Skip to main content

Table 1 Study characteristics of included studies for systematic review and meta-analysis (n=75)

From: Association of reproductive risk factors and breast cancer molecular subtypes: a systematic review and meta-analysis

First Author, year

Study Design

Study Period

Sample size

Exposure

Outcome of interest

Estimates

Covariates

Abubakar, 2018 [20]

Case-case

2003–2016

3,012 cases

Menarche, parity, breastfeeding, age at first full pregnancy

Luminal B-like, HER2 enriched BC, TN BC

OR (95% CI)

Ethnicity, Menarche, Parity and BF, Age at FFP, Family History, BMI

Ambrosone, 2014 [21]

Case–control

2002–2008

917 (1,015 controls)

Breastfeeding, lactation, parity

TN BC

OR (95% CI)

Number of live births, breastfeeding, months breastfeeding, parity and lactation

Atkinson, 2016 [22]

Case–control

2004–2012

224 (396 controls)

Age at menarche, parity, age at first pregnancy, breastfeeding history, menopausal status

TN BC, HER2neu + BC, Luminal

OR (95% CI)

Age, age of menarche, parity, number of children, nulliparous, age at first pregnancy, breast-feeding history, body mass index, smoking history, menopausal status, breast cancer family history

Beaber, 2014 [23]

Case–control

2004–2010

985 cases (882 controls)

Lifetime duration of OC use, OC: current use vs. Never, Duration of OC use in the prior 5 years, time since last use, age at first use

ER-/HER2 + BC, TH BC, ER + , ER-

OR (95%CI)

Lifetime duration of OC use, OC: current use vs. Never, Duration of OC use in the prior 5 years, time since last use, age at first use

Benefield, 2021 [24]

Case–control and Case-case

1993–2013

2,354 cases (2,932 controls)

Age at menarche, age at first full-term birth, parity and breastfeeding, lifetime breastfeeding duration, OC use

ER-/HER2 + BC, Luminal B BC, Basal-like BC

OR (95%CI)

Age at menarche, age at first full-term birth, parity and breastfeeding, lifetime breastfeeding duration, OC use, BMI, WHR

Bethea, 2015 [25]

Case–Control

1995–2015

494 (10,044 controls)

OC use

TN BC and all other subtypes

OR (95% CI)

Never users, ever users, OC recency, OC duration, joint OC exposure

Brandao, 2021 [26]

Case–control

2015–2017

138 cases (638 controls)

Parity, number of live births

HR- BC, HR + BC, HR + /HER2-, HER2 + BC, TN BC

aOR (95%CI)

Parity, number of live births

Brouckaert, 2017 [27]

Case -control and Case-case

N/A

11, 328 cases

Age at menarche, Age at FFTP, Parity

Luminal B-like, Luminal HER2-like, HER2-like, TNBC, HER2 + BC

OR (95% CI)

Parity, age at menarche, age at FFTP

Cerne, 2012 [28]

Case control

2006–2008

784 (709 controls)

Age at Menarche, Full-term pregnancy, Breastfeeding, Age at first full-term pregnancy, Duration of OC use (years), Duration of HRT use (years)

HER2 + BC, HER2- BC

OR (95% CI)

Body mass index, age at menarche, full-term pregnancy, breastfeeding, age at first full-term pregnancy, infertility treatment, duration of OC use, Duration of HRT, Regimen of HRT, Number of mammograms, first-degree relative with breast and/or ovarian cancer, smoking, alcohol consumption

Chauhan R., 2020 [29]

Cohort

Jan – Dec 2019

446 cases

Menopausal status

Luminal A BC, Luminal B BC, Her2 overexpression BC, TN BC

N (%)

Menopausal status

Chen, 2016 [30]

Case-case

2004–2012

2,710 cases

Number of full-term pregnancies, Age at first full time pregnancy, Age at menopause, Ever breast fed a child, Breastfeeding duration,

Luminal B BC, TN BC, HER2-overexpressing BC

OR (95% CI)

Number of full-term pregnancies, Age at first full time pregnancy, Age at menopause, Age at menarche, Ever breast fed a child, Breastfeeding duration

Collins L.C, 2015 [31]

Cohort

2006-2015

707 cases 

Parity, time since last pregnancy

Luminal A BC, Luminal B BC, HER2 overexpressing BC, TN BC

N (%)

Parity, time since last pregnancy

Cruz, 2013 [32]

Case-case

2007–2010

627 cases

Time since last full-term pregnancy

HER2 + BC

OR (95% CI)

Time since last full-term pregnancy

Cui, 2014 [33]

Case–control

2001–2011

2,510 cases

HRT use BMI < 25

Luminal A BC, Luminal B BC, HER2 overexpression BC, TN BC

OR (95% CI)

HRT use, Hysterectomy with/w/o bilateral oophorectomy

De Mulder, 2018 [34]

Cohort study

2000–2009

1,306 cases

Time since last pregnancy

Luminal A-like BC, Luminal B-like BC, Luminal HER-2 BC, HER-2-like BC

OR (95% CI)

Time since last pregnancy

Devi, 2012 [35]

Case-case

1998–2009

1,034 cases

Menopausal status, Age at menopause, Age at menarche, Parity, Average duration of breastfeeding (months)

HER2-overexpressing BC, TN BC

OR (95% CI)

Ethnicity, age at diagnosis, menopausal status, age at menopause, familial history, age at menarche, parity, average duration of breastfeeding (months), BMI, BMI premenopausal, BMI postmenopausal

Dogan, 2011 [36]

Case–control

N/A

500 cases

HRT, Lactation, Age at menopause, Age at menarche

Luminal B BC, HER + BC, TN BC

OR (95% CI)

HRT, Tumor size, BMI, IDC, ILC, ILC-ITC, Axillary involvement, Lactation, age at menopause, age at menarche, age

Dolle, 2009 [37]

Case–control study

1983–1992

1,286 cases

Age at menarche, Number of live births, Age of first birth, Lactation, Abortion, OC use, OC duration

HER2 + , HER-, TN BC

OR (95% CI)

Age, race, education, annual income, family history of breast cancer, BMI, smoking, alcohol use, age at menarche, number of live births, age at first birth, lactation, abortion, OC use, OC duration, age at first use, years since first use, years since last use

Ellingjord-Dale, 2017 [38]

Case–control

2006 to 2014

6,471 (32,355 controls)

Age at first birth, Number of pregnancies lasting 6 + mos, breastfeeding duration in parous women, menopausal status, age at menopause, age at start of OC use, duration of OC, age at start of intrauterine device, duration of intrauterine device yrs, HT use, duration of HT use yrs, duration of estrogen and progesterone use yrs

Luminal A BC, Luminal B like-HER2- BC, Luminal B like-HER2 + BC, HER2 overexpressing BC, TN BC

OR (95% CI)

Age at first birth, number of pregnancies lasting 6 + months, parous women duration of breast feeding (months), menopausal status, age at menopause, age at start of OC (years), duration of OC (years), age at start of intrauterine device (years), duration of intrauterine device (years), HT use, duration of HT (years), Duration of estrogen and progesterone therapy (years)

Fortner, 2019 [16]

Case-case

1976–2013

12,452 cases

Parity/breastfeeding

Luminal A BC, Luminal B BC, HER2-enriched BC, Basal-like BC

HR (95% CI)

Nulliparous, parous women never breastfed, parous women ever breastfed

Gaudet, 2011 [39]

Case–control

1980–1982

890 (3,432 controls)

Age at menarche, Nulliparous, Age at first birth per 5 years (among parous), Month of breastfeeding per 6 months (among parous), Ever use of OC

Luminal A BC, Luminal B BC, Her-2/neu + BC, TN BC

OR (95% CI)

Age at diagnosis, age at menarche, nulliparous, age at first birth per 5 years (among parous), months of breastfeeding per 6 months (among parous), BMI per WHO category (by menopausal status), benign breast disease, positive family history of breast cancer

Gaudet, 2018 [40]

Case-case

1990–2006

11,741 (606,025 controls)

Parity, Age at first live birth among parous women, age at menarche, age at menopause, ever use of OC

Luminal A BC, Luminal B BC, HER2-enriched BC, TN BC

HR (95% CI)

Parity, number of live births among parous women, age at live birth among parous women, age at menarche, years between menarche and first birth among parous women, age at menopause, ever use of oral contraceptives, first-degree family history of breast cancer, personal history of benign breast disease, BMI

Giudici, 2017 [41]

Case–control

2006–2014

286 (578 controls)

Age at menarche, OC use, breastfeeding duration

Luminal A BC, Luminal B BC

OR (95% CI)

Age at menarche, BMI, Oral contraceptive use, benign breast disease, family history of breast cancer, breastfeeding duration

Holm, 2017 [42]

Case–control

2011–2013

2,632 (15,945 controls)

Parity, age at first birth parous women only, Breastfeeding, parous women only, Breastfeeding including all women

Luminal A BC, Luminal B BC, HER2-overexpressing BC, Basal-like BC

OR (95% CI)

Parity, age at first birth, breastfeeding, breastfeeding all women

Horn, 2014 [43]

Case-case

1961–2008

21,532 cases

Age at menarche, Age at first birth, Nulliparous versus parous, Breastfeeding (ever versus never), Breastfeeding (total duration)

Luminal A, Luminal B (HER2-), Luminal B (HER2 +), HER 2 BC, Basal-like BC

HR (95% CI)

Age at menarche, Age at first birth, Nulliparous versus parous, Number of births among parous women, Breastfeeding (ever versus never), Breastfeeding (total duration)

Huang, 2000 [44]

Case–control

1993—1996

577 cases (790 controls)

Age at menarche, age at FFTP yrs, age at FFTP yrs, Abortion/Miscarriage, Breastfeeding, OC use, HRT

HER-2/neu + BC, HER-2/neu- BC

OR (95% CI)

Age at menarche, nulliparity/age at first full-term pregnancy, abortion or miscarriage, breastfeeding, oral contraceptive use, hormone replacement therapy, body mass index, waist:hip ratio, first degree family history of breast or ovarian cancer, medical radiation to the chest, alcohol drinking during most recent age range, smoking, education

Ihemelandu CU, 2007 [45]

Cohort

1998–2005

372 cases

Menopausal status

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

N (%)

Menopausal status

Islam, 2012 [46]

Case–control

2003–2005

706 cases (1,412 controls)

Age at menarche, parity, Age at first live birth years, Breastfeeding history, age at menopause

HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, parity, age at first live birth, breastfeeding history, age at menopause

Jeong S.H., 2017 [47]

Case–control

2004–2012

25,778 cases (101,017 controls)

Number of children, Breastfeeding duration

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95%CI)

Parity, number of childbirths, breastfeeding, breastfeeding duration

John, 2018 [48]

Case–control

1995–2009

558 cases (5,111 controls)

Age at menarche, Parity by history of breastfeeding, Parity (number of FTPs), Duration of breast-feeding (months), Parity by breast-feeding duration (months)

TN BC

OR (95% CI)

Age at menarche, parity by history of breastfeeding, parity (number of FTPs), duration of breastfeeding (months), parity by breast-feeding duration (months)

Kwan, 2009 [49]

Case-case

1997–2008

2,544 invasive BC cases

Menopausal status, Age at first full-term pregnancy yrs, parity, Lifetime duration of breastfeeding, Parity among never breastfed, Parity among >  = 4 mos breastfed, HRT (postmenopausal only), OC use

Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age at diagnosis, race/ethnicity, menopausal status, family history, age at first full-term pregnancy, parity, lifetime duration of breastfeeding, parity among breastfed, parity among 0 to 3 months breastfed, parity among >  = 4 months breastfed, alcohol use, smoking history, hormone replacement therapy (postmenopausal only), oral contraceptive use, BMI, BMI among premenopausal, BMI among postmenopausal

Lee, 2011 [50]

Case-case

1998–2003

1,167 cases

OC use, parity

TN BC

OR (95% CI)

Menarche, oral contraceptive use, parity, limited to women who had a full-term pregnancy, limited to premenopausal women

Lee, 2014 [51]

Cohort study

1993–2009

23,854 cases

Parity (yes vs no)

HER ± BC

OR (95% CI)

Age, breast operation, right/left, multiple tumors, Presence of LVI, NG, pT stage, pN stage, Stage, ER, PR, HER2

Lee, 2020 [52]

Case–control

2011–2018

2,169 cases

Age at menarche, age at first birth, menopausal status, Breastfeeding frequency, parity

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, age at first birth, menopausal status, breastfeeding frequency, parity, BMI

Li, 2013 [53]

Case–control

2004- 2010

1,025 cases (941 controls)

Age at menarche, pregnancy, number of live births, age at first live birth, Interval age at menarche-age at FLB, Age at most recent live birth, Time since last birth yrs, breastfeeding

HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, parity, number of live births, age at first live birth, interval between age at menarche and age at first live birth (parous women only), age at most recent live birth, years (parous women only), time since last live birth (years), parous women only), breastfeeding

Li, 2017 [9]

Case–control

2002 to 2010

1,256 cases (1,416 controls)

Menopausal status, Age at menarche, Age at first live birth, Breastfeeding, Age at first birth, Age at postmenopausal

Luminal BC, HER2-enriched BC, TN BC

OR (95% CI)

Age, menopausal status, age at menarche, age at first live birth, breastfeeding, age at post-menopause,

Lorona, 2019 [54]

Case-case

2004–2015

1,701 cases

OC use

Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

OC use

Ly M, 2012 [55]

Cohort

2008–2011

114 cases

Age of menarche, yrs, Number of full-term pregnancies, Breastfeeding duration, mos, OC use

RH + HER- BC, RH + HER + BC, TN BC

Mean (range)

Age of menarche, yrs, Number of full-term pregnancies, Breastfeeding duration, mos, OC use

Ma, 2010 [56]

Case–control

1994–1998

1,197 cases (2,015 controls)

OC use, Duration of OC use, Age at first use, Duration: menarche and first OC use yrs, Time since last OC use, No. of FTP, Age at FFTP, Duration of breastfeeding mos

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

OC use, Duration of OC use, Age at first use, Duration: menarche and first OC use yrs, Time since last OC use, No. of FTP, Age at FFTP, Duration of breastfeeding mos

Ma, 2017 [57]

Case–control

1994–2003

2,658 cases (2,448 controls)

Age at menarches, Number of completed pregnancies, Only non-completed pregnancy vs. Never, Age at first completed pregnancy, Duration of breastfeeding mos,

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, number of completed pregnancies, only non-completed pregnancy, age at first completed pregnancy, duration of breastfeeding

Mane, 2015 [58]

Cohort

2007–2012

521 cases

Menopausal status

Luminal B BC, HER2-enriched BC, TN BC

OR (95% CI)

Menopausal status, type of surgery, type of chemotherapy, tumor size, outcome (OS)

Martinez, 2013 [59]

Case-case

2007–2011

1,041 cases

Age at menarche, parity, Age at first full-term pregnancy, Time since last full-term pregnancy, Lifetime duration of breastfeeding, Breastfeeding duration per birth, Time from menarche to first pregnancy, Age at menopause, HRT, Hormone contraceptive use

HER2 + BC, TN BC

OR (95% CI)

Age at menarche, parity, age at first full-term pregnancy, time since last full-term pregnancy, lifetime duration of breastfeeding, breast feeding duration per birth, time from menarche to first pregnancy, age at menopause, HRT, Hormone contraceptive use

Millikan, 2008 [60]

Case–control

1993–2001

1,424 cases (2,022 controls)

Menopausal status, Age at menarche, Parity, Age at first full-term pregnancy, Lifetime duration lactation, OC use, HRT (postmenopausal women only), Number of children breastfed, Ave. number months breastfeeding per child, Lactation suppressant use, Parity and lactation, Parity and AFFTP,

HER2 + /ER- BC, Basal-like BC, Luminal A BC, Luminal B BC

OR (95% CI)

Age, race, menopausal status, family history, age at menarche, parity, age at first full-term pregnancy, lifetime duration lactation, alcohol use, smoking duration, oral contraceptive use, hormonal replacement therapy (postmenopausal women only), BMI, WHR

Nichols HB, 2005 [61]

Case–control

1993–1999

682 (649 controls)

Age at menarche, Parity, Age at FFTP, Cumulative lactation mos,

ER + BC, ER- BC, HER2/neu2 + BC, HER2/neu2- BC

OR (95%CI)

Age at menarche, Parity, Age at FFTP, Cumulative lactation mos, BMI

Palmer, 2014 [62]

Case–control

1993–2013

3,698 cases (14,180 controls)

Parity, number of births

TN BC

OR (95% CI)

Nulliparous, parous, number of births (among parous women only), Lactation, Lactation (number of births)

Park, 2016 [63]

Case–control

2001–2007

2,474 cases (3,163 controls)

Age at menarche, Age at menopause among postmenopausal women, Age at first birth among parous women, Period of breastfeeding among breast-fed women, OC use, Breast feeding duration, reproductive factors

Luminal A BC, Luminal B-HER2 Positive BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Family history of breast cancer, reproductive factors (age at menarche, age at menopause among postmenopausal women, age at first birth among parous women, period of breastfeeding among breast fed women, OC) Lifestyle factors (BMI among postmenopausal women, exercise, alcohol drinking)

Park, 2019 [64]

Cohort

1996–2015

158,189 cases

Parity

Luminal A BC, Luminal B (high Ki67), Luminal B (HER2 +), HER2, TN BC

HR (95% CI)

Parity

Phipps, 2008 [65]

Case–control

1997–2004

1,233 cases (1,476 controls)

Age of menarche, parity, No. of live births, Age at 1st live birth, Breastfeeding history, Age at menopause, Hormone therapy use

Luminal BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, parity, no. of live births, age at 1st birth, breastfeeding history, type of menopause, age at menopause, Hormone therapy use

Phipps, 2011 [66, 67]

Case–control

1993–1998

3,116 cases (150,529 controls)

Age at menarche, Age at menopause, Parity, Lifetime duration of use of OC, Age at first use of OC

TN BC

HR (95% CI)

Age at menarche, age at menopause, parity, parous women

Phipps, 2011 [66, 67]

Case–control

1999–2008

10,896 cases (732,727 controls)

Parity, Age at first birth

ER-/PR-/HER2 + BC, TN BC

HR (95% CI)

Parity, Age at 1st birth

Pilewskie, 2012 [68]

Case–control

1998–2011

175 parous, 114 nulliparous women

Parity, Excluding pregnant at diagnosis, Diagnosed when pregnant, Excluding lactating at diagnosis, Diagnosed when lactating, Excluding lactating within 6 months of diagnosis, Diagnosed within 6 months of lactating, Excluding diagnosed during or within 6 months of pregnancy, or while lactating, Diagnosed during or within 6 months of pregnancy, or while lactating

HER2 – BC, TN BC

OR (95% CI)

Time between pregnancy and BC diagnosis, Excluding pregnant at diagnosis, Diagnosed when pregnant, Excluding lactating at diagnosis, Diagnosed when lactating, Excluding lactating within 6 months of diagnosis, Diagnosed within 6 months of lactating, Excluding diagnosed during or wothin 6 months of pregnancy, or while lactating, Diagnosed during or within 6 months of pregnancy, or while lactating

Pizzato, 2020 [69]

Case-case

2008–2014

1,321 cases

Age at menarche, parity

Luminal BH- BC, Luminal BH + BC, HER2 + BC, TN BC

OR (95% CI)

Family history, Density BI-RADS, Education, Age at menarche, Parity

Rauh C, 2015 [70]

Cohort

1995–2008

2,587 cases

Age at menarche, Patients with completed FTP, Patients who had ever used HT, not a previous HT user

Luminal A BC, Luminal B BC, HER2 + BC, TN BC

N (%) mean + -SD

Age at menarche, Patients with completed FTP, Patients who had ever used HT, not a previous HT user

Redondo, 2012 [71]

Case-case

1997–2010

510 cases

Age at first full-term pregnancy, Age at menarche, Age at menopause, Menopausal status, Lifetime duration of breastfeeding, Parity, Parity <  = 2, Parity <  = 3

TN BC

OR (95% CI)

Age at first full term pregnancy, age at menarche, age at diagnosis, age at menopause, menopausal status, family history, lifetime duration of breastfeeding, parity

Rojas-Lima, 2020 [72]

Case–control

2007–2011

1,045 cases (1,030 controls)

Age at menarche, Age at first pregnancy, Number of pregnancies, Breastfeeding (months), Use of hormonal contraceptive methods, Age at menopause

HER2 + BC, HR + /HER2- BC, HER2 + /HR + BC, TN BC,

OR (95% CI)

Age at menarche, age at first pregnancy, number of pregnancies, breastfeeding (months), use of hormonal contraceptives, age at menopause, estrogenic index

Salagame U.G, 2018 [73]

Case–control

N/A

410 (324 controls)

Current MHT use vs. never

ER + , ER + PR + , Luminal A BC, Luminal B BC

aOR (95%CI)

Current MHT use vs. never

Sanderson, 2021 [74]

Case-case

2012–2018

2,188 cases

HT, age at menarche, OC, parity, age at first birth, breastfeeding, age at menopause

ER + /HER2- BC, HER2 + BC, TN BC

OR (95% CI)

HT, age at menarche, OC, parity, age at first birth, breastfeeding, age at menopause

Saxena, 2010 [19]

Cohort

1995–2006

2,857 invasive BC cases (54,010 controls)

Duration of HT use

ER + or PR + w/HER2 BC-, TN BC, ER + PR + BC, ER-PR- BC

OR (95% CI)

Duration of HT use

Shinde, 2010 [75]

Case-case

2001–2006

2,511 cases

Premenopausal status, HRT duration, HRT duration in postmenopausal women, HRT use, Breastfeeding duration per child, month, Age at menarche, Age at first full-term pregnancy, parity

TN BC

OR (95% CI)

Breastfeeding duration per child, ethnicity, age at diagnosis, age at menarche, age at first full-term pregnancy, parity, premenopausal, HRT duration, HRT use, family history

Sisti, 2016 [17]

Cohort

1976–2006

3,768 cases

Age of menarche, Parity (ever/never), Parity (categorical), Age at first birth, Breastfeeding, Age at menopause, Hormone therapy (HT) use, Time between menarche and first birth (22 yr increase), Duration of pre-menopause (1 yr increase), Duration of menopause (1 yr increase),

Luminal A BC, Luminal B BC, HER2-enrirched BC, Basal-like BC

HR (95% CI)

Age at menarche, parity (ever/never), parity (categorical), age at first birth, breastfeeding, age at menopause, hormone therapy use, Time between menarche and first birth, birth index, duration of pre-menopause, duration of menopause

Song, 2014 [76]

Case-case

2001–2007

3,058 cases

Age at menarche, Age at first pregnancy, Number of pregnancies, Number of children, Age at first full-term pregnancy among parous women, Breastfeeding among parous women, Duration of endogenous estrogen exposure before the first full-term pregnancy, years, Duration of total endogenous estrogen exposure years

HR- HER2- BC, HR + HER2 + 

OR (95% CI)

Age, family history of breast cancer, BMI, Age at menarche, number of children, age at first full-term pregnancy among parous women, breastfeeding among parous women, duration of endogenous estrogen exposure before first full-term pregnancy, duration of total endogenous estrogen exposure

Sung, 2016 [77]

Case–control

N/A

5,040 cases

Age at menarche, Parity, Age at first full-term pregnancy, Number of live births, Breastfeeding

Luminal A Basal BC

OR (95% CI)

Family history of breast cancer, age at menarche, parity, age at first full-term pregnancy, number of live births, breastfeeding, BMI

Sung, 2020 [78]

Case-case

2003–2015

2,977 cases

Parity, breastfeeding

HR Negative

OR (95% CI)

BMI, Parity/age at first birth, Breastfeeding

Tamimi, 2012 [18]

Case-case

1976–1996

2,022 cases

Age at menarche, Parity, Age at first birth, Age at menopause, Menopausal status/PMH use, Lactation

Luminal A BC, Luminal B BC, HER2 BC, Basal-like BC

RR (95% CI)

Age at menarche, BMI at age 18, Weight gain since 18, Parity, age at first birth, age at menopause, menopausal status/PMH use, alcohol consumption, lactation, family history of breast cancer

Trivers, 2009 [79]

Case–control

1990 and 1992

476 cases (913 controls)

Age at first birth, yrs, No. of FTB, Recency of birth yrs, Breastfeeding, breastfeeding mos, Age at menarche, yrs

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Race, age at diagnosis, education, poverty index, smoking status, alcohol, age at menarche, age at first birth, no of full-term births, recency of birth, breastfeeding, breastfeeding months, BMI, Physical activity-year before interview

Tsakountakis, 2005 [80]

Case–control

1996–2002

384 cases (566 controls)

Age at FFP, Abortion/miscarriage, OC use, Age at menarche, Use of estrogen

HER2/neu + BC, HER2/neu—BC

OR (95% CI)

Age at first full pregnancy, body mass index, abortion or miscarriage, first degree family history, use of oral contraceptives, age of menarche

Turkoz, 2013 [81]

Case-case

1983–2011

1,884 cases

Age at menarche, Age at menopause, Age at first full-term pregnancy, Number of children, Breastfeeding, OC use, HRT use, In vitro fertilization

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age, family history, blood type, use of hand, age at menarche, age at menopause, age at first full term pregnancy, number of children, breastfeeding, oral contraceptive use, HRT use, In vitro fertilization, obesity, smoking

Von Au, 2017 [82]

Case-case

2009–2014

1,082 cases

Number of children, Duration of breastfeeding, Age at first birth

Non-luminal BC vs. luminal like BC

OR (95% CI)

Number of children, duration of breastfeeding, age at diagnosis, BMI, Smoking behavior, age at first birth

Wang, 2020 [83]

Case–control

2012–2017

3,792 cases (4,182 controls)

Parity vs no parity, Number of live births, Age at first live birth, Breastfeeding (parous women),

Luminal A BC, Luminal B BC, HER2-enriched BC, TN BC

OR (95% CI)

Age of menarche, parity vs. no parity, number of live births, age at first live birth, breastfeeding (parous women)

Work M.E., 2014 [84]

Case-case

1995–2004

4,011 cases (2,997 controls)

High parity and breastfeeding, OC use commenced prior 1975, OC use, Parity, Breastfeeding duration, Parous, never breastfed vs. Nulliparous, Parous, ever breastfed vs. nulliparous

ER-PR- BC, HR + BC

OR (95% CI)

High parity and breastfeeding, OC use commenced prior 1975, OC use, Parity, Breastfeeding duration, Parous, never breastfed vs. Nulliparous, Parous, ever breastfed vs. nulliparous

Xing, 2010 [85]

Case–control

2001–2009

1,417 cases (1,587 controls)

Age of menarche, Parity, Breastfeeding, Age at first live birth, Menopausal status, Age at menopause, Spontaneous abortion, Induced abortion

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Age at menarche, parity, breastfeeding, age at first live birth, menopausal status, age at menopause, first-degree family history of breast cancer, hysteromyoma history, spontaneous abortion, induced abortion

Yang, 2007 [86]

Case–control

2000–2003

842 cases (2,502 controls)

Age at menarche (per 2 yr increase), Number of full-term births, Age at first full-term birth (per 5 yr increase), Age at menopause (per 5 yr increase)

Luminal A BC, Luminal B BC, HER2-overexpressing BC, Basal-like BC

OR (95% CI)

Age at menarche, number of fullterm births, age at first full term birth, age at menopause, BMI in premenopausal, BMI in postmenopausal, Family history

Ye, 2019 [87]

Case–control and Case-case

2014–2017

1,118 cases (2,284 controls)

History of abortion, History of spontaneous abortion, history of induced abortion, Menopausal status, Age at menopause

Luminal A BC, Luminal B BC, HER2-overexpressing BC, TN BC

OR (95% CI)

Menopausal status, age at menopause, history of abortion, history of spontaneous abortion, breast density, tumor location

Yuan X., 2009 [88]

Cohort

2004–2009

274 cases

Age at menarche yrs, Age at first live birth yrs, Age at menopause, Ever breastfeeding

HER2 + BC, HER2—BC

N(%) Mean ± SD

Age at menarche yrs, Age at first live birth yrs, Age at menopause, Ever breastfeeding

Zhang, 2019 [89]

Cohort

2004–2014

8,067 cases

Age of menarche, Number of pregnancy, Age at first full term pregnancy (years), Number of live births, Months of breastfeeding, Abortion, OC, HRT, menopause

Luminal B BC, HER2-enriched BC, Basal-like BC

OR (95% CI)

BMI, Age of menarche, number of pregnancy, age at first full term pregnancy, number of live births, months of breastfeeding, abortion, oral contraceptive, HRT, Menopause, Benign breast disease, smoking, alcohol drinking, negative events, first degree family history of breast cancer, breast density