Adverse associations of sedentary behavior with cancer incidence and all-cause mortality: A prospective cohort study

Autor: Yuan Lin, Qiong Liu, Fangchao Liu, Keyong Huang, Jianxin Li, Xueli Yang, Xinyan Wang, Jichun Chen, Xiaoqing Liu, Jie Cao, Chong Shen, Ling Yu, Fanghong Lu, Xianping Wu, Liancheng Zhao, Ying Li, Dongsheng Hu, Xiangfeng Lu, Jianfeng Huang, Dongfeng Gu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Sport and Health Science, Vol 10, Iss 5, Pp 560-569 (2021)
Druh dokumentu: article
ISSN: 2095-2546
DOI: 10.1016/j.jshs.2021.04.002
Popis: Background: Inconsistent results have been reported in developed countries for relationships between sedentary behavior and cancer incidence and mortality, and evidence from the Chinese population is scarce. This study aimed to investigate such relationships in large Chinese population-based prospective cohorts and to explore the joint effect and interaction of sedentary behavior and moderate-to-vigorous physical activity (MVPA) on these relationships. Methods: We included 95,319 Chinese adults without cancer from 3 large cohorts and assessed their sedentary behavior and physical activity with a unified questionnaire. Cancer incidence and mortality were confirmed by interviewing participants or their proxies and checking hospital records and death certificates. Hazard ratios (HRs) and 95% confidence intervals (95%CIs) for cancer and mortality were estimated using Cox proportional hazards regression models. Results: During 559,002 person-years of follow-up, 2388 cancer events, 1571 cancer deaths, and 4562 all-cause deaths were recorded. Sedentary behavior was associated with increased risk of developing cancer and deaths in a dose–response manner. The multivariable-adjusted HRs (95%CIs) were the following: HR = 1.16, 95%CI: 1.01‒1.33; HR = 1.24, 95%CI: 1.04‒1.48; and HR = 1.15, 95%CI: 1.04‒1.28 for cancer incidence, cancer mortality, and all-cause mortality, respectively, for those having ≥10 h/day of sedentary time compared with those having
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