Title |
The association of lifetime physical inactivity with head and neck cancer: a hospital-based case–control analysis
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Published in |
European Archives of Oto-Rhino-Laryngology, August 2017
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DOI | 10.1007/s00405-017-4688-3 |
Pubmed ID | |
Authors |
Alexis J. Platek, Rikki A. Cannioto, John Lewis Etter, Jae Kim, Janine M. Joseph, Nicholas R. Gulati, Kristina L. Schmitt, Emily Callahan, Edgar Khachatryan, Ryan Nagy, Albina Minlikeeva, J. Brian Szender, Anurag K. Singh, Iris Danziger, Kirsten B. Moysich |
Abstract |
Despite mounting epidemiological evidence suggesting an inverse association between recreational physical activity and cancer risk, evidence associated with head and neck cancer is scant. We conducted a case-control analysis to examine the associations of lifetime physical inactivity with the risk of head and neck squamous cell carcinoma (HNSCC). We utilized data from the Patient Epidemiology Data System at Roswell Park Cancer Institute (RPCI). Participants included 246 patients with HNSCC and 504 cancer-free controls who received medical services at RPCI between 1990 and 1998. Participants were considered physically inactive if they did not participate in any regular, weekly recreational physical activity throughout their lifetime, prior to diagnosis. Multivariate logistic regression models were utilized to estimate odds ratios (OR) and 95% confidence intervals (CI) representing the association between lifetime physical inactivity and HNSCC risk. We observed a significant positive association between recreational physical inactivity and HNSCC risk (OR = 2.73, 95% CI 1.87-3.99, p < 0.001). In subgroup analyses by body mass index (BMI) (underweight/normal-weight: OR = 3.40, 95% CI 1.89-6.12, p < 0.001; overweight/obese: OR = 2.40, 95% CI 1.43-4.02, p < 0.001) and smoking status (former smoker: OR = 3.12, 95% CI 1.89-5.14, p < 0.001; never smoker: OR = 2.71, 95% CI 1.21-6.05, p = 0.020; current smoker: OR = 1.61, 95% CI 0.66-3.95, p = 0.300), significant positive associations were also observed. Results of the current analyses suggest that lifetime physical inactivity associates with HNSCC independent of BMI. In addition, physical inactivity may be a modifiable risk factor among never smokers. These data add to the growing body of evidence suggesting that physical inactivity may be an independent risk factor for cancer. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 21 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Lecturer | 2 | 10% |
Student > Ph. D. Student | 2 | 10% |
Student > Master | 2 | 10% |
Student > Bachelor | 2 | 10% |
Unspecified | 1 | 5% |
Other | 2 | 10% |
Unknown | 10 | 48% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 19% |
Agricultural and Biological Sciences | 2 | 10% |
Nursing and Health Professions | 2 | 10% |
Unspecified | 1 | 5% |
Social Sciences | 1 | 5% |
Other | 1 | 5% |
Unknown | 10 | 48% |