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    Physical activity and cutaneous melanoma risk: A Norwegian population-based cohort study

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    Authors
    Perrier, F.
    Ghiasvand, R.
    Lergenmuller, S.
    Robsahm, T. E.
    Green, Adèle C
    Borch, K. B.
    Sandanger, T. M.
    Weiderpass, E.
    Rueegg, C. S.
    Veierød, M. B.
    Affiliation
    Oslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
    Issue Date
    2021
    
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    Abstract
    Physical activity (PA) is an important factor in cancer prevention, but positive association between PA and risk of cutaneous melanoma found in recent studies may complicate this strategy. Ultraviolet radiation (UVR) exposure during outdoor PA is a plausible explanation for a positive association. We investigated the associations between PA, UVR and melanoma risk in the Norwegian Women and Cancer cohort. Overall PA was reported by 151,710 women, aged 30-75 at inclusion, using a validated 10-point-scale at enrolment and during follow-up, together with recent numbers of sunburns, indoor tanning sessions and weeks on sunbathing vacations. Seasonal outdoor walking and seasonal PAs were recorded in subsamples (n = 102,671 and n = 29,077, respectively). Logistic and Cox regression were used. Mean follow-up was 18.5 years, and 1565 invasive incident melanoma cases were diagnosed. Overall PA was inversely associated with sunburns, while positively associated with sunbathing vacations and indoor tanning. Overall PA was not associated with melanoma risk in all body sites combined (ptrend = 0.61), but reduced risk was found in upper limb melanomas (hazard ratio (HR) = 0.70, 95% confidence interval (CI) 0.51-0.96; high versus low PA). Non-significant reduced risks were found for seasonal outdoor walking >2 h/day versus 30-60 min/day (summer HR = 0.81, 95% CI 0.66-1.00; autumn HR = 0.74, 95%CI 0.55-1.01). Seasonal PAs were not associated with melanoma risk. In conclusion, we found positive associations between overall PA and sunbathing vacations and indoor tanning, and, unlike literature, inverse association between overall PA and sunburns. Our results do not support a positive association between PA and melanoma risk in Norwegian women.
    Citation
    Perrier F, Ghiasvand R, Lergenmuller S, Robsahm TE, Green AC, Borch KB, et al. Physical activity and cutaneous melanoma risk: A Norwegian population-based cohort study. Preventive Medicine. 2021 Apr;106556.
    Journal
    Preventive Medicine
    URI
    http://hdl.handle.net/10541/624044
    DOI
    10.1016/j.ypmed.2021.106556
    PubMed ID
    33862033
    Additional Links
    https://dx.doi.org/10.1016/j.ypmed.2021.106556
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ypmed.2021.106556
    Scopus Count
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    All Paterson Institute for Cancer Research

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