Sleep Duration and Cancer in the NIH-AARP Diet and Health Study Cohort
Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women...
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| Published in | PloS one Vol. 11; no. 9; p. e0161561 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
09.09.2016
Public Library of Science (PLoS) |
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| Abstract | Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer.
We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference.
We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; Ptrend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (Ptrend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR≥ 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR≥ 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers.
In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. |
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| AbstractList | Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer.
We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference.
We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; Ptrend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (Ptrend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR≥ 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR≥ 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers.
In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. Background Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. Methods We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51–72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7–8 hours/night as the reference. Results We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR 5-6 vs. 7–8 hours = 1.29; 95%CI: 1.05, 1.59; P trend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance ( P trend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR <5vs.7-8 hours = 1.39; 95%CI:1.00–1.95), bladder (HR 5-6vs.7-8 hours = 1.10; 95%CI:1.00–1.20), thyroid (HR <5 vs. 7–8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR 5-6vs.7-8 hours = 1.17; 95%CI:1.02–1.33), and myeloma (HR <5vs.7-8 hours = 2.06; 95%CI:1.20–3.51). In women, the suggestive associations include a decreased total cancer risk (HR <5vs.7-8 hours = 0.9; 95%CI:0.83–0.99) and breast cancer risk (HR <5vs.7-8 hours = 0.84; 95%CI:0.71–0.98) among short sleepers. A decreased ovarian cancer risk (HR ≥ 9 vs. 7–8 hours = 0.50; 95%CI:0.26–0.97) and an increased NHL risk (HR ≥ 9 vs. 7–8 hours = 1.45; 95%CI:1.00–2.11) were observed among long sleepers. Conclusion In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference. We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR.sub.5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; P.sub.trend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (P.sub.trend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR.sub.<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR.sub.5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR.sub.<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR.sub.5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR.sub.<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR.sub.<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR.sub.<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR.sub.[greater than or equal to] 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR.sub.[greater than or equal to] 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers. In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. Background Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. Methods We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference. Results We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; Ptrend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (Ptrend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR greater than or equal to 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR greater than or equal to 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers. Conclusion In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. BACKGROUNDVery few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer.METHODSWe assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference.RESULTSWe observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; Ptrend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (Ptrend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR≥ 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR≥ 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers.CONCLUSIONIn an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. Background Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. Methods We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference. Results We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR.sub.5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; P.sub.trend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (P.sub.trend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR.sub.<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR.sub.5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR.sub.<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR.sub.5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR.sub.<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR.sub.<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR.sub.<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR.sub.[greater than or equal to] 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR.sub.[greater than or equal to] 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers. Conclusion In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. BACKGROUND:Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. METHODS:We assessed the associations between sleep duration and incidences of total and 18 site-specific cancers in the NIH-AARP Health and Diet Study cohort, with 173,327 men and 123,858 women aged 51-72 years at baseline. Self-reported sleep duration categories were assessed via questionnaire. We used multivariable Cox proportional hazards regression to estimate hazard ratios (HR) and 95% confidence intervals (CI), using 7-8 hours/night as the reference. RESULTS:We observed a significantly increased risk of stomach cancer among male short sleepers (multivariable HR5-6 vs. 7-8 hours = 1.29; 95%CI: 1.05, 1.59; Ptrend = 0.03). We also observed suggestive associations in either short or long sleepers, which did not reach overall significance (Ptrend >0.05), including increased risks in male short sleepers for cancers of head and neck (HR<5vs.7-8 hours = 1.39; 95%CI:1.00-1.95), bladder (HR5-6vs.7-8 hours = 1.10; 95%CI:1.00-1.20), thyroid (HR<5 vs. 7-8 hours = 2.30; 95%CI:1.06, 5.02), Non-Hodgkin Lymphoma (NHL) (HR5-6vs.7-8 hours = 1.17; 95%CI:1.02-1.33), and myeloma (HR<5vs.7-8 hours = 2.06; 95%CI:1.20-3.51). In women, the suggestive associations include a decreased total cancer risk (HR<5vs.7-8 hours = 0.9; 95%CI:0.83-0.99) and breast cancer risk (HR<5vs.7-8 hours = 0.84; 95%CI:0.71-0.98) among short sleepers. A decreased ovarian cancer risk (HR≥ 9 vs. 7-8 hours = 0.50; 95%CI:0.26-0.97) and an increased NHL risk (HR≥ 9 vs. 7-8 hours = 1.45; 95%CI:1.00-2.11) were observed among long sleepers. CONCLUSION:In an older population, we observed an increased stomach cancer risk in male short sleepers and suggestive associations with short or long sleep duration for many cancer risks in both genders. |
| Audience | Academic |
| Author | Caporaso, Neil E Chu, Lisa W Hsing, Ann W Gu, Fangyi Xiao, Qian Yu, Kai Matthews, Charles E |
| AuthorAffiliation | 4 Department of Health Research and Policy, School of Medicine, Stanford University, Stanford, CA, United States of America 2 Cancer Prevention Institute of California, Fremont, CA, United States of America 1 Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America 3 Stanford Cancer Institute, Palo Alto, CA, United States of America National Health Research Institutes, TAIWAN |
| AuthorAffiliation_xml | – name: 4 Department of Health Research and Policy, School of Medicine, Stanford University, Stanford, CA, United States of America – name: 1 Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America – name: National Health Research Institutes, TAIWAN – name: 2 Cancer Prevention Institute of California, Fremont, CA, United States of America – name: 3 Stanford Cancer Institute, Palo Alto, CA, United States of America |
| Author_xml | – sequence: 1 givenname: Fangyi surname: Gu fullname: Gu, Fangyi organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America – sequence: 2 givenname: Qian surname: Xiao fullname: Xiao, Qian organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America – sequence: 3 givenname: Lisa W surname: Chu fullname: Chu, Lisa W organization: Stanford Cancer Institute, Palo Alto, CA, United States of America – sequence: 4 givenname: Kai surname: Yu fullname: Yu, Kai organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America – sequence: 5 givenname: Charles E surname: Matthews fullname: Matthews, Charles E organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America – sequence: 6 givenname: Ann W surname: Hsing fullname: Hsing, Ann W organization: Department of Health Research and Policy, School of Medicine, Stanford University, Stanford, CA, United States of America – sequence: 7 givenname: Neil E surname: Caporaso fullname: Caporaso, Neil E organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States of America |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27611440$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
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| DOI | 10.1371/journal.pone.0161561 |
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| DocumentTitleAlternate | Sleep Duration and Cancer |
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| Editor | Chang, Jeffrey S |
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| Issue | 9 |
| Language | English |
| License | This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Creative Commons CC0 public domain |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist. Conceptualization: FG LWC AH. Data curation: FG QX. Formal analysis: QX. Methodology: FG QX KY AH. Project administration: FG. Software: QX. Supervision: FG NEC AH. Validation: FG. Visualization: FG. Writing – original draft: FG QX LWC AH NEC. Writing – review & editing: FG QX LWC KY CEM AH NEC. |
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| Snippet | Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer.
We assessed the associations between sleep... Background Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. Methods We assessed the... Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. We assessed the associations between sleep... BACKGROUNDVery few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer.METHODSWe assessed the associations... BACKGROUND:Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. METHODS:We assessed the... Background Very few studies have examined sleep duration in relation to cancer incidence with the exception of breast cancer. Methods We assessed the... |
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| SubjectTerms | Aged Biology and Life Sciences Bladder Breast cancer Cancer Cancer research Comorbidity Confidence intervals Diabetes Diet Endometrial cancer Exercise Female Follow-Up Studies Gastric cancer Hazard assessment Head and neck Health aspects Health risk assessment Health risks Helicobacter pylori Humans Incidence Lymphoma Lymphomas Male Medicine and Health Sciences Middle Aged Myeloma Neoplasms - epidemiology Neoplasms - etiology Ovarian cancer Ovarian carcinoma Population Surveillance Proportional Hazards Models Prostate cancer Risk Risk Factors Self Report Sleep Statistical analysis Stomach Stomach cancer Thyroid Time Factors United States - epidemiology Urinary bladder Womens health |
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| Title | Sleep Duration and Cancer in the NIH-AARP Diet and Health Study Cohort |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/27611440 https://www.proquest.com/docview/1818055090 https://search.proquest.com/docview/1819122758 https://search.proquest.com/docview/1827886937 https://pubmed.ncbi.nlm.nih.gov/PMC5017779 https://doaj.org/article/4d5a369087d84c0bb066ed28a0c9167c http://dx.doi.org/10.1371/journal.pone.0161561 |
| Volume | 11 |
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