Olsen Catherine M, Wilson Louise F, Nagle Christina M, Kendall Bradley J, Bain Christopher J, Pandeya Nirmala, Webb Penelope M, Whiteman David C
QIMR Berghofer Medical Research Institute, Queensland.
School of Public Health, The University of Queensland.
Aust N Z J Public Health. 2015 Oct;39(5):458-63. doi: 10.1111/1753-6405.12469.
To estimate the proportion and numbers of cancers occurring in Australia in 2010 attributable to insufficient levels of physical activity.
We estimated the population attributable fraction (PAF) of cancers causally associated with insufficient physical activity (colon, post-menopausal breast and endometrium) using standard formulae incorporating prevalence of insufficient physical activity (<60 minutes at least 5 days/week), relative risks associated with physical activity and cancer incidence. We also estimated the proportion change in cancer incidence (potential impact fraction [PIF]) that may have occurred assuming that everyone with insufficient activity levels increased their exercise by 30 minutes/week.
An estimated 1,814 cases of colon, post-menopausal breast and endometrial cancer were attributable to insufficient levels of physical activity: 707 (6.5%) colon; 971 (7.8%) post-menopausal breast; and 136 (6.0%) endometrial cancers. If those exercising below the recommended level had increased their activity level by 30 minutes/week, we estimate 314 fewer cancers (17% of those attributable to insufficient physical activity) would have occurred in 2010.
More than 1,500 cancers were attributable to insufficient levels of physical activity in the Australian population.
Increasing the proportion of Australians who exercise could reduce the incidence of several common cancers.
估算2010年澳大利亚因身体活动不足而引发的癌症比例及病例数。
我们运用标准公式估算与身体活动不足(每周至少5天、每天不足60分钟)存在因果关联的癌症(结肠癌、绝经后乳腺癌和子宫内膜癌)的人群归因分数(PAF),该公式纳入了身体活动不足的患病率、身体活动与癌症发病率的相对风险。我们还估算了假设所有活动水平不足的人每周增加30分钟运动量可能出现的癌症发病率变化比例(潜在影响分数[PIF])。
据估计,1814例结肠癌、绝经后乳腺癌和子宫内膜癌病例可归因于身体活动不足:707例(6.5%)结肠癌;971例(7.8%)绝经后乳腺癌;136例(6.0%)子宫内膜癌。如果运动水平低于推荐标准的人每周将活动量增加30分钟,我们估计2010年癌症病例将减少314例(占因身体活动不足所致病例的17%)。
澳大利亚人群中超过1500例癌症可归因于身体活动不足。
提高澳大利亚人运动的比例可降低几种常见癌症的发病率。