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绝经后女性的久坐时间与癌症发病率和癌症死亡率风险:女性健康加速度计协作研究

Sitting time and risk of cancer incidence and cancer mortality in postmenopausal women: the Women's Health Accelerometry Collaboration.

作者信息

Hyde Eric T, Evenson Kelly R, Howard Annie Green, Parada Humberto, Di Chongzhi, LaMonte Michael J, Bellettiere John, Cuthbertson Carmen C, Lee I-Min, LaCroix Andrea Z

机构信息

Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.

Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USA.

出版信息

Cancer Causes Control. 2025 Jul 2. doi: 10.1007/s10552-025-02024-0.


DOI:10.1007/s10552-025-02024-0
PMID:40601110
Abstract

PURPOSE: Few studies have explored whether accelerometer-measured sedentary behavior increases cancer risk. We examined the associations of accelerometer-measured daily sitting time and mean sitting bout duration classified by the Convolutional Neural Network Hip Accelerometer Posture (CHAP) machine-learned algorithm with incidence of any cancer, incidence of 13 physical activity-related cancers, and cancer mortality among postmenopausal women. METHODS: We used data from 22,097 women (mean age = 73.3 years, standard deviation [SD] = 6.7) in the Women's Health Accelerometry Collaboration, a consortium of two US-based cohort studies of postmenopausal women: the Women's Health Study and the Women's Health Initiative Objective Physical Activity and Cardiovascular Health Study. Women who completed hip-worn triaxial accelerometry for ≥ 4 of 7 consecutive days were included. Associations between sedentary behaviors and physician-adjudicated invasive cancer incidence and mortality were tested using Cox regression. RESULTS: Women were followed on average 8.0 years to identify cancer cases (n = 1,861) and deaths (n = 601). Overall, mean sitting time was 567 (SD = 113) min/day and mean sitting bout duration was 12.8 (SD = 4) min/bout. In covariate-adjusted models, one-SD increment higher in sitting time was associated with a 6% increased risk of incident cancer (hazard ratio [HR] = 1.06, 95% CI: 1.01-1.11); associations were similar for bout duration (HR = 1.05, 95% CI: 1.00-1.10). Estimates were similar for the 13 physical activity-related cancers (sitting time: HR = 1.10, 95% CI: 1.04-1.17; bout duration: HR = 1.08, 95% CI: 1.02-1.14) and for cancer mortality (sitting time: 1.06, 95% CI: 0.98-1.16; bout duration: HR = 1.05, 95% CI: 0.97-1.13). CONCLUSION: Among postmenopausal women, sedentary behavior was associated with increased cancer risk, particularly for physical activity-related cancers and cancer mortality.

摘要

目的:很少有研究探讨通过加速度计测量的久坐行为是否会增加癌症风险。我们研究了通过卷积神经网络髋部加速度计姿势(CHAP)机器学习算法分类的加速度计测量的每日久坐时间和平均久坐时段持续时间与任何癌症的发病率、13种与身体活动相关癌症的发病率以及绝经后女性癌症死亡率之间的关联。 方法:我们使用了来自女性健康加速度计协作组的22,097名女性(平均年龄 = 73.3岁,标准差[SD] = 6.7)的数据,该协作组是由两项美国绝经后女性队列研究组成的联盟:女性健康研究和女性健康倡议客观身体活动与心血管健康研究。纳入连续7天中至少4天完成髋部佩戴三轴加速度计测量的女性。使用Cox回归测试久坐行为与医生判定的浸润性癌症发病率和死亡率之间的关联。 结果:对女性平均随访8.0年以确定癌症病例(n = 1,861)和死亡病例(n = 601)。总体而言,平均久坐时间为567(SD = 113)分钟/天,平均久坐时段持续时间为12.8(SD = 4)分钟/时段。在协变量调整模型中,久坐时间每增加一个标准差,患癌风险增加6%(风险比[HR] = 1.06,95%置信区间:1.01 - 1.11);久坐时段持续时间的关联相似(HR = 1.05,95%置信区间:1.00 - 1.10)。对于13种与身体活动相关的癌症(久坐时间:HR = 1.10,95%置信区间:1.04 - 1.17;久坐时段持续时间:HR = 1.08,95%置信区间:1.02 - 1.14)和癌症死亡率(久坐时间:1.06,95%置信区间:0.98 - 1.16;久坐时段持续时间:HR = 1.05,95%置信区间:0.97 - 1.13),估计结果相似。 结论:在绝经后女性中,久坐行为与癌症风险增加有关,尤其是与身体活动相关的癌症和癌症死亡率。

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本文引用的文献

[1]
Sitting Time Reduction and Blood Pressure in Older Adults: A Randomized Clinical Trial.

JAMA Netw Open. 2024-3-4

[2]
CHAP-Adult: A Reliable and Valid Algorithm to Classify Sitting and Measure Sitting Patterns Using Data From Hip-Worn Accelerometers in Adults Aged 35.

J Meas Phys Behav. 2022-12

[3]
Calibration of an Accelerometer Activity Index among Older Women and Its Association with Cardiometabolic Risk Factors.

J Meas Phys Behav. 2022-9

[4]
Historical development of accelerometry measures and methods for physical activity and sedentary behavior research worldwide: A scoping review of observational studies of adults.

PLoS One. 2022

[5]
Physical activity, sedentary time and breast cancer risk: a Mendelian randomisation study.

Br J Sports Med. 2022-10

[6]
Sedentary behavior and cancer-an umbrella review and meta-analysis.

Eur J Epidemiol. 2022-5

[7]
Association of Accelerometer-Measured Sedentary Accumulation Patterns With Incident Cardiovascular Disease, Cancer, and All-Cause Mortality.

J Am Heart Assoc. 2022-5-3

[8]
Objectively Measured Total Sedentary Time and Pattern of Sedentary Accumulation in Older Adults: Associations With Incident Cardiovascular Disease and All-Cause Mortality.

J Gerontol A Biol Sci Med Sci. 2022-4-1

[9]
Cohort profile: the Women's Health Accelerometry Collaboration.

BMJ Open. 2021-11-29

[10]
Sedentary Behavior in U.S. Adults: Fall 2019.

Med Sci Sports Exerc. 2021-12-1

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