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Table 4 Adjusted geometric mean hormone levels by breast cancer risk factors and lifestyle-factorsa

From: Comparison of postmenopausal endogenous sex hormones among Japanese, Japanese Brazilians, and non-Japanese Brazilians

Breast cancer risk and lifestyle factors

Participants, n

Estradiol, pg/mL

Bioavailable estradiol, %

Estrone, pg/mL

Sex hormone- binding globulin, nM/L

Androstenedione, ng/mL

DHEAS, μg/dL

Testosterone, ng/mL

Free testosterone, pg/mL

Family history of breast cancer

         

   No

327

13.9

22.7

32.6

66.2

0.84

52.7

0.09

0.34

   Yes

36

13.8

21.2

31.6

74.6

0.80

51.4

0.05

0.36

   P for difference

 

0.90

0.18

0.57

0.12

0.66

0.83

0.08

0.40

History of benign breast disease

         

   No

339

13.9

22.6

32.5

66.9

0.84

52.9

0.09

0.34

   Yes

23

14.3

22.0

33.5

69.0

0.78

52.1

0.08

0.31

   P for difference

 

0.69

0.68

0.67

0.75

0.61

0.92

0.72

0.38

Age at first menarche, yr

         

   <12

101

13.7

22.9

31.6

66.7

0.83

49.5

0.08

0.33

   13 or 14

166

13.9

22.2

32.4

65.2

0.83

54.8

0.09

0.34

   15+

96

13.9

22.6

33.6

69.7

0.85

53.3

0.08

0.35

   P for trend

 

0.81

0.81

0.18

0.51

0.78

0.43

0.99

0.60

   P for trendb

 

0.70

0.47

0.30

0.24

0.68

0.29

0.83

0.39

Age at menopause, yr

         

   <48

116

14.0

23.0

32.6

64.5

0.89

57.0

0.08

0.34

   49 to 51

108

14.0

22.0

33.1

70.2

0.78

51.6

0.09

0.34

   52+

139

13.6

22.5

32.1

67.0

0.80

48.5

0.09

0.33

   P for trend

 

0.47

0.65

0.68

0.57

0.20

0.05

0.66

0.75

   P for trendb

 

0.80

0.06

0.93

0.02

0.32

0.51

0.59

1.00

Parity

         

   Parous

326

13.8

22.0

32.3

67.5

0.80

48.4

0.08

0.33

   Nulliparous

37

13.7

23.3

32.9

67.2

0.87

58.0

0.10

0.34

   P for difference

 

0.89

0.28

0.73

0.95

0.42

0.11

0.51

0.86

Number of birthsc

         

   1

32

13.7

20.6

32.8

69.6

0.77

43.7

0.10

0.30

   2 or 3

219

13.4

22.2

31.6

67.8

0.79

43.9

0.08

0.32

   4+

75

14.7

22.3

33.2

65.8

0.86

56.0

0.08

0.35

   P for trend

 

0.27

0.26

0.71

0.55

0.38

0.046

0.76

0.20

Age at first birthc, yr

         

   <22

79

13.2

21.3

31.5

70.9

0.80

44.0

0.09

0.31

   23 to 26.9

138

13.9

21.5

33.1

68.1

0.78

46.7

0.07

0.33

   27+

109

14.7

22.3

33.1

64.3

0.84

52.2

0.10

0.32

   P for trend

 

0.09

0.29

0.52

0.16

0.47

0.11

0.40

0.89

   P for trendb

 

0.10

0.32

0.53

0.37

0.58

0.39

0.47

0.81

Breast-feedingc

         

   No

27

14.3

23.2

33.5

63.4

0.82

46.9

0.09

0.33

   Yes

296

13.7

21.9

32.2

67.6

0.81

47.2

0.08

0.32

   P for difference

 

0.59

0.33

0.53

0.47

0.87

0.96

0.85

0.87

Height, cm

         

   <150.9

107

13.8

22.3

32.2

69.4

0.84

54.7

0.09

0.34

   151 to 156.9

126

14.3

22.1

33.4

67.2

0.81

51.9

0.08

0.34

   157+

124

13.7

23.2

32.2

63.8

0.85

51.7

0.09

0.34

   P for trend

 

0.83

0.31

0.99

0.16

0.91

0.54

0.71

0.86

   P for trendb

 

0.62

0.07

0.65

0.01

0.33

0.96

0.47

0.72

BMI, kg/m2

         

   <24.9

199

13.3

20.9

31.1

75.3

0.77

51.1

0.07

0.30

   25 to 29.9

116

14.5

24.2

32.2

60.2

0.79

48.4

0.09

0.34

   30+

40

15.5

26.4

38.4

51.2

1.15

65.3

0.16

0.50

   P for trend

 

0.01

<0.01

<0.01

<0.01

0.01

0.21

0.01

<0.01

   P for trendb

 

<0.01

<0.01

<0.01

<0.01

<0.01

0.13

0.01

<0.01

Smoking

         

   Never smoker

310

13.2

24.3

32.0

62.9

0.80

53.5

0.09

0.35

   Past smoker

37

13.6

23.7

32.4

62.3

0.77

51.4

0.06

0.38

   Current smoker

14

14.9

20.0

33.2

76.3

0.94

52.8

0.12

0.29

   P for difference

 

0.48

0.06

0.91

0.28

0.55

0.95

0.43

0.28

Alcohol drinking

         

   Nondrinker

266

14.0

22.0

32.7

69.9

0.85

49.4

0.10

0.34

   Occasional drinker

39

14.1

23.5

32.4

63.7

0.82

59.1

0.08

0.34

   Regular drinker

58

13.5

22.2

32.4

67.1

0.83

49.8

0.08

0.34

   P for difference

 

0.76

0.48

0.97

0.42

0.89

0.29

0.48

0.98

Physical activity in past 5 years

         

   No

231

14.0

22.5

32.8

66.7

0.84

52.2

0.11

0.34

   ≤2 days/wk

63

13.8

22.1

32.1

67.5

0.79

50.6

0.05

0.33

   ≥3 days/wk

68

13.5

23.3

32.1

66.8

0.85

55.8

0.07

0.35

   P for trend

 

0.46

0.48

0.58

0.95

0.97

0.56

0.02

0.60

  1. DHEAS, dehyroepianrosterone sulfate; BMI, body mass index; aAdjusted for age (continuous), ethnic group (Japanese, Japanese Brazilians, non-Japanese Brazilians (Caucasian, mixed, Black), age at first menarche (continuous), age at menopause (continuous), number of births (0, 1, 2 or 3, 4+), age at first birth (≤22, 23 to 26, ≥27 yr, nulliparous), height (continuous), BMI (continuous), smoking (never smokers, past smokers, current smokers), alcohol drinking (nondrinkers, occasional drinkers, regular drinkers) and physical activity in the past 5 years (no, ≤2 days/wk, ≥3 days/wk); bContinuous variables; cAmong parous women only.