Publications by authors named "Lauren R Teras"

Obesity has been associated with non-Hodgkin lymphoma (NHL), but the evidence is inconclusive. We examined the association between genetically determined adiposity and four common NHL subtypes: diffuse large B-cell lymphoma (DLBCL), follicular lymphoma, chronic lymphocytic leukemia, and marginal zone lymphoma, using eight genome-wide association studies of European ancestry (N = 10,629 cases, 9505 controls) and constructing polygenic scores for body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-hip ratio adjusted for BMI (WHRadjBMI). Higher genetically determined BMI was associated with an increased risk of DLBCL [odds ratio (OR) per standard deviation (SD) = 1.

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Introduction: Excess body fatness is an established risk factor for various types of chronic disease and all-cause mortality. Most previous studies are based on body mass index (BMI) as a general measure of adiposity, but whether measures of central adiposity that better represent metabolically active visceral fat, such as waist-to-height ratio (WtHR), may be better at predicting disease and mortality risks is less known.

Materials And Methods: Data from a large, prospective cohort in the U.

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Background: A 2022 International Agency for Research on Cancer (IARC) Working Group concluded that occupational exposure as a firefighter causes mesothelioma and bladder cancer. Evidence for causality of other cancers was considered limited or inadequate, but methodologic limitations may have contributed to inconsistent or null findings from previous studies. The present analysis uses data from >470 000 men enrolled in a general population, prospective cohort to assess associations between occupation as a firefighter and cancer mortality.

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Background: Per- and polyfluoroalkyl substances (PFAS) are hypothesized to increase breast cancer risk; findings from prior studies are inconsistent, with many not considering subtypes.

Objectives: To evaluate associations between serum PFAS concentrations and breast cancer incidence, overall and by selected characteristics.

Methods: We conducted a case-cohort study among Cancer Prevention Study-II LifeLink Cohort female participants (mean age = 68) who developed breast cancer (n = 781) during follow-up (1998-2015) or were in a randomly selected subcohort (n = 498).

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Introduction: Research on neighborhood socioeconomic conditions and sleep and circadian health shows inconsistent findings. Small sample sizes and few sleep measures may have limited prior studies. In a large cohort, we examined the association between neighborhood deprivation and sleep and circadian health.

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Importance: Etiologic heterogeneity in breast carcinogenesis needs to be well characterized for targeted prevention. Associations between menopausal hormonal therapy (MHT) and oral contraceptive (OC) use and breast cancer intrinsic-like subtypes are not well understood.

Objective: To examine whether exogenous hormone use is differentially associated with breast cancer subtypes and to evaluate heterogeneity by intrinsic-like subtypes.

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Background: Oestrogen plus progestin hormone therapy is an established risk factor for breast cancer in postmenopausal women. We examined the less well-studied association between exogenous hormones and breast cancer in young women, who might use hormone therapy after gynaecological surgery or to relieve perimenopausal symptoms.

Methods: In this pooled cohort analysis, we investigated the relationship between exogenous hormones and breast cancer in young women using data from 10-13 prospective cohorts from North America, Europe, Asia, and Australia.

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Objective: The aims of this study, which uses a design, were to determine the efficacy of a web-based intervention to increase moderate-to-vigorous intensity physical activity (MVPA) and decrease sedentary behaviour in cancer survivors.

Methods: Participants (n=415) in this trial were randomised 2:1 to an interactive physical activity website or a static balance and flexibility control website. Participants provided accelerometer data at baseline and at 3 (M3), 6 (M6) and 12 months (M12).

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Clinical genetic testing identifies variants causal for hereditary cancer, information that is used for risk assessment and clinical management. Unfortunately, some variants identified are of uncertain clinical significance (VUS), complicating patient management. Case-control data is one evidence type used to classify VUS.

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Background: Evidence for potential mortality benefits of leisure-time moderate-to-vigorous intensity physical activity (MVPA) for survivors of cancer types beyond breast and colorectal is limited. The aim of this study was to evaluate relationships between postdiagnosis MVPA and all-cause mortality in participants with a history of 11 cancer types.

Methods: Data were pooled from 6 United States-based cohort studies.

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Purpose: Epithelial ovarian cancer (EOC) is a lethal malignancy. Cancer antigen 125 (CA125), the "best" available marker for detecting EOC, has insufficient sensitivity and specificity for earlier-stage disease and is not a meaningful screening tool, motivating the search for further biomarkers. Cancer biomarker discovery is enhanced by "omics" technologies.

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Background: In 2022, the American Cancer Society updated its guideline for cancer survivors. However, the impact of post-diagnosis adherence on mortality risk for those with obesity-related cancers remains unclear.

Methods: This study followed nonsmoking participants from the Cancer Prevention Study-II Nutrition Cohort diagnosed with obesity-related cancers between 1992 and 2002 through 2020.

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Background: Breast cancer is multifactorial. Focusing on limited risk factors may miss high-risk individuals.

Methods: We assessed the performance and overlap of various risk factors in identifying high-risk individuals for invasive breast cancer (BrCa) and ductal carcinoma in situ (DCIS) in 161,849 European-ancestry and 18,549 Asian-ancestry women.

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Importance: Women with a history of breast cancer (BC) experience greater physical health decline compared with age-matched women without cancer. However, whether this decline differs in patients who received chemotherapy and endocrine therapy is not well understood.

Objective: To investigate physical health decline in BC survivors who received chemotherapy or endocrine therapy compared with age-matched women without cancer.

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Background: The 313-variant polygenic risk score (PRS) provides a promising tool for clinical breast cancer risk prediction. However, evaluation of the PRS across different European populations which could influence risk estimation has not been performed.

Methods: We explored the distribution of PRS across European populations using genotype data from 94,072 females without breast cancer diagnosis, of European-ancestry from 21 countries participating in the Breast Cancer Association Consortium (BCAC) and 223,316 females without breast cancer diagnosis from the UK Biobank.

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Article Synopsis
  • - Health care disparities have led to significant racial gaps in health outcomes, particularly in breast cancer mortality rates, where Black women face a higher mortality rate despite lower incidence compared to White women.
  • - Focus groups were conducted with Black women across the U.S. to explore their experiences and perceptions regarding participation in health research, revealing common barriers such as mistrust, lack of respect in healthcare settings, and logistical challenges.
  • - To improve research engagement among Black women, it's essential to recognize these barriers and foster trust by having knowledgeable research teams, involving community partners, and ensuring that the research holds meaning for the Black community.
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Purpose: To determine the relationship between germline pathogenic variants (PV) in cancer predisposition genes and the risk of ductal carcinoma in situ (DCIS).

Experimental Design: Germline PV frequencies in breast cancer predisposition genes (ATM, BARD1, BRCA1, BRCA2, CDH1, CHEK2, PALB2, RAD51C, and RAD51D) were compared between DCIS cases and unaffected controls and between DCIS and invasive ductal breast cancer (IDC) cases from a clinical testing cohort (n = 9,887), a population-based cohort (n = 3,876), and the UK Biobank (n = 2,421). The risk of contralateral breast cancer (CBC) for DCIS cases with PV was estimated in the population-based cohort.

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Article Synopsis
  • Pathogenic variants (PVs) in certain genes like BRCA1 and BRCA2 increase breast cancer risk, but it's unclear how risk varies based on the type and location of these variants.
  • This study analyzed breast cancer risks associated with different PV types and locations using data from 12 US studies and clinical cohorts involving over 64,000 women.
  • Results showed that women with specific exon PTVs had higher breast cancer risks, lower rates of ER-negative breast cancer, and were diagnosed at younger ages compared to those with other variants, with these patterns observed across multiple cohorts.
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Importance: Little is known about the causes of second primary cancers among individuals with a history of cancer. Descriptive studies have suggested that lifestyle factors, including excess body weight, may be important.

Objective: To investigate whether excess body weight is associated with the risk of a second primary malignant neoplasm among cancer survivors.

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Article Synopsis
  • Clinical genetic testing helps find cancer risks by identifying gene changes, but some of these changes are confusing because we don't know what they mean (called VUS).
  • Researchers studied a huge number of breast cancer patients and healthy people to understand these confusing gene changes better.
  • They found that their method of analyzing data closely matches what other experts say about which gene changes are harmless or harmful, giving more information about 785 unclear changes.
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Article Synopsis
  • - The study aimed to enhance breast cancer risk modeling by integrating pathogenic variants (PVs) in specific genes, a polygenic risk score (PRS), and an epidemiologic risk score (ERS) using data from over 23,000 breast cancer cases and controls.
  • - The results showed that postmenopausal women with no PVs but high ERS had a 4.4-fold increase in breast cancer risk, while some CHEK2 PV carriers had a predicted lifetime risk below 20%, indicating potential over-screening in certain groups.
  • - The findings suggest that combining these risk factors can improve risk assessment and possibly lead to more tailored screening and prevention strategies for breast cancer.
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Background: Longer overnight fasting (ONF) is a potential strategy for weight control. Although promising, the evidence from large population-based studies is limited.

Objectives: To examine the association of self-reported ONF duration with 3- and 6-y weight change in the American Cancer Society's Cancer Prevention Study-3 prospective cohort.

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Article Synopsis
  • - The study investigates the link between PFAS exposure and the development of prostate cancer in a large group of U.S. men, following mixed findings from previous research.
  • - Researchers analyzed serum samples from men diagnosed with prostate cancer and a random group without prior cancer, measuring levels of specific PFAS chemicals.
  • - Results indicated that higher PFAS levels (specifically PFHxS and PFOS) were associated with increased prostate cancer risk, particularly in men aged 70 and older, while no significant connections were found for other PFAS types or based on tumor characteristics.
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