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Chronic recreational physical inactivity and epithelial ovarian cancer risk: Evidence from the ovarian cancer association consortium

  • Rikki Cannioto
  • , Michael J. LaMonte
  • , Harvey A. Risch
  • , Chi Chen Hong
  • , Lara E. Sucheston-Campbell
  • , Kevin H. Eng
  • , J. Brian Szender
  • , Jenny Chang-Claude
  • , Barbara Schmalfeldt
  • , Ruediger Klapdor
  • , Emily Gower
  • , Albina N. Minlikeeva
  • , Gary R. Zirpoli
  • , Elisa V. Bandera
  • , Andrew Berchuck
  • , Daniel Cramer
  • , Jennifer A. Doherty
  • , Robert P. Edwards
  • , Brooke L. Fridley
  • , Ellen L. Goode
  • Marc T. Goodman, Estrid Hogdall, Satoyo Hosono, Allan Jensen, Susan Jordan, Susanne K. Kjaer, Keitaro Matsuo, Roberta B. Ness, Catherine M. Olsen, Sara H. Olson, Celeste Leigh Pearce, Malcolm C. Pike, Mary Anne Rossing, Elizabeth A. Szamreta, Pamela J. Thompson, Chiu Chen Tseng, Robert A. Vierkant, Penelope M. Webb, Nicolas Wentzensen, Kristine G. Wicklund, Stacey J. Winham, Anna H. Wu, Francesmary Modugno, Joellen M. Schildkraut, Kathryn L. Terry, Linda E. Kelemen, Kirsten B. Moysich
  • Roswell Park Cancer Institute
  • Yale University
  • German Cancer Research Center
  • University of Hamburg
  • Hannover Medical School
  • SUNY Buffalo
  • Rutgers - The State University of New Jersey, New Brunswick
  • Duke University
  • Brigham and Women’s Hospital
  • Dartmouth College
  • University of Pittsburgh
  • University of Kansas
  • Mayo Clinic Rochester, MN
  • Cedars-Sinai Medical Center
  • Danish Cancer Society
  • University of Copenhagen
  • Aichi Cancer Center Hospital and Research Institute
  • Peter Maccallum Cancer Centre
  • Queensland Institute of Medical Research
  • University of Texas Health Science Center at Houston
  • Memorial Sloan-Kettering Cancer Center
  • University of Michigan, Ann Arbor
  • Fred Hutchinson Cancer Research Center
  • University of Southern California
  • National Institutes of Health
  • University of Virginia
  • Medical University of South Carolina

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Background: Despite a large body of literature evaluating the association between recreational physical activity and epithelial ovarian cancer (EOC) risk, the extant evidence is inconclusive, and little is known about the independent association between recreational physical inactivity and EOC risk. We conducted a pooled analysis of nine studies from the Ovarian Cancer Association Consortium to investigate the association between chronic recreational physical inactivity and EOC risk. Methods: In accordance with the 2008 Physical Activity Guidelines for Americans, women reporting no regular, weekly recreational physical activity were classified as inactive. Multivariable logistic regression was utilized to estimate the ORs and 95% confidence intervals (CI) for the association between inactivity and EOC risk overall and by subgroups based upon histotype, menopausal status, race, and body mass index. Results: The current analysis included data from 8,309 EOC patients and 12,612 controls. We observed a significant positive association between inactivity and EOC risk (OR = 1.34; 95% CI, 1.14-1.57), and similar associations were observed for each histotype. Conclusions: In this large pooled analysis examining the association between recreational physical inactivity and EOC risk, we observed consistent evidence of an association between chronic inactivity and all EOC histotypes. Impact: These data add to the growing body of evidence suggesting that inactivity is an independent risk factor for cancer. If the apparent association between inactivity and EOC risk is substantiated, additional work via targeted interventions should be pursued to characterize the dose of activity required to mitigate the risk of this highly fatal disease.

Original languageEnglish
Pages (from-to)1114-1124
Number of pages11
JournalCancer Epidemiology Biomarkers and Prevention
Volume25
Issue number7
DOIs
StatePublished - Jul 2016

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