Higher Framingham steatosis index is associated with prevalent breast cancer in women: cross-sectional evidence from NHANES 1999–2018 and an exploratory hospital-based dataset - Report - MDSpire

Higher Framingham steatosis index is associated with prevalent breast cancer in women: cross-sectional evidence from NHANES 1999–2018 and an exploratory hospital-based dataset

  • By

  • Shuling Tang

  • Yong Mo

  • Tiansheng Su

  • Guangxiang Huang

  • Jiachao Lu

  • Jianbin Bi

  • Hui Li

  • Ligen Mo

  • Jun Yan

  • July 8, 2026

  • 0 min

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Clinical Report: Association of Elevated Framingham Steatosis Index with Breast Cancer

Overview

This study investigates the association between the Framingham Steatosis Index (FSI) and prevalent breast cancer in women using NHANES data from 1999 to 2018. Higher FSI was linked to increased odds of breast cancer.

Background

Breast cancer is the most commonly diagnosed cancer among women globally, presenting a significant public health challenge. Recent research has highlighted the role of metabolic dysfunction and hepatic steatosis in the epidemiology of breast cancer.

Data Highlights

MeasureValue
Participants21,042
Breast cancer prevalence2.5% (531 women)
Odds Ratio (1-unit increase in FSI)1.10 (95% CI 1.05–1.16)
Odds Ratio (after age adjustment)1.02 (95% CI 0.96–1.07)

Key Findings

  • Among 21,042 women, 2.5% reported a history of breast cancer.
  • Each 1-unit increase in FSI was associated with higher odds of prevalent breast cancer (OR 1.10).
  • After adjusting for age, the association between FSI and breast cancer was no longer statistically significant (OR 1.02).
  • Higher FSI quartiles correlated with greater odds of prevalent breast cancer.
  • Restricted cubic spline analysis indicated a non-linear association between FSI and breast cancer.
  • In an exploratory hospital dataset, FSI was positively associated with breast cancer case status when modeled continuously.

Clinical Implications

The findings indicate that FSI is associated with breast cancer, but its interpretation should consider age as a significant factor.

Conclusion

The study highlights the association between metabolic indices and breast cancer.

Related Resources & Content

  1. European Journal of Preventive Cardiology, 2023 -- Framingham risk score associates with incident cancer and heart failure
  2. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Link Between Menarche Onset Age and Inflammatory and Glucose Metabolism Indicators in Adult Women in the United States: Insights from NHANES 1999-2018
  3. American Journal of Epidemiology, 2023 -- Investigating the Link Between Longitudinal Measurements of Nondense Breast Tissue and Breast Cancer Risk Using a Joint Modeling Methodology
  4. Clinical care pathway for the risk stratification and management of patients with MASLD, American Gastroenterological Association, 2026
  5. Association of MASLD with the risk of extrahepatic cancers: A systematic review and meta‐analysis of 18 cohort studies, 2024
  6. Journal of Gastrointestinal Surgery — Inflammatory Biomarker Variations Among Different Weight Categories in a Representative US Cohort: Exploring the Connection Between Obesity and Inflammation
  7. EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD)
  8. Clinical care pathway for the risk stratification and management of patients with MASLD  – American Gastroenterological Association
  9. Association of MASLD with the risk of extrahepatic cancers: A systematic review and meta‐analysis of 18 cohort studies - Zhou - 2024 - European Journal of Clinical Investigation - Wiley Online Library

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