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International Journal of Epidemiology
Article . 2022 . Peer-reviewed
License: OUP Standard Publication Reuse
Data sources: Crossref
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Body mass index rebound and pubertal timing in girls with and without a family history of breast cancer: the LEGACY girls study

Authors: Lauren C Houghton; Ying Wei; Tianying Wang; Mandy Goldberg; Alejandra Paniagua-Avila; Rachel L Sweeden; Angela Bradbury; +12 Authors

Body mass index rebound and pubertal timing in girls with and without a family history of breast cancer: the LEGACY girls study

Abstract

Abstract Background Heavier body mass index (BMI) is the most established predictor of earlier age at puberty. However, it is unknown whether the timing of the childhood switch to heavier BMI (age at BMI rebound) also matters for puberty. Methods In the LEGACY Girls Study (n = 1040), a longitudinal cohort enriched with girls with a family history of breast cancer, we collected paediatric growth chart data from 852 girls and assessed pubertal development every 6 months. Using constrained splines, we interpolated individual growth curves and then predicted BMI at ages 2, 4, 6, 8 and 9 years for 591 girls. We defined age at BMI rebound as the age at the lowest BMI between ages 2 and 8 years and assessed its association with onset of thelarche, pubarche and menarche using Weibull survival models. Results The median age at BMI rebound was 5.3 years (interquartile range: 3.6–6.7 years). A 1-year increase in age at BMI rebound was associated with delayed thelarche (HR = 0.90; 95% CI = 0.83–0.97) and menarche (HR = 0.86; 95% CI = 0.79–0.94). The magnitude of these associations remained after adjusting for weight between birth and 2 years, was stronger after adjusting for BMI at age 9, and was stronger in a subset of girls with clinically assessed breast development. Conclusions Earlier BMI rebound is associated with earlier pubertal timing. Our observation that BMI rebound may be a driver of pubertal timing in girls with and without a family history of breast cancer provides insight into how growth and pubertal timing are associated with breast cancer risk.

Country
United States
Keywords

puberty, Epidemiology, Breast Neoplasms, Growth, Body Mass Index, BMI, Clinical Research, adiposity rebound, Breast Cancer, Humans, Obesity, Breast, Preschool, Child, Cancer, Pediatric, Menarche, Prevention, Contraception/Reproduction, Statistics, Puberty, Child, Preschool, Public Health and Health Services, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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