Metformin increases mammographic breast density: a randomized controlled trial

Background Mammographic breast density (MBD) is directly related to the risk of breast cancer. In vivo and in vitro studies have shown that metformin can reduce the proliferation and growth of breast cancer tissue. The aim of this study was to determine the effect of metformin on MBD in non-diabeti...

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Main Authors: Sadaf Alipour, Ladan Hosseini, Zohreh Forootan, Hadith Rastad, Leila Bayani, Mahboubeh Abedi, Bita Eslami
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-01-01
Series:Basic & Clinical Cancer Research
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Online Access:https://bccr.tums.ac.ir/index.php/bccrj/article/view/538
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author Sadaf Alipour
Ladan Hosseini
Zohreh Forootan
Hadith Rastad
Leila Bayani
Mahboubeh Abedi
Bita Eslami
author_facet Sadaf Alipour
Ladan Hosseini
Zohreh Forootan
Hadith Rastad
Leila Bayani
Mahboubeh Abedi
Bita Eslami
author_sort Sadaf Alipour
collection DOAJ
description Background Mammographic breast density (MBD) is directly related to the risk of breast cancer. In vivo and in vitro studies have shown that metformin can reduce the proliferation and growth of breast cancer tissue. The aim of this study was to determine the effect of metformin on MBD in non-diabetic premenopausal women. Methods A double-blind, placebo-controlled study was performed. A total of 151 premenopausal women received 500 mg metformin tablets twice a day for 6 months, or a placebo, were included. The changes in MBD were compared between the two groups. Results Final data were evaluated based on 67 and 84 women in the metformin and placebo groups, respectively. Based on results from Ordinal Logistic Regression, the odds of achieving a higher density for the intervention group was approximately 2.33 (95% CI, 1.04 to 5.18) times that of the placebo group. Conclusions This clinical trial showed that consumption of metformin 500 mg twice daily for 6 months is associated with a higher mammographic breast density as compared to the placebo group. As metformin is used very commonly, we suggest that this medicine should be considered as a probable confounding factor when conducting studies about MBD.
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issn 2228-6527
2228-5466
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series Basic & Clinical Cancer Research
spelling doaj-art-1370fde60a34404986d9bbdd7e6595842025-02-09T08:54:18ZengTehran University of Medical SciencesBasic & Clinical Cancer Research2228-65272228-54662025-01-01154Metformin increases mammographic breast density: a randomized controlled trialSadaf AlipourLadan Hosseini0Zohreh Forootan1Hadith Rastad2Leila Bayani3Mahboubeh Abedi4Bita Eslami5Tehran University of Medical SciencesTehran University of Medical SciencesAlborz University of Medical SciencesTehran University of Medical SciencesBallarat Base HospitalTehran University of Medical Sciences Background Mammographic breast density (MBD) is directly related to the risk of breast cancer. In vivo and in vitro studies have shown that metformin can reduce the proliferation and growth of breast cancer tissue. The aim of this study was to determine the effect of metformin on MBD in non-diabetic premenopausal women. Methods A double-blind, placebo-controlled study was performed. A total of 151 premenopausal women received 500 mg metformin tablets twice a day for 6 months, or a placebo, were included. The changes in MBD were compared between the two groups. Results Final data were evaluated based on 67 and 84 women in the metformin and placebo groups, respectively. Based on results from Ordinal Logistic Regression, the odds of achieving a higher density for the intervention group was approximately 2.33 (95% CI, 1.04 to 5.18) times that of the placebo group. Conclusions This clinical trial showed that consumption of metformin 500 mg twice daily for 6 months is associated with a higher mammographic breast density as compared to the placebo group. As metformin is used very commonly, we suggest that this medicine should be considered as a probable confounding factor when conducting studies about MBD. https://bccr.tums.ac.ir/index.php/bccrj/article/view/538metforminbreast densitymammographyconfounding factorweight
spellingShingle Sadaf Alipour
Ladan Hosseini
Zohreh Forootan
Hadith Rastad
Leila Bayani
Mahboubeh Abedi
Bita Eslami
Metformin increases mammographic breast density: a randomized controlled trial
Basic & Clinical Cancer Research
metformin
breast density
mammography
confounding factor
weight
title Metformin increases mammographic breast density: a randomized controlled trial
title_full Metformin increases mammographic breast density: a randomized controlled trial
title_fullStr Metformin increases mammographic breast density: a randomized controlled trial
title_full_unstemmed Metformin increases mammographic breast density: a randomized controlled trial
title_short Metformin increases mammographic breast density: a randomized controlled trial
title_sort metformin increases mammographic breast density a randomized controlled trial
topic metformin
breast density
mammography
confounding factor
weight
url https://bccr.tums.ac.ir/index.php/bccrj/article/view/538
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AT hadithrastad metforminincreasesmammographicbreastdensityarandomizedcontrolledtrial
AT leilabayani metforminincreasesmammographicbreastdensityarandomizedcontrolledtrial
AT mahboubehabedi metforminincreasesmammographicbreastdensityarandomizedcontrolledtrial
AT bitaeslami metforminincreasesmammographicbreastdensityarandomizedcontrolledtrial