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睡眠时间和午睡与 MCC-Spain 研究中结直肠癌和胃癌的关系。

Sleep duration and napping in relation to colorectal and gastric cancer in the MCC-Spain study.

机构信息

Department of Epidemiology, Center of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.

ISGlobal, Barcelona, Spain.

出版信息

Sci Rep. 2021 Jun 3;11(1):11822. doi: 10.1038/s41598-021-91275-3.

Abstract

Sleep duration is a novel and potentially modifiable risk factor for cancer. We evaluated the association of self-reported sleep duration and daytime napping with odds of colorectal and gastric cancer. We included 2008 incident colorectal cancer cases, 542 gastric cancer cases and 3622 frequency-matched population controls, recruited in the MCC-Spain case-control study (2008-2013). Sleep information, socio-demographic and lifestyle characteristics were obtained through personal interviews. Multivariable adjusted logistic regression models were used to estimate odds ratios (OR) with 95% confidence intervals (CI) for cancer, across categories of sleep duration (≤ 5, 6, 7, 8, ≥ 9 hours/day), daytime napping frequency (naps/week) and duration (minutes/nap). Compared to 7 hours of sleep, long sleep was associated with increased odds of colorectal (OR: 1.59; 95%CI 1.30-1.94) and gastric cancer (OR: 1.95; 1.37-2.76); short sleep was associated with increased odds of gastric cancer (OR: 1.32; 0.93-1.88). Frequent and long daytime naps increased the odds of colorectal (OR: 1.32; 1.14-1.54) and gastric cancer (OR: 1.56; 1.21-2.02). Effects of short sleep and frequent long naps were stronger among participants with night shift-work history. Sleep and circadian disruption may jointly play a role in the etiology of colorectal and gastric cancer.

摘要

睡眠时间是癌症的一个新的、潜在可改变的危险因素。我们评估了自我报告的睡眠时间和白天小睡与结直肠癌和胃癌发病风险的相关性。我们纳入了 MCC-Spain 病例对照研究(2008-2013 年)中 2008 例新发结直肠癌病例、542 例胃癌病例和 3622 例频数匹配的人群对照。通过个人访谈获得睡眠信息、社会人口统计学和生活方式特征。使用多变量调整的逻辑回归模型,按睡眠时间(≤5、6、7、8、≥9 小时/天)、白天小睡频率(每周小睡次数)和持续时间(每次小睡分钟数)类别,估计癌症的比值比(OR)及其 95%置信区间(CI)。与 7 小时睡眠相比,长睡眠与结直肠癌(OR:1.59;95%CI:1.30-1.94)和胃癌(OR:1.95;1.37-2.76)的发病风险增加有关;短睡眠与胃癌(OR:1.32;0.93-1.88)的发病风险增加有关。频繁和长时间的白天小睡增加了结直肠癌(OR:1.32;1.14-1.54)和胃癌(OR:1.56;1.21-2.02)的发病风险。夜班工作史的参与者中,短睡眠和频繁长小睡的影响更强。睡眠和昼夜节律紊乱可能共同在结直肠癌和胃癌的病因学中发挥作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c2e/8175745/69d7a42d7145/41598_2021_91275_Fig1_HTML.jpg

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