Abstract
We measured serum levels of estradiol (E2), sex hormone-binding globulin (SHBG), progesterone, and dehydroepiandrosterone sulfate (DHEAS) in 61 postmenopausal women drawn from female residents in a community in Japan to evaluate the relationships between these hormone levels and potential breast cancer risk factors. The information on reproductive history, body size, alcohol use, and physical activity was obtained by means of a self-administered questionnaire. There was a significant trend in increasing E2 level with increasing height after taking account of age and body mass index (BMI) (p for trend = 0.04). BMI was inversely associated with SHBG level after controlling for age (p for trend = 0.01). Decreasing progesterone with increasing BMI was observed after controlling age and history of hysterectomy (P=0.05). Alcohol consumption was positively associated with E2 level and there was a strong linear trend after controlling for age, height, and BMI (p for trend=0.001). Trend for increasing DHEAS with alcohol consumption was also statistically significant after controlling for age and history of hysterectomy (p for trend=0.01). Reproductive factors as well as physical activity were not related to any of the hormone levels.
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Bernstein L, Ross RK: Endogenous hormones and breast cancer risk. Epidemiol Review 15: 48-65, 1993
Pasqualini JR, Chetvite G, Nguyen B-L, Maloche C, Delalonde L, Talbi M, Feinstein M-C, Blacker C, Bottella J, Paris J: Estrone sulfate-sulfatase and 17 β-hydroxysteroid activities: A hypothesis for their role in the evolution of human breast cancer from hormone-dependence to hormone-independence. J Steroid Biochem Molec Biol 53: 407-412, 1995
Langley WS, Hammond GL, Bardsley A, Sellwood RA, Anderson DC: Serum steroid binding proteins and the bioavailability of estradiol in relation to breast cancer. J Natl Cancer Inst 75: 823-829, 1985
Bennett IC, McCaffrey JF, McCaffrey E, Wyatt B: Serum oestradiol in women with and without breast disease. Br J Cancer 61: 142-146, 1990
Key TJA, Pike MC: The role of oestrogens and progestagens in the epidemiology and prevention of breast cancer. Eur J Cancer Clin Oncol 24: 29-43, 1988
Kavale G: Reproductive factors in breast cancer epidemiology. Acta Oncol 31: 187-119, 1992
Cauley JA, Gutai JP, Kuller LH, LeDonne D, Powell JG: The epidemiology of serum sex hormones in postmenopausal women. Am J Epidemiol 129: 1120-1131, 1989
Hankinson SE, Colditz GA, Hunter DJ, Manson JE, Willet WC, Stampfer MJ, Longcope C, Speizer FE: Reproductive factors and family history of breast cancer in relation to plasma estrogen and prolactin levels in postmenopausal women in the Nurses' Health Study (United States). Cancer Causes Control 6: 217-224, 1995
Ingram, DM, Nottage EM, Willcox DL, Roberts A: Oestrogen binding and risk factors for breast cancer. Br J Cancer 61: 303-307, 1990
Hutter DJ, Willet WC: Diet, body build, and breast cancer. Annu Rev Nutr 14: 393-418, 1994
Rosenberg L, Metzger LS, Palmer JR: Alcohol consumption and risk of breast cancer: A review of the epidemiologic evidence. Epidemiol Rev 15: 133-144, 1993
Bernstein L, Henderson BE, Hanisch R, Sullivan-Hally J, Ross RK: Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst 86: 1403-1408, 1994
Dorgan JF, Brown C, Barrett M, Splansky GL, Kreger BE, Agostino RB, Albanes D, Schatzkin A: Physical activity and risk of breast cancer in the Framingham Heart Study. Am J Epidemiol 139: 662-669, 1994
Shimizu H: A Basic Report on Takayama Study. Department of Public Health, Gifu University School of Medicine, Gifu, Japan, 1996
Numajiri K: Energy Metabolism of the Physical Activity. Research Institute of Labour Science, Tokyo, Japan, 1979, pp 238-290
Yanagibori RK, Aoki K, Suzuki Y, Gunji A: Evaluation of methods for measuring daily physical activity in terms of energy expenditure. Jpn J Public Health 38: 483-491, 1991
Hankinson SE, Willett WC, Manson JE, Hunter DJ, Colditz GA, Stampfer MJ, Longcope C, Speizer FE: Alcohol, height, and adiposity in relation to estrogen and prolactin levels in postmenopausal women. J Natl Cancer Inst 87: 1297-1302, 1995
Vermeulen A, Verdonck L: Factors affecting sex hormone levels in postmenopausal women. J Steroid Biochem 11: 899-904, 1979
Frumar AM, Meldrum DR, Geola F, Shamonki IM, Tataryn IV, Deftos LJ, Judd HL: Relationship of fasting urinary calcium to circulating estrogen and body weight in postmenopausal women. J Clin Endocrinol 50: 70-75, 1980
Meldrum DR, Davidson BT, Tataryn IV, Judd HL: Changes in circulating steroids with aging in postmenopausal women. Obstet Gynecol 57: 624-628, 1981
Dubin N, Pasternak BS, Strax P: Epidemiology of breast cancer in a screened population. Cancer Detect Prev 7: 87-102, 1984
Vatten LJ, Kvinnsland S: Body height and risk of breast cancer. Acta Oncol 31: 881-885, 1990
Wakai K, Ohno Y, Watanabe S, Sakamoto G, Kasumi F, Suzuki S, Kubo-Fujiwara N: Risk factors for breast cancer among Japanese women in Tokyo: A case-control study. J Epidemiol 4: 65-71, 1994
Moore JW, Key TJA, Bulbrook RD, Clark GMG, Allen DS, Wang DY, Pike MC: Sex hormone binding globulin and risk factors for breast cancer in a population of normal women who had never used exogenous sex hormones. Br J Cancer 56: 661-666, 1987
Sherman BM, Korenman SG: Measurement of serum LH, FSH, estradiol and progesterone in disorders of the human menstrual cycle: The inadequate luteal phase. J Clin Endocrinol Metab 39: 145-149, 1974
Staffa JA, Newschaffer CJ, Jones JK, Miller V: Progestins and breast cancer: An epidemiologic review. Fertil Steril 57: 473-491, 1992
Gavaler JS, Deal SR, Van Thiel DH, Arria A, Allan NJ: Alcohol and estrogen levels in postmenopausal women: The spectrum of effect. Alcohol Clin Exp Res 17: 786-790, 1993
London S, Willett W, Longcope C, McKinlay S: Alcohol and other dietary factors in relation to serum hormone concentrations in women at climacteric. Am J Clin Nutr 53: 166-171, 1991
Reichman ME, Judd JT, Longcope C, Schatzkin A, Clevidence BA, Nair PP, Campbell WS, Taylor PR: Effects of alcohol consumption on plasma and urinary hormone concentrations in premenopausal women. J Natl Cancer Inst 85: 722-727, 1993
Gordon GB, Bush TL, Helzlsouer KJ, Miller SR, Comstock GW: Relationship of serum levels of dehydroepiandrosterone and dehydroepiandrosterone sulfate to the risk of developing postmenopausal breast cancer. Cancer Res 50: 3859-3862, 1990
Ebeling P, Koivisto VA: Physiological importance of dehydroepiandrosterone. Lancet 343: 1479-1481, 1994
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Nagata, C., Kabuto, M., Takatsuka, N. et al. Associations of alcohol, height, and reproductive factors with serum hormone concentrations in postmenopausal Japanese women. Breast Cancer Res Treat 44, 235–241 (1997). https://doi.org/10.1023/A:1005831220205
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DOI: https://doi.org/10.1023/A:1005831220205