Domain-specific physical activity and the risk of colorectal cancer: results from the Melbourne Collaborative Cohort Study.

Shahid Mahmood; Dallas R English; Robert J MacInnis; Amalia Karahalios; Neville Owen; Roger L Milne; Graham G Giles; Brigid M Lynch
Abstract
Physical activity reduces the risk of colorectal cancer (CRC), but the relevant evidence derives primarily from self-reported recreational and occupational activity. Less is known about the contribution of other domains of physical activity, such as transport and household. We examined associations between domain-specific physical activities and CRC risk within the Melbourne Collaborative Cohort Study.Analyses included 23,586 participants who were free from invasive colorectal cancer and had completed the International Physical Activity Questionnaire-Long Form at follow-up 2 (2003-2007). Cox regression, with age as the time metric, was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for ordinal categories of each physical activity domain.Adjusted HRs for the highest versus the lowest categories of physical activity were 0.71 (95% CI: 0.51-0.98; p = 0.03) for recreational activity; 0.80 (95% CI: 0.49-1.28; p = 0.38) for occupational activity; 0.90 (95% CI: 0.68-1.19; p = 0.20) for transport activity; and 1.07 (95% CI: 0.82-1.40; p = 0.46) for household activity.trendRecreational activity was associated with reduced CRC risk. A non-significant, inverse association was observed for occupational activity, whereas no association was found for transport or household domains.
Journal BMC CANCER
ISSN 1471-2407
Published 03 Nov 2018
Volume 18
Issue 1
Pages 1063
DOI 10.1186/s12885-018-4961-x
Type Journal Article
Sponsorship NHMRC: 1118225