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Performing Data Mining And Integrative Analysis Of Biomarker in Breast Cancer Using Multiple Publicly Accessible Databases
Published on: May 17, 2019
Bidirectional association between breast cancer and cardiovascular disease: Longitudinal analysis of UK Biobank data
Zijia Liu1, Fengjun Du2, Chunhua Zhao3
1School of Public Health and Health Management, Shandong First Medical University (Shandong Academy of Medical Sciences), China.
Insights
Breast cancer (BC) and cardiovascular disease (CVD) share a bidirectional relationship. Key risk factors like CRP and central obesity influence both conditions, impacting women's health outcomes.
Area of Science:
- Cardiovascular Science
- Oncology
- Epidemiology
Background:
- Breast cancer (BC) and cardiovascular disease (CVD) are leading causes of mortality in women.
- The bidirectional relationship and shared risk factors between BC and CVD are not well understood.
Purpose of the Study:
- To investigate the bidirectional relationship between breast cancer and cardiovascular disease.
- To identify key risk factors influencing the co-occurrence and progression of BC and CVD.
Main Methods:
- Prospective cohort study utilizing UK Biobank data.
- Construction of two propensity-score-matched cohorts for BC and CVD.
- Analysis using Cox proportional hazards and multi-state models.
Main Results:
- BC survivors exhibit an increased risk of CVD (HR=1.238), particularly atrial fibrillation and heart failure.
- CVD patients show a higher risk of developing BC (HR=1.446).
- CRP and central obesity were identified as consistent bidirectional risk factors.
Conclusions:
- Longitudinal evidence confirms a bidirectional relationship between breast cancer and cardiovascular disease.
- Stage-specific risk profiles significantly modulate the transition probabilities between BC and CVD.
Background And Aims:
Breast cancer (BC) and cardiovascular disease (CVD) are leading causes of death in women. However, their bidirectional relationship and key risk factors remain unclear.
Methods:
This matched, prospective cohort study using UK Biobank data evaluated the association between BC and CVD, constructing two propensity-score-matched cohorts: 5318 women with BC and 36,857 with CVD, each 1:1 matched to women without the condition (total n = 10,636 and 73,714). Primary outcomes were incident CVD in the BC cohort, incident BC in the CVD cohort, and all-cause mortality in both cohorts. Cox proportional hazards, subgroup analyses, and multi-state models were used to examine the relationship between the two diseases and their stage-specific risks.
Results:
The mean age was 58.5 years in the BC cohort and 59.3 years in the CVD cohort, with median follow-up of 12.8 and 13.6 years. BC survivors had a higher risk of CVD (HR = 1.238, 95% CI: 1.205 to 1.273), especially atrial fibrillation and heart failure, while ischemic heart disease and myocardial infarction risks were lower. Conversely, CVD patients had a higher BC risk (HR = 1.446, 95% CI: 1.332 to 1.570). CRP and central obesity were consistent bidirectional risk factors, while BMI, lifestyle, socioeconomic status, and medication use had stage-specific effects.
Conclusions:
This study provides longitudinal evidence for a bidirectional relationship between BC and CVD, with transition probabilities significantly modulated by stage-specific risk profiles.
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