang, Soo-Hwang Teo, Weang-Kee Ho
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引用次数: 0

摘要

导言:评估生活方式和生殖因素导致的乳腺癌风险对于开发针对特定人群的风险预测工具至关重要。然而,在最近的亚洲出生队列中,对这些风险进行评估的研究非常有限:我们系统回顾了 2010 年 1 月至 2023 年 12 月期间发表的研究亚洲女性乳腺癌风险因素的文章。我们对数据进行了叙述性描述,对估计值进行了汇总,并对不同亚洲人群的患病率和可归因比例进行了比较:结果:在所审查的 128 项研究中,有 103 项报告了用于荟萃分析的调整效应大小。生活方式和生殖因素可预测亚洲女性患乳腺癌的风险,对绝经前和绝经后女性的影响各不相同。除初潮、绝经和激素受体治疗外,亚洲人群的相对风险与欧洲人群相似。不过,不同人群的风险因素分布有所不同。在欧洲人中,酒精摄入量(21%)和口服避孕药(20%)是最容易改变的风险因素,而在亚洲人中,被动吸烟(24%)和较高的体重指数(17%,绝经后妇女≥24kg/m2)则是最主要的风险因素:我们的研究表明,虽然生活方式和生殖系统乳腺癌风险因素对不同人群的影响大体相似,但其分布却各不相同:我们的分析强调了在为亚洲人群开发风险预测工具时考虑特定人群风险因素分布的重要性。
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Systematic Review and Meta-Analysis of Lifestyle and Reproductive Factors Associated with Risk of Breast Cancer in Asian Women.

Background: Assessing breast cancer risks from lifestyle and reproductive factors is critical for developing population-specific risk prediction tools. However, limited studies have evaluated these risks in recent Asian birth cohorts.

Methods: We systematically reviewed articles published from January 2010 to December 2023, examining breast cancer risk factors in Asian women. Data were described narratively, estimates pooled, and prevalence and attributable proportions compared across Asian populations.

Results: Of the 128 studies reviewed, 103 reported adjusted effect sizes for meta-analysis. Lifestyle and reproductive factors were predictive of breast cancer risk in Asian women, with varying impacts on premenopausal and postmenopausal women. Relative risks were similar within Asian populations and in comparison to European populations, except for menarche, menopause, and hormone receptor therapy. However, risk factor distributions differed across populations. While alcohol intake (21%) and oral contraceptive use (20%) emerged as the most attributable modifiable risk factors in Europeans, passive smoking (24%) and higher BMI (17%, ≥24 kg/m2 among postmenopausal women) were predominant in Asians.

Conclusions: Our study shows that while the effects of lifestyle and reproductive breast cancer risk factors are largely similar across different populations, their distributions vary.

Impact: Our analysis underscores the importance of considering population-specific risk factor distributions when developing risk prediction tools for Asian populations.

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来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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