Gabriela Torres-Mejía, Angélica Angeles Llerenas, Carolina Ortega-Olvera, Eduardo Lazcano-Ponce, Elad Ziv, José Pulido-Rodríguez, Manuel De Jesus García Solis, Efrén Murillo-Zamora, Julia Vázquez-Lara, Isabelle Romieu
To evaluate the association between self-reported diabetes and the risk of breast cancer (BC) and its interaction with moderate-intensity physical activity in pre- and postmenopausal Mexican women. A population-based case-control study was conducted using 1,000 incident case subjects and 1,074 control subjects. Blood samples and information on health, diet, physical activity, and anthropometric measurements were obtained. The association between diabetes and BC risk decreased with increasing tertiles of moderate-intensity physical activity (odds ratio [OR] = 4.9 [95% CI 2.3-10.8]; 3.0 [1 .3-6.9]; and 1.0 [0.1-9.2], respectively, for each tertile) (test for interaction = 0.04). Compared with the women in the lowest tertiles, increased risk was observed in those premenopausal women with the highest serum C-peptide, IGF-1, and IGF-1 binding protein 3 levels. Moderate-intensity physical activity can substantially ameliorate the increased BC risk in diabetic women. [PUBLICATION ABSTRACT]
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