Leisure-time physical activity and lung cancer risk: a systematic review and meta-analysis

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Brenner, Darren R (author)

Leisure-time physical activity and lung cancer risk : a systematic review and meta-analysis

Article/chapterEnglish2016

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Elsevier,2016
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LIBRIS-ID:oai:DiVA.org:umu-122094
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-122094URI
https://doi.org/10.1016/j.lungcan.2016.01.021DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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OBJECTIVES: We conducted a systematic review and meta-analysis of the association between recreational physical activity and lung cancer risk to update previous analyses and to examine population subgroups of interest defined by smoking status and histology.MATERIALS AND METHODS: We searched the PubMed database for studies up to May 2015. Individual study characteristics were abstracted including study design, number of cases, assessment of recreational physical activity and type and level of adjustment for confounding factors. Combined effect estimates were calculated for the overall associations and across subgroups of interest.RESULTS: We identified 28 studies that were eligible for inclusion in the meta-analysis. The overall analysis indicated an inverse association between recreational physical activity and lung cancer risk (Relative Risk (RR), 0.76; 95% Confidence Interval (CI), 0.69-0.85, p-value: <0.001). Similar inverse associations with risk were also noted for all evaluated histological subtypes, including adenocarcinoma (RR, 0.80; 95% CI, 0.72-0.88), squamous (RR, 0.80; 95% CI, 0.71-0.90) and small cell (RR, 0.79; 95% CI, 0.66-0.94). When we examined effects by smoking status, inverse associations between recreational physical activity and lung cancer risk were observed among former (RR, 0.77; 95% CI, 0.69-0.85) and current smokers (RR, 0.77; 95% CI, 0.72-0.83), but not among never smokers (RR, 0.96; 95% CI, 0.79-1.18).CONCLUSION: Results from this meta-analysis suggest that regular recreational physical activity may be associated with reduced risk of lung cancer. Only four studies examining never smokers were identified, suggesting the need for additional research in this population.

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Yannitsos, Demetra H (author)
Farris, Megan S (author)
Johansson, MattiasGenetic Epidemiology Group, International Agency for Research on Cancer, Lyon, France(Swepub:umu)masmas97 (author)
Friedenreich, Christine M (author)
Genetic Epidemiology Group, International Agency for Research on Cancer, Lyon, France (creator_code:org_t)

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In:Lung Cancer: Elsevier95, s. 17-270169-50021872-8332

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

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By the university: Umeå University

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