Tworoger Shelley S, Missmer Stacey A, Eliassen A Heather, Barbieri Robert L, Dowsett Mitch, Hankinson Susan E
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 181 Longwood Ave., 3rd Floor, Boston, MA 02115, USA.
Cancer Causes Control. 2007 Sep;18(7):743-52. doi: 10.1007/s10552-007-9017-5. Epub 2007 Jun 5.
An association between physical activity and premenopausal breast cancer risk may be due, in part, to relationships with sex hormones or growth factors. Therefore, we assessed whether MET-h/week of total physical activity (moderate-to-vigorous intensity), walking, or vigorous physical activity, and h/week of standing or sitting were associated with plasma concentrations of several hormones. We examined levels of estrogens, androgens, progesterone, prolactin, sex hormone binding globulin (SHBG), insulin-like growth factor-1 (IGF-1), IGF binding protein-3, and growth hormone (GH) in 565 premenopausal women, ages 33-52 years, from the Nurses' Health Study II (NHSII). About 87% of women had both timed follicular and luteal samples; other women had one untimed sample. In general we observed few associations between sex hormone or IGF levels and measures of physical activity or inactivity. However, free testosterone was modestly inversely associated with total physical activity (p-trend = 0.02). Luteal estradiol, free estradiol, and estrone also were inversely associated with total physical activity (p-trend = 0.10, 0.04, 0.01, respectively); however, the trend was substantially attenuated when excluding women with anovulatory cycles or irregular cycles. These cross-sectional results suggest that physical activity and inactivity have limited associations with premenopausal sex hormone and growth factor levels, except possibly luteal estrogens.
体力活动与绝经前乳腺癌风险之间的关联可能部分归因于与性激素或生长因子的关系。因此,我们评估了每周总体力活动(中等至剧烈强度)、步行或剧烈体力活动的代谢当量小时数,以及每周站立或坐着的小时数是否与几种激素的血浆浓度相关。我们检测了来自护士健康研究II(NHSII)的565名年龄在33 - 52岁的绝经前女性体内雌激素、雄激素、孕酮、催乳素、性激素结合球蛋白(SHBG)、胰岛素样生长因子-1(IGF-1)、IGF结合蛋白-3和生长激素(GH)的水平。约87%的女性同时有定时的卵泡期和黄体期样本;其他女性有一个非定时样本。总体而言,我们观察到性激素或IGF水平与体力活动或缺乏体力活动的指标之间几乎没有关联。然而,游离睾酮与总体力活动呈适度负相关(p趋势 = 0.02)。黄体期雌二醇、游离雌二醇和雌酮也与总体力活动呈负相关(p趋势分别为0.10、0.04、0.01);然而,在排除无排卵周期或月经周期不规律的女性后,这种趋势明显减弱。这些横断面结果表明,除了可能的黄体期雌激素外,体力活动和缺乏体力活动与绝经前性激素和生长因子水平的关联有限。