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The association between being breastfed in infancy and risks of cancer in adulthood-a UK Biobank study
Dan Hameiri-Bowen1, Dorthe C Pedersen2, Britt W Jensen2
1Center for Clinical Research and Prevention, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark. dan.hameiri-bowen@regionh.dk.
Insights
Breastfeeding may slightly increase adult cancer risk in women but shows no association in men. These findings do not negate breastfeeding
Area of Science:
- Epidemiology
- Oncology
- Public Health
Background:
- Breastfeeding offers known infant health benefits.
- Long-term effects of breastfeeding on adult cancer risk are not well understood.
- This study investigates the link between infant breastfeeding and adult cancer incidence.
Purpose of the Study:
- To examine the association between being breastfed in infancy and the risk of developing common cancers in adulthood.
- To determine if breastfeeding status influences overall cancer risk or risk at specific cancer sites.
- To explore potential sex-specific differences in these associations.
Main Methods:
- Utilized UK Biobank data from 339,115 participants with self-reported breastfeeding history.
- Linked participant data to national cancer registries for incident cancer tracking.
- Employed Cox proportional hazards models to estimate sex-specific hazard ratios (HR) and 95% confidence intervals (CI).
Main Results:
- A total of 34,392 incident cancers were recorded.
- Being breastfed was associated with a marginally increased risk of overall cancer in women (HR 1.05, 95% CI 1.01-1.09).
- No association was found for overall cancer risk in men (HR 1.00, 95% CI 0.96-1.04).
- Site-specific analyses revealed increased risks of breast and ovarian cancers in women and reduced risk of esophageal cancer in men associated with breastfeeding.
Conclusions:
- Infant breastfeeding is linked to a slightly elevated risk of adult cancer in women.
- No evidence of an association between breastfeeding and adult cancer risk was observed in men.
- These findings, considering study limitations, do not diminish the established benefits of breastfeeding.
Background:
Being breastfed has established benefits for infant health, but its long-term effects on adult diseases, including cancer, remain underexplored. We examined associations between being breastfed in infancy and the risks of common cancers.
Methods:
Data from 339,115 participants (191,117 women) enrolled in the UK Biobank with self-reported breastfeeding data were linked to national cancer registries. Cox models estimated sex-specific hazard ratios (HR) and 95% confidence intervals (CI) for the associations between being breastfed (ever/never) and risks of overall cancer as well as common cancer sites.
Results:
In total, 34,392 incident cancers (17,895 in women) were registered. The HR of overall cancer associated with being breastfed was 1.05 (95% CI 1.01-1.09) in women and 1.00 (95% CI 0.96-1-04) in men. In site-specific analysis being breastfed was associated with an increased risk of breast and ovarian cancer in women and a reduced risk of oesophageal cancer in men.
Discussion:
We found that having been breastfed was associated with a marginally increased risk of adult cancer in women, but we found no evidence of an association in men. These findings should be viewed within the study limitations, and do not outweigh the many benefits that breastfeeding provides.
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