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平均每日看电视时间与卵巢癌发病率之间的关联:日本合作队列研究的结果

Association between average daily television viewing time and the incidence of ovarian cancer: findings from the Japan Collaborative Cohort Study.

作者信息

Ukawa Shigekazu, Tamakoshi Akiko, Mori Mitsuru, Ikehara Satoyo, Shirakawa Toru, Yatsuya Hiroshi, Iso Hiroyasu

机构信息

Department of Public Health, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.

Hokkaido Chitose College of Rehabilitation, Hokkaido, Japan.

出版信息

Cancer Causes Control. 2018 Feb;29(2):213-219. doi: 10.1007/s10552-018-1001-8. Epub 2018 Jan 16.

Abstract

PURPOSE

Seventy-five percent of epidemiological studies have reported that sedentary behavior is associated with ovarian cancer incidence. Although Japan has one of the most sedentary populations, with median sitting times of 7 h/day, this association has not been investigated. This study aimed to elucidate the association between average daily television (TV) viewing time, which is a major sedentary behavior, and the incidence of ovarian cancer in a large-scale nationwide cohort study in Japan.

METHODS

A total of 34,758 female participants aged 40-79 years without a history of cancer at baseline were included in the study. The inverse probability weighted competing risk model was used to calculate the hazard ratio (HR) and 95% confidence interval (CI) for the incidence of ovarian cancer.

RESULTS

During a median follow-up of 19.4 years, 59 participants developed ovarian cancer (ICD-10: C56), 2,706 participants developed other types of cancer, and 4,318 participants died. Participants who watched TV for ≥ 5 h/day were more likely to develop ovarian cancer than those who watched TV for < 2 h/day (HR 2.15; 95% CI 1.54-2.99).

CONCLUSION

Our findings suggest that reducing the amount of time spent sedentarily may be beneficial for preventing ovarian cancer.

摘要

目的

75%的流行病学研究报告称久坐行为与卵巢癌发病率相关。尽管日本是久坐人口最多的国家之一,平均每天久坐时间达7小时,但这种关联尚未得到研究。本研究旨在通过日本一项大规模全国队列研究,阐明主要的久坐行为——平均每日看电视时间与卵巢癌发病率之间的关联。

方法

本研究纳入了34758名年龄在40 - 79岁之间、基线时无癌症病史的女性参与者。采用逆概率加权竞争风险模型计算卵巢癌发病率的风险比(HR)和95%置信区间(CI)。

结果

在中位随访19.4年期间,59名参与者患卵巢癌(国际疾病分类第十版:C56),2706名参与者患其他类型癌症,4318名参与者死亡。每天看电视≥5小时的参与者比每天看电视<2小时的参与者患卵巢癌的可能性更大(HR 2.15;95% CI 1.54 - 2.99)。

结论

我们的研究结果表明,减少久坐时间可能有助于预防卵巢癌。

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