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Yet, the associations between abdominal visceral (VAT) and subcutaneous adipose tissue (SAT) with BCa are unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We assessed BCa associations with abdominal VAT and SAT in a prospective cohort of postmenopausal women without a history of cancer and with 27\u2009years follow-up (N\u2009=\u20099950), during which all new cancers were adjudicated. Dual-energy x-ray absorptiometry scans assessed adiposity at baseline, year 3, and year 6. Competing-risks multivariable sub-hazard ratios (SHR), with adjustments for sociodemographic, behavioral, reproductive, and anthropometric characteristics, were estimated for baseline and time-dependent associations between VAT, SAT, and incident BCa.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants averaged 63.3\u2009\u00b1\u20097.4\u2009years of age and a BMI of 28.20\u2009\u00b1\u20095.72\u2009kg\/m2 at baseline. The models included 738 incident BCa case patients (N\u2009=\u2009593 invasive; N\u2009=\u2009145 in situ). Baseline VAT and SAT area were associated with statistically significantly increased BCa risk, by 36% and 19%, respectively. Increasing VAT\/SAT ratio was associated with an 8% increase in incident BCa. Time-dependent models produced similar results. VAT and VAT\/SAT associated BCa risk was highest for African American\/Black women, although not statistically significantly different from other groups. Quartiles (Q) of VAT\/SAT were also explored; the SHR for Q4 compared with Q1 was 1.49 (95% CI = 1.18 to 1.87).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Higher abdominal VAT and SAT are associated with an increased risk of postmenopausal BCa, and VAT\/SAT may provide a distinctive risk estimate. Potential racial and ethnic differences require replication in a larger sample (Women\u2019s Health Initiative; NCT00000611; https:\/\/clinicaltrials.gov\/study\/NCT00000611).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jncics\/pkaf007","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T18:06:26Z","timestamp":1737655586000},"source":"Crossref","is-referenced-by-count":11,"title":["Abdominal visceral and subcutaneous adipose tissue associations with postmenopausal breast cancer incidence"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9868-1574","authenticated-orcid":false,"given":"Jennifer W","family":"Bea","sequence":"first","affiliation":[{"name":"Department of Health Promotion Sciences, University of Arizona , Tucson, AZ 85724,","place":["United 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85724,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4040-4056","authenticated-orcid":false,"given":"Robert M","family":"Blew","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, University of Arizona , Tucson, AZ 85724,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8850-1576","authenticated-orcid":false,"given":"Kimberly E","family":"Lind","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation and Policy, US Department of Veterans Affairs , Tucson, AZ 85723,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5803-310X","authenticated-orcid":false,"given":"Bette J","family":"Caan","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Division of Research , Oakland, CA 94612,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-6579","authenticated-orcid":false,"given":"Denise J","family":"Roe","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, University of Arizona , Tucson, AZ 85724,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas E","family":"Rohan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine , Bronx, NY 10461,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine W","family":"Reeves","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts , Amherst, MA 01003,","place":["United 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