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身体活动与肾细胞癌风险

Physical activity and risk of renal cell carcinoma.

作者信息

Menezes Ravi J, Tomlinson George, Kreiger Nancy

机构信息

Department of Cancer Prevention, Epidemiology and Biostatistics, Roswell Park Cancer Institute, Buffalo, New York, USA.

出版信息

Int J Cancer. 2003 Nov 20;107(4):642-6. doi: 10.1002/ijc.11427.

Abstract

The role of physical activity in the development of renal cell carcinoma was examined using a population-based case-control study conducted in the province of Ontario. Physical activity was examined in several ways, including by intensity and during various life periods. Frequency-matching by 5-year age groups and sex produced sets of 486 females (133 cases and 353 controls) and 447 males (172 cases, 275 controls). Unconditional logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI). After adjusting for age, body mass index and smoking, women who performed relatively high amounts of recent recreational activity (OR = 0.41, 95% CI 0.21-0.82 for the highest vs. lowest quartile of activity, 2 years ago), as well as strenuous recreational activity (OR = 0.40, 95% CI 0.22-0.75), had a reduced risk of developing the disease. In general, moderate recreational activity did not appear to be associated with risk in females. In males, a relatively high frequency of total and moderate recreational activity was associated with reduced risk (total, OR = 0.49, 95% CI 0.27-0.87; moderate, OR = 0.49, 95% CI 0.27-0.89), especially during the teen years. Recreational activity during one's 30s was not associated with cancer risk. There was also no association between occupational activity and cancer risk in females or males. The results of our study, in general, suggest that physical activity may be associated with a decreased risk of developing renal cell carcinoma.

摘要

利用在安大略省开展的一项基于人群的病例对照研究,对体育活动在肾细胞癌发生发展中的作用进行了研究。从多个方面对体育活动进行了考察,包括强度以及在不同生命阶段的情况。按5岁年龄组和性别进行频率匹配,得到了486名女性(133例病例和353名对照)和447名男性(172例病例,275名对照)的样本。采用非条件逻辑回归来估计比值比(OR)和95%置信区间(CI)。在对年龄、体重指数和吸烟情况进行调整后,近期进行相对大量休闲活动的女性(活动量最高四分位数与最低四分位数相比,2年前,OR = 0.41,95% CI 0.21 - 0.82)以及剧烈休闲活动的女性(OR = 0.40,95% CI 0.22 - 0.75)患该病的风险降低。总体而言,适度的休闲活动在女性中似乎与患病风险无关。在男性中,总体休闲活动和适度休闲活动的相对高频率与患病风险降低相关(总体,OR = 0.49,95% CI 0.27 - 0.87;适度,OR = 0.49,95% CI 0.27 - 0.89),尤其是在青少年时期。30多岁时的休闲活动与癌症风险无关。女性或男性的职业活动与癌症风险之间也没有关联。总体而言,我们的研究结果表明,体育活动可能与肾细胞癌发病风险降低有关。

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