Sedentary behavior is associated with colorectal adenoma recurrence in men.

Molmenti CL, Hibler EA, Ashbeck EL, Thomson CA, Garcia DO, Roe D, Harris RB, Lance P, Cisneroz M, Martinez ME, Thompson PA, Jacobs ET
Cancer Causes Control. 2014 25 (10): 1387-95

PMID: 25060482 · PMCID: PMC4228938 · DOI:10.1007/s10552-014-0444-9

PURPOSE - The association between physical activity and colorectal adenoma is equivocal. This study was designed to assess the relationship between physical activity and colorectal adenoma recurrence.

METHODS - Pooled analyses from two randomized, controlled trials included 1,730 participants who completed the Arizona Activity Frequency Questionnaire at baseline, had a colorectal adenoma removed within 6 months of study registration, and had a follow-up colonoscopy during the trial. Logistic regression modeling was employed to estimate the effect of sedentary behavior, light-intensity physical activity, and moderate-vigorous physical activity on colorectal adenoma recurrence.

RESULTS - No statistically significant trends were found for any activity type and odds of colorectal adenoma recurrence in the pooled population. However, males with the highest levels of sedentary time experienced 47% higher odds of adenoma recurrence. Compared to the lowest quartile of sedentary time, the ORs (95% CIs) for the second, third, and fourth quartiles among men were 1.23 (0.88, 1.74), 1.41 (0.99, 2.01), and 1.47 (1.03, 2.11), respectively (p(trend) = 0.03). No similar association was observed for women.

CONCLUSIONS - This study suggests that sedentary behavior is associated with a higher risk of colorectal adenoma recurrence among men, providing evidence of detrimental effects of a sedentary lifestyle early in the carcinogenesis pathway.

MeSH Terms (20)

Adenoma Adult Aged Aged, 80 and over Age Distribution Arizona Clinical Trials, Phase III as Topic Colonoscopy Colorectal Neoplasms Double-Blind Method Female Humans Logistic Models Male Middle Aged Neoplasm Recurrence, Local Sedentary Behavior Sex Distribution Sex Factors Surveys and Questionnaires

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