Estimates of the current and future burden of cancer attributable to sedentary behavior in Canada

被引：7
|
作者：
Friedenreich, Christine M. [1 ,2 ,3 ]
Pader, Joy [1 ]
Barberio, Amanda M. [1 ]
Ruan, Yibing [1 ]
Poirier, Abbey E. [1 ]
Grevers, Xin [1 ]
Walter, Stephen D. [4 ]
Villeneuve, Paul J. [5 ]
Brenner, Darren R. [1 ,2 ,3 ]
Franco, Eduardo L. [6 ]
King, Will D. [7 ]
Demers, Paul A. [8 ]
De, Prithwish [9 ]
Smith, Leah M. [10 ]
Holmes, Elizabeth [10 ]
O'Sullivan, Dylan E. [7 ]
Volesky, Karena D. [6 ]
El-Masri, Zeinab [9 ]
Nuttall, Robert [11 ]
El-Zein, Mariam [6 ]
Narain, Tasha [7 ]
Gogna, Priyanka [7 ]
机构：
[1] Alberta Hlth Serv, Dept Canc Epidemiol & Prevent Res, CancerControl Alberta, Box ACB,2210 2nd St SW, Calgary, AB T2S 3C3, Canada
[2] Univ Calgary, Cumming Sch Med, Dept Oncol, Calgary, AB, Canada
[3] Univ Calgary, Cumming Sch Med, Dept Community Hlth Sci, Calgary, AB, Canada
[4] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
[5] Carleton Univ, Dept Hlth Sci, Ottawa, ON, Canada
[6] McGill Univ, Gerald Bronfman Dept Oncol, Div Canc Epidemiol, Montreal, PQ, Canada
[7] Queens Univ, Dept Publ Hlth Sci, Kingston, ON, Canada
[8] Occupat Canc Res Ctr, Toronto, ON, Canada
[9] Canc Care Ontario, Toronto, ON, Canada
[10] Canadian Canc Soc, Toronto, ON, Canada
[11] Hlth Qual Ontario, Toronto, ON, Canada
来源：
PREVENTIVE MEDICINE | 2019年 / 122卷
关键词：
Sedentary behavior; Cancer risk; Population attributable risk; Potential impact fraction; Prevention; PHYSICAL-ACTIVITY; CARDIOVASCULAR-DISEASE; HEALTH OUTCOMES; METAANALYSIS; GUIDELINES; ADULTS; OBESITY; RISK; UK;
D O I：
10.1016/j.ypmed.2019.03.009
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Leisure-time sedentary behavior is an emerging modifiable risk factor for cancer. We estimated the proportion of cancers attributed to leisure-time sedentary behavior as a separate risk factor from physical activity in Canada for 2015. We projected numbers of future avoidable cancers by 2042 using various assumed levels of reduced leisure-time sedentary behavior in the population. We calculated population attributable risks (PAR) for associated cancers and all-cancers associated with leisure-time sedentary behavior. Our analysis used pooled data on leisure-time sedentary behavior from the Canadian Community Health Survey (CCHS), and incident cancer data from the Canadian Cancer Registry (CCR). Survey respondents were categorized into three levels of leisure-time sedentary behavior, "< 3 h/day", ">= 3- < 6 h/day", and ">= 6 h/day". Estimates for the future burden of leisure-time sedentary behavior were calculated using the potential impact fractions framework (PIF) and counterfactual scenarios, from 10% to 50% decreases in leisure-time sedentary behavior. The estimated prevalence of leisure-time sedentary behavior at the highest level (>= 6 h/day) in Canada during the 2000s was 9.9% among both sexes combined across age-groups. The total attributable burden due to leisure-time sedentary behavior was estimated to be 10.3% for associated cancers and 6.5% for all-cancers in 2015. A 50% reduction in leisure-time sedentary behavior across the Canadian population could avoid 4054 cancers by 2042. We estimated that over 3000 cancer cases in Canada were attributable to leisure-time sedentary behavior in 2015, and that that 4054 incident cancer cases could be prevented by 2042 with meaningful reductions in leisure-time sedentary behavior.
引用
收藏
页码：73 / 80
页数：8
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