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Published in: Cancer Causes & Control 1/2006

01-02-2006 | Original Paper

Physical Activity and Risk of Ovarian Cancer: Results from the Netherlands Cohort Study (The Netherlands)

Authors: Regien G. Biesma, Leo J. Schouten, Miranda J.M. Dirx, R. Alexandra Goldbohm, Piet A. van den Brandt

Published in: Cancer Causes & Control | Issue 1/2006

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Abstract

Objective To investigate the association between nonoccupational physical activity and the risk of ovarian cancer among post-menopausal women.
Methods The Netherlands Cohort Study on Diet and Cancer consists of 62,573 women aged 55–69 years at baseline. Information regarding baseline nonoccupational physical activity and history of sports activity was collected with a self-administered questionnaire in 1986. After 11.3 years of follow-up, 252 cases of invasive epithelial ovarian cancer were available for case–cohort analysis.
Results In multivariate analysis and compared to women who spent less than 30 min per day on physical activity, the rate ratios (RRs) of ovarian cancer for women who spent up to 60, 90 and >90 min per day were 0.78, 0.86 and 0.72, respectively (95% confidence interval (CI) for the top category, 0.48–1.06; p-trend, 0.15). Women who spent more than 2 h per week on recreational biking and walking had a reduced risk of ovarian cancer (RR = 0.65; 95% CI: 0.41–1.01) compared to women who never participated in recreational biking or walking.
Conclusions These data suggest a modest inverse association between moderate physical activity and ovarian cancer risk. Vigorous physical activity was not associated with ovarian cancer risk.
Literature
1.
go back to reference Ferlay, J, Bray, F, Sankila, R, Parkin, D 1999EUCAN: Cancer Incidence, Mortality and Prevalence in the European Union 1997, version 4.1IARC PressLyon (France) Ferlay, J, Bray, F, Sankila, R, Parkin, D 1999EUCAN: Cancer Incidence, Mortality and Prevalence in the European Union 1997, version 4.1IARC PressLyon (France)
2.
go back to reference Stewart, B, Kleihues, P 2003World Cancer ReportIARC PressLyon Stewart, B, Kleihues, P 2003World Cancer ReportIARC PressLyon
3.
go back to reference Weiss NS, Cook LS, Farrow DC, Rosenblatt KA (1996) Ovarian Cancer. In: Schottenfeld D, Fraumeni JF (eds) Oxford University Press, New York, pp 1040–1057. Weiss NS, Cook LS, Farrow DC, Rosenblatt KA (1996) Ovarian Cancer. In: Schottenfeld D, Fraumeni JF (eds) Oxford University Press, New York, pp 1040–1057.
4.
go back to reference Vainio, H, Bianchini, F 2002Weight Control and Physical Activity. IARC Handbooks of Cancer PreventionIARC PressLyon Vainio, H, Bianchini, F 2002Weight Control and Physical Activity. IARC Handbooks of Cancer PreventionIARC PressLyon
5.
go back to reference Dirx, MJ, Voorrips, LE, Goldbohm, RA, Brandt, PA 2001Baseline recreational physical activity, history of sports participation, and postmenopausal breast carcinoma risk in the Netherlands Cohort StudyCancer9216381649CrossRefPubMed Dirx, MJ, Voorrips, LE, Goldbohm, RA, Brandt, PA 2001Baseline recreational physical activity, history of sports participation, and postmenopausal breast carcinoma risk in the Netherlands Cohort StudyCancer9216381649CrossRefPubMed
6.
go back to reference Schouten, LJ, Goldbohm, RA, Brandt, PA 2004Anthropometry, physical activity, and endometrial cancer risk: results from the Netherlands Cohort StudyJ Natl Cancer Inst9616351638PubMed Schouten, LJ, Goldbohm, RA, Brandt, PA 2004Anthropometry, physical activity, and endometrial cancer risk: results from the Netherlands Cohort StudyJ Natl Cancer Inst9616351638PubMed
7.
go back to reference Zheng, W, Shu, XO, McLaughlin, JK, et al. 1993Occupational physical activity and the incidence of cancer of the breast, corpus uteri, and ovary in ShanghaiCancer7136203624PubMed Zheng, W, Shu, XO, McLaughlin, JK,  et al. 1993Occupational physical activity and the incidence of cancer of the breast, corpus uteri, and ovary in ShanghaiCancer7136203624PubMed
8.
go back to reference Cottreau, CM, Ness, RB, Kriska, AM 2000Physical activity and reduced risk of ovarian cancerObstet Gynecol96609614CrossRefPubMed Cottreau, CM, Ness, RB, Kriska, AM 2000Physical activity and reduced risk of ovarian cancerObstet Gynecol96609614CrossRefPubMed
9.
go back to reference Tavani, A, Gallus, S, La Vecchia, C, et al. 2001Physical activity and risk of ovarian cancer: an Italian case–control studyInt J Cancer91407411CrossRefPubMed Tavani, A, Gallus, S, La Vecchia, C,  et al. 2001Physical activity and risk of ovarian cancer: an Italian case–control studyInt J Cancer91407411CrossRefPubMed
10.
go back to reference Bertone, ER, Newcomb, PA, Willett, WC, Stampfer, MJ, Egan, KM 2002Recreational physical activity and ovarian cancer in a population-based case–control studyInt J Cancer99431436CrossRefPubMed Bertone, ER, Newcomb, PA, Willett, WC, Stampfer, MJ, Egan, KM 2002Recreational physical activity and ovarian cancer in a population-based case–control studyInt J Cancer99431436CrossRefPubMed
11.
go back to reference Zhang, M, Lee, AH, Binns, CW 2003Physical activity and epithelial ovarian cancer risk: a case–control study in ChinaInt J Cancer105838843CrossRefPubMed Zhang, M, Lee, AH, Binns, CW 2003Physical activity and epithelial ovarian cancer risk: a case–control study in ChinaInt J Cancer105838843CrossRefPubMed
12.
go back to reference Pan, SY, Ugnat, AM, Mao, Y 2005Physical activity and the risk of ovarian cancer: A case–control study in CanadaInt J Cancer117300307CrossRefPubMed Pan, SY, Ugnat, AM, Mao, Y 2005Physical activity and the risk of ovarian cancer: A case–control study in CanadaInt J Cancer117300307CrossRefPubMed
13.
go back to reference Pukkala, E, Poskiparta, M, Apter, D, Vihko, V 1993Life-long physical activity and cancer risk among Finnish female teachersEur J Cancer Prev2369376PubMed Pukkala, E, Poskiparta, M, Apter, D, Vihko, V 1993Life-long physical activity and cancer risk among Finnish female teachersEur J Cancer Prev2369376PubMed
14.
go back to reference Anderson, JP, Ross, JA, Folsom, AR 2004Anthropometric variables, physical activity, and incidence of ovarian cancer: The Iowa Women’s Health StudyCancer10015151521CrossRefPubMed Anderson, JP, Ross, JA, Folsom, AR 2004Anthropometric variables, physical activity, and incidence of ovarian cancer: The Iowa Women’s Health StudyCancer10015151521CrossRefPubMed
15.
go back to reference Bertone, ER, Willett, WC, Rosner, BA, et al. 2001Prospective study of recreational physical activity and ovarian cancerJ Natl Cancer Inst93942948CrossRefPubMed Bertone, ER, Willett, WC, Rosner, BA,  et al. 2001Prospective study of recreational physical activity and ovarian cancerJ Natl Cancer Inst93942948CrossRefPubMed
16.
go back to reference Hannan, LM, Leitzmann, MF, Lacey, JV,Jr, et al. 2004Physical activity and risk of ovarian cancer: a prospective cohort study in the United StatesCancer Epidemiol Biomarkers Prev13765770PubMed Hannan, LM, Leitzmann, MF, Lacey, JV,Jr,  et al. 2004Physical activity and risk of ovarian cancer: a prospective cohort study in the United StatesCancer Epidemiol Biomarkers Prev13765770PubMed
17.
go back to reference Fathalla, MF 1971Incessant ovulation – a factor in ovarian neoplasia?Lancet2163PubMed Fathalla, MF 1971Incessant ovulation – a factor in ovarian neoplasia?Lancet2163PubMed
18.
go back to reference Sternfeld, B, Jacobs, MK, Quesenberry, CP,Jr, Gold, EB, Sowers, M 2002Physical activity and menstrual cycle characteristics in two prospective cohortsAm J Epidemiol156402409CrossRefPubMed Sternfeld, B, Jacobs, MK, Quesenberry, CP,Jr, Gold, EB, Sowers, M 2002Physical activity and menstrual cycle characteristics in two prospective cohortsAm J Epidemiol156402409CrossRefPubMed
19.
go back to reference Edmondson, RJ, Monaghan, JM 2001The epidemiology of ovarian cancerInt J Gynecol Cancer11423429CrossRefPubMed Edmondson, RJ, Monaghan, JM 2001The epidemiology of ovarian cancerInt J Gynecol Cancer11423429CrossRefPubMed
20.
go back to reference Kramer, MM, Wells, CL 1996Does physical activity reduce risk of estrogen-dependent cancer in women?Med Sci Sports Exerc28322334PubMed Kramer, MM, Wells, CL 1996Does physical activity reduce risk of estrogen-dependent cancer in women?Med Sci Sports Exerc28322334PubMed
21.
go back to reference Friedenreich, CM, Orenstein, MR 2002Physical activity and cancer prevention: etiologic evidence and biological mechanismsJ Nutr1323456S3464SPubMed Friedenreich, CM, Orenstein, MR 2002Physical activity and cancer prevention: etiologic evidence and biological mechanismsJ Nutr1323456S3464SPubMed
22.
go back to reference Risch, HA 1998Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone [see comments]J Natl Cancer Inst9017741786CrossRefPubMed Risch, HA 1998Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone [see comments]J Natl Cancer Inst9017741786CrossRefPubMed
23.
go back to reference Ness, RB, Cottreau, C 1999Possible role of ovarian epithelial inflammation in ovarian cancerJ Natl Cancer Inst9114591467CrossRefPubMed Ness, RB, Cottreau, C 1999Possible role of ovarian epithelial inflammation in ovarian cancerJ Natl Cancer Inst9114591467CrossRefPubMed
24.
go back to reference Shepard, RJ, Shek, PN 1996Impact of physical activity and sport on the immune systemRev Environ Health11133147PubMed Shepard, RJ, Shek, PN 1996Impact of physical activity and sport on the immune systemRev Environ Health11133147PubMed
25.
go back to reference Cramer, DW, Welch, WR 1983Determinants of ovarian cancer risk. II. Inferences regarding pathogenesisJ Natl Cancer Inst71717721PubMed Cramer, DW, Welch, WR 1983Determinants of ovarian cancer risk. II. Inferences regarding pathogenesisJ Natl Cancer Inst71717721PubMed
26.
go back to reference Brandt, PA, Goldbohm, RA, Veer, P, et al. 1990A large-scale prospective cohort study on diet and cancer in The NetherlandsJ Clin Epidemiol43285295PubMed Brandt, PA, Goldbohm, RA, Veer, P,  et al. 1990A large-scale prospective cohort study on diet and cancer in The NetherlandsJ Clin Epidemiol43285295PubMed
27.
go back to reference Volovics, A, Brandt, PA 1997Methods for the analyses of case–cohort studiesBiom J39195214 Volovics, A, Brandt, PA 1997Methods for the analyses of case–cohort studiesBiom J39195214
28.
go back to reference Brandt, PA, Schouten, LJ, Goldbohm, RA, Dorant, E, Hunen, PM 1990Development of a record linkage protocol for use in the Dutch Cancer Registry for Epidemiological ResearchInt J Epidemiol19553558PubMed Brandt, PA, Schouten, LJ, Goldbohm, RA, Dorant, E, Hunen, PM 1990Development of a record linkage protocol for use in the Dutch Cancer Registry for Epidemiological ResearchInt J Epidemiol19553558PubMed
29.
go back to reference Goldbohm, RA, Brandt, PA, Dorant, E 1994Estimation of the coverage of Dutch municipalities by cancer registries and PALGA based on hospital discharge dataTijdschr Soc Gezondheidsz728084 Goldbohm, RA, Brandt, PA, Dorant, E 1994Estimation of the coverage of Dutch municipalities by cancer registries and PALGA based on hospital discharge dataTijdschr Soc Gezondheidsz728084
30.
go back to reference Schouten, LJ, Goldbohm, RA, Brandt, PA 2003Height, weight, weight change, and ovarian cancer risk in the Netherlands cohort study on diet and cancerAm J Epidemiol157424433CrossRefPubMed Schouten, LJ, Goldbohm, RA, Brandt, PA 2003Height, weight, weight change, and ovarian cancer risk in the Netherlands cohort study on diet and cancerAm J Epidemiol157424433CrossRefPubMed
31.
go back to reference Gertig, D, Hunter, D 2002Ovarian Cancer.Adami, H-OHunter, DTrichopoulos, D eds. Textbook of Cancer EpidemiologyOxford University PressOxford378399 Gertig, D, Hunter, D 2002Ovarian Cancer.Adami, H-OHunter, DTrichopoulos, D eds. Textbook of Cancer EpidemiologyOxford University PressOxford378399
32.
go back to reference Schoenfeld, D 1982Partial residuals for the proportional hazards regression modelBiometrika69239241 Schoenfeld, D 1982Partial residuals for the proportional hazards regression modelBiometrika69239241
33.
go back to reference Lin, DY, Wei, LJ 1989The robust inference for the Cox Proportional Hazards ModelJ Am Stat Assoc8410741078 Lin, DY, Wei, LJ 1989The robust inference for the Cox Proportional Hazards ModelJ Am Stat Assoc8410741078
34.
go back to reference Stichting NEVO1986NEVO-tabel; Nederlands Voedingsstoffenbestand 1986–1987Voorlichtingsbureau voor de VoedingThe Hague Stichting NEVO1986NEVO-tabel; Nederlands Voedingsstoffenbestand 1986–1987Voorlichtingsbureau voor de VoedingThe Hague
35.
go back to reference Steindorf, K, Schmidt, M, Kropp, S, Chang-Claude, J 2003Case–control study of physical activity and breast cancer risk among premenopausal women in GermanyAm J Epidemiol157121130CrossRefPubMed Steindorf, K, Schmidt, M, Kropp, S, Chang-Claude, J 2003Case–control study of physical activity and breast cancer risk among premenopausal women in GermanyAm J Epidemiol157121130CrossRefPubMed
36.
go back to reference Haftenberger, M, Schuit, AJ, Tormo, MJ, et al. 2002Physical activity of subjects aged 50–64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC)Public Health Nutr511631176PubMed Haftenberger, M, Schuit, AJ, Tormo, MJ,  et al. 2002Physical activity of subjects aged 50–64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC)Public Health Nutr511631176PubMed
37.
go back to reference Gunnell, D, Okasha, M, Davey Smith, G, Sandhu, J, Holly, JM 2001Height, leg length, and cancer risk: a systematic reviewEpidemiol Rev23313336PubMed Gunnell, D, Okasha, M, Davey Smith, G, Sandhu, J, Holly, JM 2001Height, leg length, and cancer risk: a systematic reviewEpidemiol Rev23313336PubMed
38.
go back to reference Yu, H, Rohan, T 2000Role of the insulin-like growth factor family in cancer development and progressionJ Natl Cancer Inst9214721489CrossRefPubMed Yu, H, Rohan, T 2000Role of the insulin-like growth factor family in cancer development and progressionJ Natl Cancer Inst9214721489CrossRefPubMed
39.
go back to reference McTiernan, A, Ulrich, C, Slate, S, Potter, J 1998Physical activity and cancer etiology: associations and mechanismsCancer Causes Control9487509CrossRefPubMed McTiernan, A, Ulrich, C, Slate, S, Potter, J 1998Physical activity and cancer etiology: associations and mechanismsCancer Causes Control9487509CrossRefPubMed
Metadata
Title
Physical Activity and Risk of Ovarian Cancer: Results from the Netherlands Cohort Study (The Netherlands)
Authors
Regien G. Biesma
Leo J. Schouten
Miranda J.M. Dirx
R. Alexandra Goldbohm
Piet A. van den Brandt
Publication date
01-02-2006
Publisher
Kluwer Academic Publishers
Published in
Cancer Causes & Control / Issue 1/2006
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-005-0422-3

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