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Study","award":["HL099355"],"award-info":[{"award-number":["HL099355"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Excess body weight is an established cause of postmenopausal breast cancer, but it is unknown if weight loss reduces risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Associations between weight change and risk of breast cancer were examined among women aged 50\u2009years and older in the Pooling Project of Prospective Studies of Diet and Cancer. In 10 cohorts, weight assessed on three surveys was used to examine weight change patterns over approximately 10\u2009years (interval 1 median = 5.2\u2009years; interval 2 median = 4.0\u2009years). Sustained weight loss was defined as no less than 2 kg lost in interval 1 that was not regained in interval 2. Among 180\u00a0885 women, 6930 invasive breast cancers were identified during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with women with stable weight (\u00b12\u2009kg), women with sustained weight loss had a lower risk of breast cancer. This risk reduction was linear and specific to women not using postmenopausal hormones (&amp;gt;2\u20134.5\u2009kg lost: hazard ratio [HR] = 0.82, 95% confidence interval [CI] = 0.70 to 0.96; &amp;gt;4.5\u2013&amp;lt;9 kg lost: HR\u2009=\u20090.75, 95% CI = 0.63 to 0.90; \u22659 kg lost: HR\u2009=\u20090.68, 95% CI = 0.50 to 0.93). Women who lost at least 9 kg and gained back some (but not all) of it were also at a lower risk of breast cancer. Other patterns of weight loss and gain over the two intervals had a similar risk of breast cancer to women with stable weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results suggest that sustained weight loss, even modest amounts, is associated with lower breast cancer risk for women aged 50\u2009years and older. Breast cancer prevention may be a strong weight-loss motivator for the two-thirds of American women who are overweight or obese.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jnci\/djz226","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T15:09:52Z","timestamp":1576076992000},"page":"929-937","source":"Crossref","is-referenced-by-count":91,"title":["Sustained Weight Loss and Risk of Breast Cancer in Women 50 Years and Older: A Pooled Analysis of Prospective Data"],"prefix":"10.1093","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2419-8536","authenticated-orcid":false,"given":"Lauren R","family":"Teras","sequence":"first","affiliation":[{"name":"Epidemiology Research Program, American Cancer Society, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alpa V","family":"Patel","sequence":"additional","affiliation":[{"name":"Epidemiology Research Program, American Cancer Society, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology"},{"name":"Department of Biostatistics"},{"name":"Harvard T. 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Chan School of Public Health, Boston, MA; Channing Division of Network Medicine, Department of Medicine, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiaw-Shyuan","family":"Yaun","sequence":"additional","affiliation":[{"name":"Department of Biostatistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Anderson","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick","family":"Brathwaite","sequence":"additional","affiliation":[{"name":"Department of Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bette J","family":"Caan","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente of Northern California, Oakland, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Population Health and Environmental Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avonne E","family":"Connor","sequence":"additional","affiliation":[{"name":"New York University School of Medicine, New York, NY; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A Heather","family":"Eliassen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology"},{"name":"Harvard T. 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