Study
Human FactorsHigh ImpactStrong effect

Body Mass Index (BMI) and Waist-to-Hip Ratio Correlate with Increased Breast Cancer Risk in Postmenopausal Women

Higher body mass index (BMI) and increased waist and hip circumferences are associated with a greater risk of breast cancer in postmenopausal women.

International Journal of Cancer · 2005

01

Key Findings

  • 01Breast cancer risk was positively related to BMI, waist circumference, and hip circumference.
  • 02The increased breast cancer risk associated with adiposity was substantially reduced after adjustment for estrogens, particularly free estradiol (fE2).
  • 03A modest attenuation in excess risk was observed after adjustment for free testosterone (fT), but other androgens had little effect.
  • 04The relationship between adiposity and breast cancer in postmenopausal women could be partially explained by increases in endogenous estrogens and a decrease in SHBG levels.
02

Application

Design takeaway

Designers should recognize that fundamental human physical characteristics, like body composition, are directly linked to significant health risks, influencing the design of health-related products, services, and information.

How to apply

In designing health apps or wearable devices, incorporate features that track and analyze BMI, waist, and hip measurements, providing users with insights into their potential health risks and suggesting lifestyle adjustments.

Project actions

  • 01When researching health-related products, consider how anthropometric data can be used to personalize user experiences or risk assessments.
  • 02Explore how design can visually represent complex health data, like hormone levels and their correlation with physical measurements.
03

Method & Evidence

AimTo investigate the extent to which changes in endogenous sex steroids explain the relationship between excess body weight and breast cancer risk in postmenopausal women.
MethodCase-control study nested within a large prospective cohort.
ProcedureResearchers collected anthropometric data (height, weight, waist and hip circumferences) and serum hormone levels (testosterone, androstenedione, DHEAS, estradiol, estrone, SHBG, and calculated free testosterone and estradiol) from postmenopausal women. They then analyzed the association between these measurements and breast cancer risk, adjusting for hormone levels.
Sample613 breast cancer cases and 1,139 matched controls
ContextHealth and medical research, specifically focusing on risk factors for breast cancer in postmenopausal women.

Variables

IV["Body Mass Index (BMI)","Waist circumference","Hip circumference","Endogenous sex steroids (estradiol, testosterone, etc.)","Sex-hormone binding globulin (SHBG)"]
DV["Breast cancer risk"]
CV["Menopausal status","Age (implied by matching controls)"]
04

Strengths & Limitations

Strengths

  • +Large sample size providing statistical power.
  • +Nested case-control design within a prospective cohort allows for robust analysis of risk factors.

Limitations

This study is observational, meaning it shows correlation but not direct causation. The specific hormonal pathways are complex and may vary between individuals.

Reliability & validity

The study's reliability is supported by its large sample size and nested case-control design within a well-established cohort (EPIC). Validity is enhanced by the use of objective measurements (anthropometrics, serum levels) and statistical adjustments for confounding factors.

Think critically

How might the design of everyday objects or environments inadvertently influence anthropometric measures and, consequently, health risks?

05

Design Principles

"Human physical characteristics are integral to health outcomes and should be considered in the design of health-related interventions and products."

This finding highlights the significant impact of anthropometric measurements on health outcomes, particularly for postmenopausal women. Understanding these correlations can inform preventative health strategies and guide the development of lifestyle interventions.

06

What This Means for Your Design

Being overweight or having a larger waist/hip size makes postmenopausal women more likely to get breast cancer, mainly because of higher estrogen levels.

How to use in your project

  • 1.Reference this study when discussing the importance of anthropometric data in user research for health-focused design projects.
  • 2.Use the findings to justify the inclusion of specific measurement tracking features in a product design.
07

Add to My Project

08

Quick Cite

(2005). Anthropometric measures, endogenous sex steroids and breast cancer risk in postmenopausal women: A study within the EPIC cohort. International Journal of Cancer. https://doi.org/10.1002/ijc.21730 Retrieved from https://designdex.org/study/1efac76e-ada7-40d4-aef1-ab1ffc846e3b/body-mass-index-bmi-and-waist-to-hip-ratio-correlate-with-increased-breast-cancer-risk-in-postmenopausal-women

Paragraph starter

Research indicates a significant correlation between anthropometric measures such as Body Mass Index (BMI), waist circumference, and hip circumference, and an increased risk of breast cancer in postmenopausal women. This association is partially mediated by elevated levels of endogenous estrogens and reduced levels of sex-hormone binding globulin (SHBG), underscoring the importance of physical characteristics in health risk assessment.

09

Source

International Journal of Cancer

Anthropometric measures, endogenous sex steroids and breast cancer risk in postmenopausal women: A study within the EPIC cohort

journal · 2005

View source

Questions about this research

What does the research say about body mass index (bmi) and waist-to-hip ratio correlate with increased breast cancer risk in postmenopausal women?
Designers should recognize that fundamental human physical characteristics, like body composition, are directly linked to significant health risks, influencing the design of health-related products, services, and information. Evidence: International Journal of Cancer (2005).
Why does "Body Mass Index (BMI) and Waist-to-Hip Ratio Correlate with Increased Breast Cancer Risk in Postmenopausal Women" matter for design?
This finding highlights the significant impact of anthropometric measurements on health outcomes, particularly for postmenopausal women. Understanding these correlations can inform preventative health strategies and guide the development of lifestyle interventions.
How can designers apply this research?
Designers should recognize that fundamental human physical characteristics, like body composition, are directly linked to significant health risks, influencing the design of health-related products, services, and information.
What were the main findings?
Breast cancer risk was positively related to BMI, waist circumference, and hip circumference.. The increased breast cancer risk associated with adiposity was substantially reduced after adjustment for estrogens, particularly free estradiol (fE2).. A modest attenuation in excess risk was observed after adjustment for free testosterone (fT), but other androgens had little effect.. The relationship between adiposity and breast cancer in postmenopausal women could be partially explained by increases in endogenous estrogens and a decrease in SHBG levels.
What research method was used?
Case-control study nested within a large prospective cohort. with 613 breast cancer cases and 1,139 matched controls.
How strong is the evidence?
Evidence strength is rated Strong effect, based on a 2005 journal from International Journal of Cancer.
What should I do differently in my next project?
In designing health apps or wearable devices, incorporate features that track and analyze BMI, waist, and hip measurements, providing users with insights into their potential health risks and suggesting lifestyle adjustments.
What are the limitations?
The study focused on postmenopausal women, so findings may not be generalizable to premenopausal women. The study relies on self-reported data for some aspects, which can introduce bias. The precise mechanisms linking hormones and cancer require further investigation.
Is there evidence that postmenopausal women affects design outcomes?
The study found that being overweight or having a larger waist and hip circumference increases the risk of breast cancer in postmenopausal women. This increased risk is largely due to higher levels of estrogen in the body, and to a lesser extent, testosterone, along with lower levels of SHBG. This finding highlights th Source: International Journal of Cancer (2005).
Where does this breast cancer research apply?
Health and medical research, specifically focusing on risk factors for breast cancer in postmenopausal women. It sits within human factors research on designdex.org.

Related research topics

postmenopausal women design research · evidence on postmenopausal women · does postmenopausal women improve design outcomes · breast cancer studies for designers · postmenopausal women and breast cancer findings · human factors research evidence