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Lahmann PH, Friedenreich C, Schulz M, Cust AE, Lukanova A, Kaaks R, Tjønneland A, Johnsen NF, Overvad K, Fournier A, Boutron–Ruault M, Clavel Chapelon F, Boeing H, Linseisen J, Rohrmann S, Trichopoulou A, Lagiou P, Trichopoulos D, Palli D, Mattiello A, Sacerdote C, Agnoli C, Tumino R, Quirós JR, Larrañaga N, Agudo AT, Sánchez MJ, Berglund G, Manjer J, Monninkhof EM, Peeters PH, Bueno-de-Mesquita HB, May AM, Allen N, Khaw KT, Bingham S, Rinaldi S, Ferrari P, Riboli E. Physical Activity and Ovarian Cancer Risk: the European Prospective Investigation into Cancer and Nutrition. Cancer Epidemiol Biomarkers Prev 2009; 18:351-4. [DOI: 10.1158/1055-9965.epi-08-0958] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Petra H. Lahmann
- 1Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
- 2The University of Queensland, School of Population Health, QLD 4006, Australia
| | - Christine Friedenreich
- 3Division of Population Health and Information, Alberta Cancer Board, Calgary, Alberta, Canada
| | - Mandy Schulz
- 1Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
| | - Anne E. Cust
- 4Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, The University of Melbourne, Melbourne, Australia
- 5Nutritional and Database Resource Team, IARC, Lyon, France
| | - Annekatrin Lukanova
- 6Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany
| | - Rudolf Kaaks
- 6Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany
| | - Anne Tjønneland
- 7Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
| | - Nina Føns Johnsen
- 7Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
| | - Kim Overvad
- 8Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark
| | - Agnès Fournier
- 9Inserm (Institut National de la Santé et de la Recherche Médicale) ERI 20, EA 4045, and Institut Gustave Roussy, Villejuif, France
| | - Marie–Christine Boutron–Ruault
- 9Inserm (Institut National de la Santé et de la Recherche Médicale) ERI 20, EA 4045, and Institut Gustave Roussy, Villejuif, France
| | - Françoise Clavel Chapelon
- 9Inserm (Institut National de la Santé et de la Recherche Médicale) ERI 20, EA 4045, and Institut Gustave Roussy, Villejuif, France
| | - Heiner Boeing
- 1Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
| | - Jakob Linseisen
- 6Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany
| | - Sabine Rohrmann
- 6Division of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany
| | - Antonia Trichopoulou
- 10Department of Hygiene and Epidemiology, Medical School, University of Athens, Athens, Greece
| | - Pagona Lagiou
- 10Department of Hygiene and Epidemiology, Medical School, University of Athens, Athens, Greece
| | | | - Domenico Palli
- 12Molecular and Nutritional Epidemiology Unit, Centro per lo Studio e la Prevenzione Oncologica, Scientific Institute of Tuscany, Florence, Italy
| | - Amalia Mattiello
- 13Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy
| | - Carlotta Sacerdote
- 14Unit of Cancer Epidemiology, Department of Biomedical Sciences and Human Oncology, University of Turin, and CPO Piemonte, Turin, Italy
| | - Claudia Agnoli
- 15Nutritional Epidemiology Unit, National Cancer Institute, Milan, Italy
| | - Rosario Tumino
- 16Cancer Registry, Azienda Ospedaliera “Civile M.P. Arezzo,” Ragusa, Italy
| | | | - Nerea Larrañaga
- 18Department of Public Health Gipuzkoa, Basque Government, San Sebastian, Spain
- 19Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Antonio T. Agudo
- 20Unit of Nutrition, Environment, and Cancer (UNEC), Cancer Epidemiology Research Program, Catalan Institute of Oncology, Barcelona, Spain
| | - Maria-José Sánchez
- 19Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
- 21Granada Cancer Registry, Andalusian School of Public Health, Granada, Spain; Departments of
| | | | - Jonas Manjer
- 23Surgery, Malmö University Hospital, Malmö, Sweden
| | - Evelyn M. Monninkhof
- 24Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, the Netherlands
| | - Petra H.M. Peeters
- 24Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, the Netherlands
| | | | - Anne M. May
- 25National Institute of Public Health and the Environment, Bilthoven (RIVM), the Netherlands
| | - Naomi Allen
- 26Cancer Research UK, Epidemiology Unit, University of Oxford, Oxford, United Kingdom
| | - Kay Tee Khaw
- 27Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge
| | - Sheila Bingham
- 28Medical Research Council Centre for Nutritional Epidemiology in Cancer Prevention and Survival, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; and
| | - Sabina Rinaldi
- 5Nutritional and Database Resource Team, IARC, Lyon, France
| | - Pietro Ferrari
- 5Nutritional and Database Resource Team, IARC, Lyon, France
| | - Elio Riboli
- 29Division of Epidemiology, Public Health, and Primary Care, Imperial College, London, United Kingdom
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Olsen CM, Bain CJ, Jordan SJ, Nagle CM, Green AC, Whiteman DC, Webb PM. Recreational physical activity and epithelial ovarian cancer: a case-control study, systematic review, and meta-analysis. Cancer Epidemiol Biomarkers Prev 2008; 16:2321-30. [PMID: 18006921 DOI: 10.1158/1055-9965.epi-07-0566] [Citation(s) in RCA: 86] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
It remains unclear whether physical activity is associated with epithelial ovarian cancer risk. We therefore examined the association between recreational physical activity and risk of ovarian cancer in a national population-based case-control study in Australia. We also systematically reviewed all the available evidence linking physical activity with ovarian cancer to provide the best summary estimate of the association. The case-control study included women ages 18 to 79 years with a new diagnosis of invasive (n=1,269) or borderline (n=311) epithelial ovarian cancer identified through a network of clinics, physicians, and state cancer registries throughout Australia. Controls (n=1,509) were randomly selected from the national electoral roll and were frequency matched to cases by age and state. For the systematic review, we identified eligible studies using Medline, the ISI Science Citation Index, and manual review of retrieved references, and included all case-control or cohort studies that permitted assessment of an association between physical activity (recreational/occupational/sedentary behavior) and histologically confirmed ovarian cancer. Meta-analysis was restricted to the subset of these studies that reported on recreational physical activity. In our case-control study, we observed weakly inverse or null associations between recreational physical activity and risk of epithelial ovarian cancer overall. There was no evidence that the effects varied by tumor behavior or histologic subtype. Twelve studies were included in the meta-analysis, which gave summary estimates of 0.79 (95% confidence interval, 0.70-0.85) for case-control studies and 0.81 (95% confidence interval, 0.57-1.17) for cohort studies for the risk of ovarian cancer associated with highest versus lowest levels of recreational physical activity. Thus, pooled results from observational studies suggest that a modest inverse association exists between level of recreational physical activity and the risk of ovarian cancer.
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Affiliation(s)
- Catherine M Olsen
- Cancer and Population Studies Group, Queensland Institute of Medical Research, P.O. Royal Brisbane Hospital, Herston 4029, Queensland, Australia.
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Patel AV, Rodriguez C, Pavluck AL, Thun MJ, Calle EE. Recreational physical activity and sedentary behavior in relation to ovarian cancer risk in a large cohort of US women. Am J Epidemiol 2006; 163:709-16. [PMID: 16495470 DOI: 10.1093/aje/kwj098] [Citation(s) in RCA: 96] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Factors that influence circulating sex hormones, such as physical activity, have been proposed to influence ovarian cancer risk; however, results from previous epidemiologic studies have been inconsistent. The authors examined the association among physical activity, sedentary behavior, and ovarian cancer risk in the American Cancer Society Cancer Prevention Study II Nutrition Cohort, a prospective study of cancer incidence and mortality, using information obtained at baseline in 1992. From 1992 to 2001, 314 incident ovarian cancer cases were identified among 59,695 postmenopausal women who were cancer free at enrollment. Cox proportional hazards modeling was used to compute hazard rate ratios while adjusting for potential confounders. No overall association was observed between measures of past physical activity or with recreational physical activity at baseline and risk of ovarian cancer in this study (for the highest category of physical activity compared with none: hazard rate ratio = 0.73, 95% confidence interval: 0.40, 1.34). However, a prolonged duration of sedentary behavior was associated with an increased risk (for > or = 6 vs. < 3 hours per day: hazard rate ratio = 1.55, 95% confidence interval: 1.08, 2.22; p(trend) = 0.01). Results from this study suggest that high levels of sedentary behavior may increase the risk of ovarian cancer, but they do not support a major impact of light and moderate physical activity on ovarian cancer risk.
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Affiliation(s)
- Alpa V Patel
- Department of Epidemiology and Surveillance Research, American Cancer Society, Atlanta, GA 30329-4251, USA.
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Hannan LM, Leitzmann MF, Lacey JV, Colbert LH, Albanes D, Schatzkin A, Schairer C. Physical Activity and Risk of Ovarian Cancer: A Prospective Cohort Study in the United States. Cancer Epidemiol Biomarkers Prev 2004. [DOI: 10.1158/1055-9965.765.13.5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Increased physical activity may lower the risk of ovarian cancer by reducing the frequency of ovulation, decreasing body fat, or diminishing chronic inflammation. Previous epidemiological studies examining the association between physical activity and risk of ovarian cancer have been inconsistent. We investigated the association of physical activity with ovarian cancer in a prospective cohort of 27,365 individuals from the Breast Cancer Detection Demonstration Project. During 227,045 person-years of follow-up, 121 cases of ovarian cancer were ascertained. Usual physical activity during the past year was assessed by a self-administered questionnaire. After adjusting for potential risk factors for ovarian cancer, the relative risks (95% confidence intervals) across increasing quintiles of total physical activity were 1.0, 0.73 (0.43–1.25), 0.84 (0.50–1.40), 0.56 (0.31–1.00), and 0.70 (0.41–1.21), respectively (P for trend = 0.13). In this prospective cohort study among U.S. women, we found no overall significant association between physical activity and risk of ovarian cancer, although the results are suggestive of an inverse association.
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Affiliation(s)
- Lindsay M. Hannan
- 1Nutritional Epidemiology Branch,
- 4Rollins School of Public Health, Emory University, Atlanta, Georgia; and
| | | | | | - Lisa H. Colbert
- 5Department of Kinesiology, University of Wisconsin-Madison, Madison, Wisconsin
| | | | | | - Catherine Schairer
- 3Biostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Department of Health and Human Services, Bethesda, Maryland
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