Research Article

Serum IGFBP-2 and Risk of Atypical Hyperplasia of the Breast

Table 4

Age- and multivariable-adjusted OR (95% CI) for associations between baseline level of IGFBP-2 and risk of atypical hyperplasia of the breast after stratification by hormone therapy (HT) use.

IGFBP-2 (µIU/mL)Co/CaModel 1 ORaModel 2 ORbCo/CaModel 3 ORc

Nonusers of HT
 Q1 28/381.0Ref.1.0Ref.25/351.0Ref.
 Q242/250.44 (0.21–0.95)0.47 (0.20–1.08)38/220.48 (0.20–1.15)
 Q343/450.65 (0.32–1.33)0.72 (0.33–1.60)40/410.66 (0.29–1.52)
 Q447/310.40 (0.19–0.83)0.38 (0.15–0.93)47/300.33 (0.13–0.86)
 Trend0.060.110.06
Unopposed estrogen users
 Q1 24/201.0Ref.1.0Ref.22/191.0Ref.
 Q211/192.16 (0.78–5.99)2.51 (0.87–7.23)8/172.42 (0.81–7.21)
 Q312/121.11 (0.38–3.24)1.27 (0.42–3.89)12/121.12 (0.36–2.49)
 Q412/110.67 (0.21–2.15)1.54 (0.42–5.62)12/111.37 (0.37–5.06)
 Trend0.280.790.94
Estrogen plus progestin users
 Q1 17/191.0Ref.1.0Ref.16/171.0Ref.
 Q216/251.60 (0.64–3.98)2.06 (0.79–5.38)15/252.00 (0.76–5.25)
 Q314/211.26 (0.45–3.52)1.43 (0.48–4.28)14/211.41 (0.47–4.24)
 Q49/91.00 (0.30–3.31)1.37 (0.38–5.00)9/91.29 (0.35–4.75)
 Trend0.700.910.85

Model 1 adjusted for age and BMI (<25, 25–<30, 30–<35, ≥35 kg/m2).
Model 2 additionally adjusted for serologic level of insulin, adiponectin, C-reactive protein, and tertile of estradiol.
Model 3 additionally adjusted for serologic level of insulin, adiponectin, C-reactive protein, and tertile of estradiol and restricted to those without a history of diabetes.