RT Journal Article T1 Long-term weight change and risk of breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) study A1 Ellingjord-Dale, Merete A1 Christakoudi, Sofia A1 Weiderpass, Elisabete A1 Panico, Salvatore A1 Dossus, Laure A1 Olsen, Anja A1 Tjonneland, Anne A1 Kaaks, Rudolf A1 Schulze, Matthias B. A1 Masala, Giovanna A1 Gram, Inger T. A1 Skeie, Guri A1 Rosendahl, Ann H. A1 Sund, Malin A1 Key, Tim A1 Ferrari, Pietro A1 Gunter, Marc A1 Heath, Alicia K. A1 Tsilidis, Konstantinos K. A1 Riboli, Elio A1 Jose Sanchez, Maria A1 Chirlaque Lopez, Maria Dolores A1 Peppa, Eleni A1 Trichopoulou, Antonia A1 Martimianaki, Georgia A1 Agudo, Antonio A1 Santiuste, Carmen A1 Ardanaz, Eva A1 Amiano, Pilar A1 Boutron-Ruault, Marie-Christine A1 Simeon, Vittorio A1 Berrino, Franco A1 Tumino, Rosario A1 Severi, Gianluca A1 Stocks, Tanja A1 Turzanski-Fortner, Renee A1 Aleksandrova, Krasimira A1 Rylander, Charlotta A1 Aune, Dagfinn A1 Dahm, Christina C. K1 long-term weight change K1 breast cancer K1 cohort study K1 Anthropometric measures K1 Postmenopausal women K1 Early adulthood K1 Body fatness K1 Sex steroids K1 Validity K1 Gain K1 Overweight K1 Menopause K1 Obesity AB Background: The role of obesity and weight change in breast-cancer development is complex and incompletely understood. We investigated long-term weight change and breast-cancer risk by body mass index (BMI) at age 20 years, menopausal status, hormone replacement therapy (HRT) and hormone-receptor status.Methods: Using data on weight collected at three different time points from women who participated in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, we investigated the association between weight change from age 20 years until middle adulthood and risk of breast cancer.Results: In total, 150 257 women with a median age of 51 years at cohort entry were followed for an average of 14 years (standard deviation = 3.9) during which 6532 breast-cancer cases occurred. Compared with women with stable weight (+/- 2.5 kg), long-term weight gain >10 kg was positively associated with postmenopausal breast-cancer risk in women who were lean at age 20 [hazard ratio (HR) = 1.42; 95% confidence interval 1.22-1.65] in ever HRT users (HR = 1.23; 1.04-1.44), in never HRT users (HR = 1.40; 1.16-1.68) and in oestrogen-and-progesterone-receptor-positive (ERthornPRthorn) breast cancer (HR = 1.46; 1.15-1.85).Conclusion: Long-term weight gain was positively associated with postmenopausal breast cancer in women who were lean at age 20, both in HRT ever users and non-users, and hormone-receptor-positive breast cancer. PB Oxford univ press SN 0300-5771 YR 2021 FD 2021-03-23 LK https://hdl.handle.net/10668/24657 UL https://hdl.handle.net/10668/24657 LA en DS RISalud RD Apr 8, 2025