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International pooled analysis of leisure-time physical activity and premenopausal breast cancer in women from 19 cohorts

Timmins, Iain R. (author)
Division of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom; Statistical Innovation, AstraZeneca, Cambridge, United Kingdom
Jones, Michael E. (author)
Division of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom
O'Brien, Katie M. (author)
Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States
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Adami, Hans-Olov (author)
Clinical Effectiveness Group, Institute of Health and Society, University of Oslo, Oslo, Norway; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Aune, Dagfinn (author)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Nutrition, Oslo New University College, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, Norway
Baglietto, Laura (author)
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
Bertrand, Kimberly A. (author)
Slone Epidemiology Center at Boston University, MA, Boston, United States
Brantley, Kristen D. (author)
Department of Epidemiology, Harvard T.H. Chan School of Public Health, MA, Boston, United States
Chen, Yu (author)
Division of Epidemiology, Department of Population Health, NYU Grossman School of Medicine, New York, NY
Clague DeHart, Jessica (author)
School of Community and Global Health, Claremont Graduate University, CA, Claremont, United States
Clendenen, Tess V. (author)
Division of Epidemiology, Department of Population Health, NYU Grossman School of Medicine, New York, NY
Dossus, Laure (author)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Eliassen, A Heather (author)
Department of Epidemiology, Harvard T.H. Chan School of Public Health, MA, Boston, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, MA, Boston, United States
Fletcher, Olivia (author)
Breast Cancer Now Toby Robins Research Centre, Institute of Cancer Research, London, United Kingdom
Fournier, Agnès (author)
UVSQ, CESP, Gustave Roussy, Heredity, Cancer, INSERM, Paris-Saclay University, Paris-South University, Villejuif, France
Håkansson, Niclas (author)
Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Hankinson, Susan E. (author)
Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, MA, Amherst, United States
Houlston, Richard S. (author)
Division of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom
Joshu, Corinne E. (author)
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, MD, Baltimore, Liberia
Kirsh, Victoria A. (author)
Ontario Institute for Cancer Research, ON, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, ON, Toronto, Canada
Kitahara, Cari M. (author)
Division of Cancer Epidemiology and Genetics, National Cancer Institute, MD, Bethesda, Liberia
Koh, Woon-Puay (author)
Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore
Linet, Martha S. (author)
Division of Cancer Epidemiology and Genetics, National Cancer Institute, MD, Bethesda, Liberia
Park, Hannah Lui (author)
Department of Pathology and Laboratory Medicine, Department of Epidemiology, UC Irvine School of Medicine, CA, Irvine, United States
Lynch, Brigid M. (author)
Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, VIC, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
May, Anne M. (author)
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
Mellemkjær, Lene (author)
Danish Cancer Society Research Center, Copenhagen, Denmark
Milne, Roger L. (author)
Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, VIC, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Precision Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia
Palmer, Julie R. (author)
Slone Epidemiology Center at Boston University, MA, Boston, United States
Ricceri, Fulvio (author)
Department of Clinical and Biological Sciences, Centre for Biostatistics, Epidemiology, Public Health, University of Turin, Turin, Italy; Unit of Epidemiology, Regional Health Service ASL TO3, Turin, Italy
Rohan, Thomas E. (author)
Albert Einstein College of Medicine, NY, Bronx, United States
Ruddy, Kathryn J. (author)
Department of Oncology, Mayo Clinic, MN, Rochester, United States
Sánchez, Maria-Jose (author)
Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
Shu, Xiao-Ou (author)
Division of Epidemiology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, TN, Nashville, United States
Smith-Byrne, Karl (author)
Cancer Epidemiology Unit, University of Oxford, Oxford, United Kingdom
Steindorf, Karen (author)
Division of Physical Activity, Prevention and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany
Sund, Malin (author)
Umeå universitet,Kirurgi,Department of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
Vachon, Celine M. (author)
Department of Quantitative Health Sciences, Division of Epidemiology, Mayo Clinic, MN, Rochester, United States
Vatten, Lars J. (author)
Department of Public Health and Nursing, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway
Visvanathan, Kala (author)
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, MD, Baltimore, Liberia
Weiderpass, Elisabete (author)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Willett, Walter C. (author)
Department of Epidemiology, Harvard T.H. Chan School of Public Health, MA, Boston, United States; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, MA, Boston, United States
Wolk, Alicja (author)
Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Yuan, Jian-Min (author)
Division of Cancer Control and Population Sciences, University of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, PA, Pittsburgh, United States; Department of Epidemiology, School of Public Health, University of Pittsburgh, PA, Pittsburgh, United States
Zheng, Wei (author)
Division of Epidemiology, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, TN, Nashville, United States
Nichols, Hazel B. (author)
Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States
Sandler, Dale P. (author)
Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States
Swerdlow, Anthony J. (author)
Division of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom; Division of Breast Cancer Research, Institute of Cancer Research, London, United Kingdom
Schoemaker, Minouk J. (author)
Division of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom; Real World Solutions, Amsterdam, Netherlands
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 (creator_code:org_t)
American Society of Clinical Oncology, 2024
2024
English.
In: Journal of Clinical Oncology. - : American Society of Clinical Oncology. - 0732-183X .- 1527-7755. ; 42:8, s. 927-939
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • PURPOSE: There is strong evidence that leisure-time physical activity is protective against postmenopausal breast cancer risk but the association with premenopausal breast cancer is less clear. The purpose of this study was to examine the association of physical activity with the risk of developing premenopausal breast cancer.METHODS: We pooled individual-level data on self-reported leisure-time physical activity across 19 cohort studies comprising 547,601 premenopausal women, with 10,231 incident cases of breast cancer. Multivariable Cox regression was used to estimate hazard ratios (HRs) and 95% CIs for associations of leisure-time physical activity with breast cancer incidence. HRs for high versus low levels of activity were based on a comparison of risk at the 90th versus 10th percentiles of activity. We assessed the linearity of the relationship and examined subtype-specific associations and effect modification across strata of breast cancer risk factors, including adiposity.RESULTS: Over a median 11.5 years of follow-up (IQR, 8.0-16.1 years), high versus low levels of leisure-time physical activity were associated with a 6% (HR, 0.94 [95% CI, 0.89 to 0.99]) and a 10% (HR, 0.90 [95% CI, 0.85 to 0.95]) reduction in breast cancer risk, before and after adjustment for BMI, respectively. Tests of nonlinearity suggested an approximately linear relationship (Pnonlinearity = .94). The inverse association was particularly strong for human epidermal growth factor receptor 2-enriched breast cancer (HR, 0.57 [95% CI, 0.39 to 0.84]; Phet = .07). Associations did not vary significantly across strata of breast cancer risk factors, including subgroups of adiposity.CONCLUSION: This large, pooled analysis of cohort studies adds to evidence that engagement in higher levels of leisure-time physical activity may lead to reduced premenopausal breast cancer risk.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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