Environment and Breast Cancer: Science Review
 
	Limited association between a catechol-O-methyltransferase (COMT) polymorphism and breast cancer risk in Japan. [see comment]
	Hamajima, N., Matsuo, K., Tajima, K., Mizutani, M., Iwata, H., Iwase, T., Miura, S., Oya, H., Obata, Y. International Journal of Clinical Oncology. 2001. 6:1, 13-8.
 
	 Topic area
Body size - Genetic variability
Body size - Genetic variability
	 Study design
Hospital-based case-control study
Hospital-based case-control study
	 Funding agency
Other: Ministry of Education, Science, Sports, and
Other: Ministry of Education, Science, Sports, and
 
Study Participants
	 Number of Cases
150
150
	 Menopausal Status
	
Post menopausal
 The menopausal status of women included in this study is listed here.
	Pre menopausalPost menopausal
	 Participant selection: Inclusion and exclusion criteria
	
 Criteria used to select participants in the study.
	Histopathologically confirmed prevalent cases recruited from cancer hospital.  Controls were non-cancer outpatients at same hospital seen for annual health check up or during same period
	 Exposures investigated
BMI, COMT allele frequency, used PCR-RFLP
BMI, COMT allele frequency, used PCR-RFLP
	 How exposure was measured
Biological Questionnaire, self-administered
Biological Questionnaire, self-administered
	 Breast cancer outcome investigated
Primary breast cancer
Primary breast cancer
	 Ethnic groups with separate analysis
	
 If this study provided a separate analysis by ethnic or racial group, the groups are listed here.
	No
	 Confounders considered
	
 Other breast cancer risk factors, such as family history, age at first birth, and hormone replacement therapy use, that were taken into account in the study.
	Adequately controlled
	 Genetic characterization included
	
 If the study analyzed relationships between environmental factors and inherited genetic variations, this field will be marked “Yes.” “No”, if not.
	Yes
	 Description of major analysis
Logistic regression analysis of COMT genotype and breast cancer, including effect modification by BMI
Logistic regression analysis of COMT genotype and breast cancer, including effect modification by BMI
	 Strength of associations reported
In the full sample, age-adjusted OR=1.46 (CI: 0.90-2.36) for heterozygotes and OR=0.99 (0.49-2.02) for the low activity homozygotes
In BMI<22, heterozygotes showed an OR=1.87 (CI: 0.92-3.78) and low activity homozygotes showed an OR=1.03 (CI:0.38-2.77)
In BMI >=22, heterzygotes showed an OR=1.29 (CI:0.62-2.70) and low activity homozygotes showed an OR=0.90 (CI: 0.28-2.85)
In the full sample, age-adjusted OR=1.46 (CI: 0.90-2.36) for heterozygotes and OR=0.99 (0.49-2.02) for the low activity homozygotes
In BMI<22, heterozygotes showed an OR=1.87 (CI: 0.92-3.78) and low activity homozygotes showed an OR=1.03 (CI:0.38-2.77)
In BMI >=22, heterzygotes showed an OR=1.29 (CI:0.62-2.70) and low activity homozygotes showed an OR=0.90 (CI: 0.28-2.85)
 
	 Controls participation rate
Not reported
Not reported

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