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A total of 197 women (17.6%) reported receiving a diagnosis of BBD by a physician. Higher body mass index at age 7 years was inversely associated with BBD risk. Rapid weight gain from age 1 year to 4 years, defined as an increase of least 2 major percentiles (e.g., 5th, 10th, 25th, 50th, 75th, and 95th) relative to stable growth, defined as remaining within 2 percentiles, was also inversely associated with BBD (odds ratio (OR) = 0.51, 95% confidence interval (CI): 0.23, 1.15). In contrast, rapid weight gain in infancy was positively associated with BBD relative to stable growth (from 0 to 4 months, OR = 1.65, 95% CI: 1.04, 2.62; from 4 to 12 months, 1.85, 95% CI: 0.89, 3.85), independent of birth weight, which was not associated with BBD. Our results suggest that patterns of early-life weight gain are important to BBD risk. Thus, susceptibility to BBD, like susceptibility to breast cancer, might start in early life.<\/jats:p>","DOI":"10.1093\/aje\/kwz126","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T15:31:47Z","timestamp":1557847907000},"page":"1646-1654","source":"Crossref","is-referenced-by-count":6,"title":["Early-Life Growth and Benign Breast Disease"],"prefix":"10.1093","volume":"188","author":[{"given":"Mandy","family":"Goldberg","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara A","family":"Cohn","sequence":"additional","affiliation":[{"name":"Child Health and Development Studies, Public Health Institute, Berkeley, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren C","family":"Houghton","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, 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