Schmitz Kathryn H, Lin Hui, Sammel Mary D, Gracia Clarissa R, Nelson Deborah B, Kapoor Shiv, DeBlasis Tracey L, Freeman Ellen W
Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, 423 Guardian Drive, 921 Blockley Hall, Philadelphia, PA 19104, USA.
Cancer Epidemiol Biomarkers Prev. 2007 Oct;16(10):2042-7. doi: 10.1158/1055-9965.EPI-07-0061. Epub 2007 Sep 28.
BACKGROUND: Physical activity is associated with reduced risk for breast cancer, perhaps through reductions in circulating reproductive hormones (estrogens and androgens). There may also be a role for physical activity in regulating menopausal symptoms. Few studies have examined associations of physical activity on hormone levels. None have examined the potential effect of the menopausal transition on the associations between physical activity and reproductive hormone levels. MATERIALS AND METHODS: Data from the Penn Ovarian Aging Study were used for this analysis. Self-reported physical activity was assessed in 391 women up to four times over 10 years and extending across the menopausal transition. Other assessments included reproductive hormones via RIA (estradiol, luteinizing hormone, follicle-stimulating hormone, testosterone, DHEA sulfate), body weight, and height. Multivariate repeated measures regression models were developed to compare reproductive hormone levels within physical activity tertiles, adjusting for age, follow-up time, smoking, and ethnicity. RESULTS: Activity level was inversely associated with estradiol in the subgroup in the late transition stage. Adjusted means for estradiol were 24.6 and 37.9, a relative difference of 54% in estradiol when comparing highest to lowest activity tertile (P = 0.02). Similarly, in this subgroup, there was an inverse association between physical activity and testosterone levels (means of 11.1 and 15.94 in the highest and lowest tertile, a 47% relative difference; P = 0.01). There were no significant associations of activity with any other reproductive hormone. CONCLUSIONS: These results identify a particular window of the menopausal transition during which physical activity is associated with reduced estradiol and/or testosterone levels.
背景:身体活动与降低乳腺癌风险相关,可能是通过降低循环生殖激素(雌激素和雄激素)来实现的。身体活动在调节更年期症状方面可能也发挥作用。很少有研究探讨身体活动与激素水平之间的关联。尚无研究考察更年期过渡对身体活动与生殖激素水平之间关联的潜在影响。 材料与方法:本分析使用了宾夕法尼亚卵巢衰老研究的数据。在391名女性中评估了自我报告的身体活动情况,在10年期间进行了多达4次评估,涵盖更年期过渡阶段。其他评估包括通过放射免疫分析法检测生殖激素(雌二醇、促黄体生成素、促卵泡生成素、睾酮、硫酸脱氢表雄酮)、体重和身高。建立多变量重复测量回归模型,以比较身体活动三分位数内的生殖激素水平,并对年龄、随访时间、吸烟和种族进行调整。 结果:在过渡后期亚组中,活动水平与雌二醇呈负相关。雌二醇的调整均值分别为24.6和37.9,最高活动三分位数与最低活动三分位数相比,雌二醇相对差异为54%(P = 0.02)。同样,在该亚组中,身体活动与睾酮水平之间也呈负相关(最高和最低三分位数的均值分别为11.1和15.94,相对差异为47%;P = 0.01)。活动与任何其他生殖激素均无显著关联。 结论:这些结果确定了更年期过渡的一个特定阶段,在此期间身体活动与雌二醇和/或睾酮水平降低相关。
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