Table 2 Associations of hormones and SHBG with the risk of invasive breast cancer in pre- and post-menopausal women.

From: Endogenous hormones and risk of invasive breast cancer in pre- and post-menopausal women: findings from the UK Biobank

 

Cases

Total

HR (95% CI)a

HR (95% CI)b

HR (95% CI)c

HR (95% CI)d

HR (95% CI)e

pheterogeneity

Total testosterone, per 0.5 nmol/L increment

  Pre-menopausal

527

30,565

1.02 (0.94, 1.12)

1.02 (0.93, 1.12)

1.03 (0.94, 1.12)

1.01 (0.92, 1.11)

1.03 (0.92, 1.16)

0.03

  Post-menopausal

2997

133,294

1.19 (1.14, 1.23)

1.19 (1.14, 1.23)

1.17 (1.12, 1.21)

1.16 (1.12, 1.21)

1.18 (1.14, 1.23)

 

Calculated free testosterone, per 10 pmol/L increment

  Pre-menopausal

527

30,565

1.00 (0.89, 1.13)

1.01 (0.89, 1.13)

1.02 (0.90, 1.16)

0.97 (0.84, 1.12)

0.97 (0.78, 1.20)

0.009

  Post-menopausal

2997

133,294

1.32 (1.26, 1.39)

1.32 (1.26, 1.39)

1.27 (1.20, 1.33)

1.25 (1.18, 1.32)

1.31 (1.23, 1.40)

 

SHBG, per 30 nmol/L increment

  Pre-menopausal

527

30,565

0.98 (0.88, 1.08)

0.96 (0.87, 1.07)

0.94 (0.84, 1.06)

0.97 (0.86, 1.09)

0.96 (0.79, 1.15)

0.4

  Post-menopausal

2997

133,294

0.83 (0.79, 0.87)

0.83 (0.79, 0.88)

0.89 (0.84, 0.94)

0.90 (0.85, 0.95)

0.89 (0.84, 0.94)

 

IGF-1, per 5 nmol/L increment

  Pre-menopausal

527

30,565

1.14 (1.03, 1.25)

1.13 (1.03, 1.24)

1.13 (1.02, 1.24)

1.12 (1.02, 1.24)

1.18 (1.03, 1.36)

0.2

  Post-menopausal

2997

133,294

1.07 (1.02, 1.11)

1.06 (1.02, 1.11)

1.08 (1.04, 1.12)

1.05 (1.01, 1.10)

1.07 (1.01, 1.12)

 

Total oestradiol, per 400 pmol/L increment

  Pre-menopausal

527

30,565

1.00 (0.88, 1.14)

0.99 (0.86, 1.13)

0.98 (0.86, 1.13)

0.99 (0.86, 1.13)

Calculated free oestradiol, per 5 pmol/L increment

  Pre-menopausal

527

30,565

1.04 (0.90, 1.20)

1.03 (0.89, 1.19)

1.04 (0.90, 1.20)

1.03 (0.89, 1.19)

  1. aHazard ratios stratified for age group, region and deprivation and adjusted for age (underlying time variable).
  2. bAs above + adjusted for ethnicity, educational level, smoking, alcohol, physical activity, regular menstrual cycle (pre-menopause), parity, age at first birth, time since OCP use, age at menopause (post-menopause), time since HRT use (post-menopause), presence of endocrine disorders and family history of breast cancer.
  3. cAs above + adjusted for BMI.
  4. dAs above + adjusted for other hormones and SHBG.
  5. eAs above + corrected for regression dilution using repeat measures except for total and calculated free oestradiol.