Cited by 509Alcohol Consumption and Health EffectsCancer Risks and FactorsNutritional Studies and Diet

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Moderate Alcohol Consumption During Adult Life, Drinking Patterns, and Breast Cancer Risk

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Chen, Wendy Y., Rosner, Bernard, Hankinson, Susan E., Colditz, Graham A., Willett, Walter C.·2011·JAMA

DOI 10.1001/jama.2011.1590PMC PMC3292347

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Abstract

CONTEXT: Multiple studies have linked alcohol consumption to breast cancer risk, but the risk of lower levels of consumption has not been well quantified. In addition, the role of drinking patterns (ie, frequency of drinking and "binge" drinking) and consumption at different times of adult life are not well understood. OBJECTIVE: To evaluate the association of breast cancer with alcohol consumption during adult life, including quantity, frequency, and age at consumption. DESIGN, SETTING, AND PARTICIPANTS: Prospective observational study of 105,986 women enrolled in the Nurses' Health Study followed up from 1980 until 2008 with an early adult alcohol assessment and 8 updated alcohol assessments. MAIN OUTCOME MEASURES: Relative risks of developing invasive breast cancer. RESULTS: During 2.4 million person-years of follow-up, 7690 cases of invasive breast cancer were diagnosed. Increasing alcohol consumption was associated with increased breast cancer risk that was statistically significant at levels as low as 5.0 to 9.9 g per day, equivalent to 3 to 6 drinks per week (relative risk, 1.15; 95% CI, 1.06-1.24; 333 cases/100,000 person-years). Binge drinking, but not frequency of drinking, was associated with breast cancer risk after controlling for cumulative alcohol intake. Alcohol intake both earlier and later in adult life was independently associated with risk. CONCLUSIONS: Low levels of alcohol consumption were associated with a small increase in breast cancer risk, with the most consistent measure being cumulative alcohol intake throughout adult life. Alcohol intake both earlier and later in adult life was independently associated with risk.

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Cancer statistics, 2011
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Result
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“This type of temporal relationship for alcohol intake over longer periods parallels those of hormonal influences and breast cancer risk in which the broadest consideration of hormonal influences over a lifetime most accurately reflects risk.(39) The strengths of this study include the large number of cases, length of…”
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Additional file 2 of Effect of alcohol consumption on breast cancer: probabilistic bias analysis for adjustment of exposure misclassification bias and confounders
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Authors: Chen, W. Y., Rosner, B., Hankinson, S. E., Colditz, G. A., & Willett, W. C.
Affiliations: Brigham and Women's Hospital (US)
Harvard University (US)
Corresponding author: Chen, Wendy Y.
ORCID: Chen, Wendy Y.
Rosner, Bernard
Hankinson, Susan E.
Colditz, Graham A.
Willett, Walter C.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 2011-11-02
Volume: 306
Issue: 17
Pages: 1884
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.2011.1590
PMC: PMC3292347
OpenAlex: W2062112003
Cited by: 509
References: 43
Citations by year: 2026: 23 · 2025: 20 · 2024: 29 · 2023: 32 · 2022: 28 · 2021: 43 · 2020: 34 · 2019: 45 · 2018: 21 · 2017: 30 · 2016: 46 · 2015: 46 · 2014: 32 · 2013: 32 · 2012: 41
FWCI: 24.98
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Cancer Institute (P01CA087969, [P01 CA87969)
Topics: Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords: breast cancer risk, alcohol consumption, binge drinking, drinking frequency, moderate drinking, women, Nurses' Health Study
MeSH terms: Adolescent, Adult, Age Factors, Aged, Alcohol Drinking, Ethanol, Central Nervous System Stimulants, Breast Neoplasms, Dose-Response Relationship, Drug, Estrogens, Female, Humans, Middle Aged, Prospective Studies, Receptors, Estrogen, Risk Assessment, Young Adult

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Moderate Alcohol Consumption During Adult Life, Drinking Patterns, and Breast Cancer Risk

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