Asian Pacific Journal of Cancer Prevention

  • 제13권7호
  • /
  • Pages.3143-3147
  • /
  • 2012
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지
DOI QR코드

DOI QR Code

Physical Activity and Risk of Lung Cancer: A Meta-Analysis of Prospective Cohort Studies

  • Sun, Jia-Yang (Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University) ;
  • Shi, Lei (Department of Hepatobiliary Surgery, The First Affiliated Hospital, Xi'an Jiaotong University) ;
  • Gao, Xu-Dong (Department of Thoracic Surgery, The Affiliated Hospital of Inner Mongolia Medical University) ;
  • Xu, Shao-Fa (Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University)
  • 발행 : 2012.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Previous studies investigating the association of physical activity with risk of lung cancer reported conflicting results. In order to update and improve available evidence on any link, a meta-analysis was performed. Method: We searched the PubMed database for prospective cohort studies investigating the relation of physical activity with risk of lung cancer. The pooled relative risk (RR) with its 95% confidence intervals (95%CI) was used to assess the association. Results: We included 14 prospective studies with a total of 1,644,305 participants, with 14,074 incident lung cancer cases documented during follow-up. Meta-analysis of all 14 studies suggested both high and medium levels of physical activity to be associated with decreased risk of lung cancer compared to the reference group with low level of physical activity (for high level, RR = 0.77, 95%CI 0.73-0.81, P < 0.001; for medium level, RR = 0.87, 95%CI 0.83-0.90, P < 0.001). Subgroup analyses by gender found obvious associations in both men and women. No publication bias was observed. Conclusion: Our findings suggest that high and medium levels of physical activity have a beneficial effect on lung cancer by reducing the overall risk of tumour development among both men and women.

키워드

참고문헌

  1. Albanes D, Blair A, Taylor PR (1989). Physical activity and risk of cancer in the NHANES I population. Am J Public Health, 79, 744-50. https://doi.org/10.2105/AJPH.79.6.744
  2. Colbert LH, Hartman TJ, Tangrea JA, et al (2002). Physical activity and lung cancer risk in male smokers. Int J Cancer, 98, 770-3. https://doi.org/10.1002/ijc.10156
  3. DerSimonian R, Laird N (1986). Meta-analysis in clinical trials. Control Clin Trials, 7, 177-88. https://doi.org/10.1016/0197-2456(86)90046-2
  4. Egger M, Davey Smith G, Schneider M, et al (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315, 629-34. https://doi.org/10.1136/bmj.315.7109.629
  5. Fong DY, Ho JW, Hui BP, et al (2012). Physical activity for cancer survivors: meta-analysis of randomised controlled trials. BMJ, 344, e70. https://doi.org/10.1136/bmj.e70
  6. Goldstraw P, Ball D, Jett JR, et al (2011). Non-small-cell lung cancer. Lancet, 378, 1727-40. https://doi.org/10.1016/S0140-6736(10)62101-0
  7. Herbst RS, Heymach JV, Lippman SM (2008). Lung cancer. N Engl J Med, 359, 1367-80. https://doi.org/10.1056/NEJMra0802714
  8. Higgins JP, Thompson SG, Deeks JJ, et al (2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557-60. https://doi.org/10.1136/bmj.327.7414.557
  9. Ito Y, Ioka A, Nakayama T, et al (2011). Comparison of trends in cancer incidence and mortality in Osaka, Japan, using an age-period-cohort model. Asian Pac J Cancer Prev, 12, 879-88.
  10. Lee IM, Paffenbarger RS, Jr. (1994). Physical activity and its relation to cancer risk: a prospective study of college alumni. Med Sci Sports Exerc, 26, 831-7.
  11. Lee IM, Sesso HD, Paffenbarger RS, Jr (1999). Physical activity and risk of lung cancer. Int J Epidemiol, 28, 620-5. https://doi.org/10.1093/ije/28.4.620
  12. Leitzmann MF, Koebnick C, Abnet CC, et al (2009). Prospective study of physical activity and lung cancer by histologic type in current, former, and never smokers. Am J Epidemiol, 169, 542-53.
  13. Liu Y, Hu F, Li D, et al (2011). Does physical activity reduce the risk of prostate cancer? A systematic review and meta-analysis. Eur Urol, 60, 1029-44. https://doi.org/10.1016/j.eururo.2011.07.007
  14. Mantel N, Haenszel W (1959). Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst, 22, 719-48.
  15. Millett GA, Flores SA, Marks G, et al (2008). Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men: a meta-analysis. JAMA, 300, 1674-84. https://doi.org/10.1001/jama.300.14.1674
  16. Missaoui N, Hmissa S, Landolsi H, et al (2011). Lung cancer in central Tunisia: epidemiology and clinicopathological features. Asian Pac J Cancer Prev, 12, 2305-9.
  17. Moore SC, Gierach GL, Schatzkin A, et al (2010). Physical activity, sedentary behaviours, and the prevention of endometrial cancer. Br J Cancer, 103, 933-8. https://doi.org/10.1038/sj.bjc.6605902
  18. O'Rorke MA, Cantwell MM, Cardwell CR, et al (2010). Can physical activity modulate pancreatic cancer risk? a systematic review and meta-analysis. Int J Cancer, 126, 2957-68.
  19. Sellers TA, Potter JD, Folsom AR (1991). Association of incident lung cancer with family history of female reproductive cancers: the Iowa Women's Health Study. Genet Epidemiol, 8, 199-208. https://doi.org/10.1002/gepi.1370080306
  20. Severson RK, Nomura AM, Grove JS, et al (1989). A prospective analysis of physical activity and cancer. Am J Epidemiol, 130, 522-9.
  21. Sinner P, Folsom AR, Harnack L, et al (2006). The association of physical activity with lung cancer incidence in a cohort of older women: the Iowa Women's Health Study. Cancer Epidemiol Biomarkers Prev, 15, 2359-63. https://doi.org/10.1158/1055-9965.EPI-06-0251
  22. Sprague BL, Trentham-Dietz A, Klein BE, et al (2008). Physical activity, white blood cell count, and lung cancer risk in a prospective cohort study. Cancer Epidemiol Biomarkers Prev, 17, 2714-22. https://doi.org/10.1158/1055-9965.EPI-08-0042
  23. Steenland K, Nowlin S, Palu S (1995). Cancer incidence in the National Health and Nutrition Survey I. Follow-up data: diabetes, cholesterol, pulse and physical activity. Cancer Epidemiol Biomarkers Prev, 4, 807-11.
  24. Steindorf K, Friedenreich C, Linseisen J, et al (2006). Physical activity and lung cancer risk in the European Prospective Investigation into Cancer and Nutrition Cohort. Int J Cancer, 119, 2389-97. https://doi.org/10.1002/ijc.22125
  25. Stroup DF, Berlin JA, Morton SC, et al (2000). Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA, 283, 2008-12. https://doi.org/10.1001/jama.283.15.2008
  26. Thune I, Lund E (1997). The influence of physical activity on lung-cancer risk: A prospective study of 81,516 men and women. Int J Cancer, 70, 57-62. https://doi.org/10.1002/(SICI)1097-0215(19970106)70:1<57::AID-IJC9>3.0.CO;2-5
  27. Thune I, Furberg AS (2001). Physical activity and cancer risk: dose-response and cancer, all sites and site-specific. Med Sci Sports Exerc, 33, S530-50; discussion S609-10. https://doi.org/10.1097/00005768-200106001-00025
  28. Tobias A (1999). Assessing the influence of a single study in the meta-analysis estimate. Stata Tech Bull, 8, 15-7.
  29. Wannamethee SG, Shaper AG, Walker M (2001). Physical activity and risk of cancer in middle-aged men. Br J Cancer, 85, 1311-6. https://doi.org/10.1054/bjoc.2001.2096
  30. Wells G, Shea B, O'connell D, et al (2000) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. In: Proc 3rd Symposium on Systematic Reviews, pp. 3-5, Oxford, UK.
  31. Wolin KY, Yan Y, Colditz GA, et al (2009). Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer, 100, 611-6. https://doi.org/10.1038/sj.bjc.6604917
  32. Yun YH, Lim MK, Won YJ, et al (2008). Dietary preference, physical activity, and cancer risk in men: national health insurance corporation study. BMC Cancer, 8, 366. https://doi.org/10.1186/1471-2407-8-366

피인용 문헌

  1. Analysis of ICU Treatment on Resection of Giant Tumors in the Mediastinum of the Thoracic Cavity vol.14, pp.6, 2013, https://doi.org/10.7314/APJCP.2013.14.6.3843
  2. Awareness of Risk Factors for Cancer among Omani adults- A Community Based Study vol.15, pp.13, 2014, https://doi.org/10.7314/APJCP.2014.15.13.5401
  3. Health and Economic Costs of Physical Inactivity vol.15, pp.18, 2014, https://doi.org/10.7314/APJCP.2014.15.18.7499
  4. Association between leisure time physical activity and metabolic syndrome: a meta-analysis of prospective cohort studies vol.46, pp.2, 2014, https://doi.org/10.1007/s12020-013-0110-0
  5. Physical Activity and Risks of Esophageal and Gastric Cancers: A Meta-Analysis vol.9, pp.2, 2014, https://doi.org/10.1371/journal.pone.0088082
  6. Study on Theoretical Models of Regional Humanity Lung Cancer Hazards Assessment vol.16, pp.5, 2015, https://doi.org/10.7314/APJCP.2015.16.5.1759
  7. Multiple myeloma and physical activity: a scoping review vol.5, pp.11, 2015, https://doi.org/10.1136/bmjopen-2015-009576
  8. Pharmacophore Development for Anti-Lung Cancer Drugs vol.16, pp.18, 2015, https://doi.org/10.7314/APJCP.2015.16.18.8307
  9. Incorporating Exercise Into the Cancer Treatment Paradigm vol.20, pp.6, 2016, https://doi.org/10.1188/16.CJON.S2.17-24
  10. Physical Activity and Risk of Lung Cancer vol.26, pp.3, 2016, https://doi.org/10.1097/JSM.0000000000000219
  11. Physical Activity and Gastric Cancer Risk vol.26, pp.6, 2016, https://doi.org/10.1097/JSM.0000000000000316
  12. Does smoking influence the physical activity and lung cancer relation? A systematic review and meta-analysis vol.31, pp.12, 2016, https://doi.org/10.1007/s10654-016-0186-y
  13. Socioeconomic position and mortality risk of smoking: evidence from the English Longitudinal Study of Ageing (ELSA) vol.27, pp.6, 2017, https://doi.org/10.1093/eurpub/ckx059
  14. Physical Activity and Risk of Hypertension vol.62, pp.6, 2013, https://doi.org/10.1161/HYPERTENSIONAHA.113.01965
  15. Comparative beneficiary effects of immunotherapy against chemotherapy in patients with advanced NSCLC: Meta-analysis and systematic review vol.14, pp.2, 2017, https://doi.org/10.3892/ol.2017.6274
  16. Risk of lung cancer and physical activity by smoking status and body mass index, the Norwegian Women and Cancer Study pp.1573-7284, 2018, https://doi.org/10.1007/s10654-018-0446-0