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               <mods:identifier type="citation">Br J Cancer. 2021 Oct;125(8):1168-1176.</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/14199</mods:identifier>
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               <mods:abstract>Background:  Wthere are lifetime points of greater sensitivity to the deleterious effects of alcohol intake on the breasts remains inconclusive. Objective: To compare the influence of distinctive trajectories of alcohol consumption throughout a woman's life on development of breast cancer (BC). Methods: 1278 confirmed invasive BC cases and matched (by age and residence) controls from the Epi-GEICAM study (Spain) were used. The novel group-based trajectory modelling was used to identify different alcohol consumption trajectories throughout women's lifetime. Results: Four alcohol trajectories were identified. The first comprised women (45%) with low alcohol consumption (&lt;5 g/day) throughout their life. The second included those (33%) who gradually moved from a low alcohol consumption in adolescence to a moderate in adulthood (5 to &lt;15 g/day), never having a high consumption; and oppositely, women in the third trajectory (16%) moved from moderate consumption in adolescence, to a lower consumption in adulthood. Women in the fourth (6%) moved from a moderate alcohol consumption in adolescence to the highest consumption in adulthood (≥15 g/day), never having a low alcohol consumption. Comparing with the first trajectory, the fourth doubled BC risk (OR 2.19; 95% CI 1.27, 3.77), followed by the third (OR 1.44; 0.96, 2.16) and ultimately by the second trajectory (OR 1.17; 0.86, 1.58). The magnitude of BC risk was greater in postmenopausal women, especially in those with underweight or normal weight. When alcohol consumption was independently examined at each life stage, ≥15 g/day of alcohol consumption in adolescence was strongly associated with BC risk followed by consumption in adulthood. Conclusions: The greater the alcohol consumption accumulated throughout life, the greater the risk of BC, especially in postmenopausal women. Alcohol consumption during adolescence may particularly influence BC risk.</mods:abstract>
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                  <mods:topic>Alcohol consumption</mods:topic>
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                  <mods:topic>Breast cancer</mods:topic>
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               <mods:subject>
                  <mods:topic>Risk factor</mods:topic>
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                  <mods:title>Trajectories of alcohol consumption during life and the risk of developing breast cancer</mods:title>
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