Physical activity and risk of endometrial cancer: The European prospective investigation into cancer and nutrition
Identifieur interne : 009411 ( Main/Exploration ); précédent : 009410; suivant : 009412Physical activity and risk of endometrial cancer: The European prospective investigation into cancer and nutrition
Auteurs : Christine Friedenreich [Canada, France] ; Anne Cust [France, Australie] ; Petra H. Lahmann [Allemagne] ; Karen Steindorf [Allemagne] ; Marie-Christine Boutron-Ruault [France] ; Frangoise Clavel-Chapelon [France] ; Sylvie Mesrine [France] ; Jakob Linseisen [Allemagne] ; Sabine Rohrmann [Allemagne] ; Tobias Pischon [Allemagne] ; Mandy Schuiz [Allemagne] ; Anne Tj Nneland [Danemark] ; Nina Fons Johnsen [Danemark] ; Kim Overvad [Danemark] ; Michelle Mendez [Espagne] ; M. V. Arguelles [Espagne] ; Carmen Martinez Garcia [Espagne] ; Nerea Larranaga [Espagne] ; Maria-Dolores Chirlaque [Espagne] ; Eva Ardanaz ; Sheila Bingham ; Kay-Tee Khaw ; Naomi Allen ; Tim Key ; Antonia Trichopoulou ; Vardis Dilis ; Dimitrios Trichopoulos ; Valeria Pala ; Domenico Paii ; Rosario Tumino ; Salvatore Panico ; Paolo Vineis ; H. Bas Bueno-De-Mesquita ; Petra H. M. Peeters ; Evelyn Monninkho ; Göran Berglund ; Jonas Manjer ; Nadia Slimani [France] ; Pietro Ferrari [France] ; Rudolf Kaaks [France, Allemagne] ; Elio RiboliSource :
- International journal of cancer [ 0020-7136 ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Prospective, Nutrition.
English descriptors
- KwdEn :
Abstract
The etiologic role of physical activity in endometrial cancer risk remains unclear given the few epidemiologic studies that have been conducted. To investigate this relation more fully, an analysis was undertaken in the European prospective investigation into cancer and nutrition (EPIC). During an average 6.6 years of follow-up, 689 incident endometrial cancer cases were identified from an analytic cohort within EPIC of 253,023 women. Cox proportional hazards models were used to estimate the associations between type of activity (total, occupational, household, recreational) and endometrial cancer risk. For total activity, women in the highest compared with the lowest quartile of activity had a risk of 0.88 (95% confidence interval (95% CI = 0.61-1.27). No clear associations between each type of activity and endometrial cancer risk were found for the total study population combined. Associations were more evident in the stratified results, with premenopausal women who were active versus inactive experiencing a risk of 0.66 (95% CI = 0.38-1.14) overall. Among premenopausal women, for household and recreational activities the risk estimates in the highest as compared with the lowest quartiles were, respectively, 0.48 (95% CI = 0.23-0.99) and 0.78 (95% CI = 0.44-1.39). No effect modification by body mass index, hormone replacement therapy, oral contraceptive use or energy intake was found. This study provides no evidence of a protective effect of increased physical activity in endometrial cancer risk in all women but some support for a benefit among premenopausal women. The relative risk reductions are most apparent for household activities.
Affiliations:
- Allemagne, Australie, Canada, Danemark, Espagne, France
- Auvergne-Rhône-Alpes, Bade-Wurtemberg, Catalogne, District de Karlsruhe, Hovedstaden, Nouvelle-Galles du Sud, Rhône-Alpes
- Barcelone, Copenhague, Heidelberg, Lyon, Sydney
- Université de Sydney
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uniqKey="Pischon T" first="Tobias" last="Pischon">Tobias Pischon</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke</s1><s2>Nuthetal</s2><s3>DEU</s3><sZ>3 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation></author><author><name sortKey="Schuiz, Mandy" sort="Schuiz, Mandy" uniqKey="Schuiz M" first="Mandy" last="Schuiz">Mandy Schuiz</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke</s1><s2>Nuthetal</s2><s3>DEU</s3><sZ>3 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition 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type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital</s1><s2>Aalborg</s2><s3>DNK</s3><sZ>14 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>Aalborg</wicri:noRegion></affiliation></author><author><name sortKey="Mendez, Michelle" sort="Mendez, Michelle" uniqKey="Mendez M" first="Michelle" last="Mendez">Michelle Mendez</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Department of Epidemiology, Catalan Institute of Oncology, IDIBELL</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>15 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Arguelles, M V" sort="Arguelles, M V" uniqKey="Arguelles M" first="M. V." last="Arguelles">M. V. Arguelles</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Public Health and Health Planning Directorate, Principality of Asturias</s1><s2>Oviedo</s2><s3>ESP</s3><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Oviedo</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Garcia, Carmen" sort="Martinez Garcia, Carmen" uniqKey="Martinez Garcia C" first="Carmen" last="Martinez Garcia">Carmen Martinez Garcia</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Andalusian School of Public Health</s1><s2>Granada</s2><s3>ESP</s3><sZ>17 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Andalusian School of Public Health</wicri:noRegion></affiliation></author><author><name sortKey="Larranaga, Nerea" sort="Larranaga, Nerea" uniqKey="Larranaga N" first="Nerea" last="Larranaga">Nerea Larranaga</name><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Department of Public Health of Guipuzkoa</s1><s2>San Sebastian</s2><s3>ESP</s3><sZ>18 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Department of Public Health of Guipuzkoa</wicri:noRegion></affiliation></author><author><name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Epidemiology, Health Council of Murcia</s1><s3>ESP</s3><sZ>19 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Department of Epidemiology, Health Council of Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name></author><author><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name></author><author><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name></author><author><name sortKey="Allen, Naomi" sort="Allen, Naomi" uniqKey="Allen N" first="Naomi" last="Allen">Naomi Allen</name></author><author><name sortKey="Key, Tim" sort="Key, Tim" uniqKey="Key T" first="Tim" last="Key">Tim Key</name></author><author><name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name></author><author><name sortKey="Dilis, Vardis" sort="Dilis, Vardis" uniqKey="Dilis V" first="Vardis" last="Dilis">Vardis Dilis</name></author><author><name sortKey="Trichopoulos, Dimitrios" sort="Trichopoulos, Dimitrios" uniqKey="Trichopoulos D" first="Dimitrios" last="Trichopoulos">Dimitrios Trichopoulos</name></author><author><name sortKey="Pala, Valeria" sort="Pala, Valeria" uniqKey="Pala V" first="Valeria" last="Pala">Valeria Pala</name></author><author><name sortKey="Paii, Domenico" sort="Paii, Domenico" uniqKey="Paii D" first="Domenico" last="Paii">Domenico Paii</name></author><author><name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name></author><author><name sortKey="Panico, Salvatore" sort="Panico, Salvatore" uniqKey="Panico S" first="Salvatore" last="Panico">Salvatore Panico</name></author><author><name sortKey="Vineis, Paolo" sort="Vineis, Paolo" uniqKey="Vineis P" first="Paolo" last="Vineis">Paolo Vineis</name></author><author><name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H. Bas" last="Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name></author><author><name sortKey="Peeters, Petra H M" sort="Peeters, Petra H M" uniqKey="Peeters P" first="Petra H. M." last="Peeters">Petra H. M. Peeters</name></author><author><name sortKey="Monninkho, Evelyn" sort="Monninkho, Evelyn" uniqKey="Monninkho E" first="Evelyn" last="Monninkho">Evelyn Monninkho</name></author><author><name sortKey="Berglund, Goran" sort="Berglund, Goran" uniqKey="Berglund G" first="Göran" last="Berglund">Göran Berglund</name></author><author><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name></author><author><name sortKey="Slimani, Nadia" sort="Slimani, Nadia" uniqKey="Slimani N" first="Nadia" last="Slimani">Nadia Slimani</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Ferrari, Pietro" sort="Ferrari, Pietro" uniqKey="Ferrari P" first="Pietro" last="Ferrari">Pietro Ferrari</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Division of Clinical Epidemiology, German Cancer Research Centre</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0384794</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0384794 INIST</idno><idno type="RBID">Pascal:07-0384794</idno><idno type="wicri:Area/PascalFrancis/Corpus">003A41</idno><idno type="wicri:Area/PascalFrancis/Curation">002647</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">003705</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">003705</idno><idno type="wicri:doubleKey">0020-7136:2007:Friedenreich C:physical:activity:and</idno><idno type="wicri:Area/Main/Merge">009E17</idno><idno type="wicri:Area/Main/Curation">009411</idno><idno type="wicri:Area/Main/Exploration">009411</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Physical activity and risk of endometrial cancer: The European prospective investigation into cancer and nutrition</title><author><name sortKey="Friedenreich, Christine" sort="Friedenreich, Christine" uniqKey="Friedenreich C" first="Christine" last="Friedenreich">Christine Friedenreich</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Population Health and Information, Alberta Cancer Board</s1><s2>Calgary, Alberta</s2><s3>CAN</s3><sZ>1 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Calgary, Alberta</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Cust, Anne" sort="Cust, Anne" uniqKey="Cust A" first="Anne" last="Cust">Anne Cust</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>School of Public Health, University of Sydney</s1><s2>Sydney</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre for Research in Human Nutrition Rhône-Alpes, Université Lyon 1, Université Claude Bernard Lyon 1</s1><s2>Lyon</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Lahmann, Petra H" sort="Lahmann, Petra H" uniqKey="Lahmann P" first="Petra H." last="Lahmann">Petra H. Lahmann</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke</s1><s2>Nuthetal</s2><s3>DEU</s3><sZ>3 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation></author><author><name sortKey="Steindorf, Karen" sort="Steindorf, Karen" uniqKey="Steindorf K" first="Karen" last="Steindorf">Karen Steindorf</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Unit of Environmental Epidemiology, German Cancer Research Centre</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Boutron Ruault, Marie Christine" sort="Boutron Ruault, Marie Christine" uniqKey="Boutron Ruault M" first="Marie-Christine" last="Boutron-Ruault">Marie-Christine Boutron-Ruault</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>INSERM U ERI20, Institut Gustave Roussy</s1><s2>Villejuif</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Institut Gustave Roussy</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="Clavel Chapelon, Frangoise" sort="Clavel Chapelon, Frangoise" uniqKey="Clavel Chapelon F" first="Frangoise" last="Clavel-Chapelon">Frangoise Clavel-Chapelon</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>INSERM U ERI20, Institut Gustave Roussy</s1><s2>Villejuif</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Institut Gustave Roussy</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="Mesrine, Sylvie" sort="Mesrine, Sylvie" uniqKey="Mesrine S" first="Sylvie" last="Mesrine">Sylvie Mesrine</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>INSERM U ERI20, Institut Gustave Roussy</s1><s2>Villejuif</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Institut Gustave Roussy</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="Linseisen, Jakob" sort="Linseisen, Jakob" uniqKey="Linseisen J" first="Jakob" last="Linseisen">Jakob Linseisen</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Division of Clinical Epidemiology, German Cancer Research Centre</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Rohrmann, Sabine" sort="Rohrmann, Sabine" uniqKey="Rohrmann S" first="Sabine" last="Rohrmann">Sabine Rohrmann</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Division of Clinical Epidemiology, German Cancer Research Centre</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Pischon, Tobias" sort="Pischon, Tobias" uniqKey="Pischon T" first="Tobias" last="Pischon">Tobias Pischon</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke</s1><s2>Nuthetal</s2><s3>DEU</s3><sZ>3 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation></author><author><name sortKey="Schuiz, Mandy" sort="Schuiz, Mandy" uniqKey="Schuiz M" first="Mandy" last="Schuiz">Mandy Schuiz</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke</s1><s2>Nuthetal</s2><s3>DEU</s3><sZ>3 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nuthetal</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>Nuthetal</wicri:noRegion></affiliation></author><author><name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Johnsen, Nina Fons" sort="Johnsen, Nina Fons" uniqKey="Johnsen N" first="Nina Fons" last="Johnsen">Nina Fons Johnsen</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital</s1><s2>Aalborg</s2><s3>DNK</s3><sZ>14 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>Aalborg</wicri:noRegion></affiliation></author><author><name sortKey="Mendez, Michelle" sort="Mendez, Michelle" uniqKey="Mendez M" first="Michelle" last="Mendez">Michelle Mendez</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Department of Epidemiology, Catalan Institute of Oncology, IDIBELL</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>15 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Arguelles, M V" sort="Arguelles, M V" uniqKey="Arguelles M" first="M. V." last="Arguelles">M. V. Arguelles</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Public Health and Health Planning Directorate, Principality of Asturias</s1><s2>Oviedo</s2><s3>ESP</s3><sZ>16 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Oviedo</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Garcia, Carmen" sort="Martinez Garcia, Carmen" uniqKey="Martinez Garcia C" first="Carmen" last="Martinez Garcia">Carmen Martinez Garcia</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Andalusian School of Public Health</s1><s2>Granada</s2><s3>ESP</s3><sZ>17 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Andalusian School of Public Health</wicri:noRegion></affiliation></author><author><name sortKey="Larranaga, Nerea" sort="Larranaga, Nerea" uniqKey="Larranaga N" first="Nerea" last="Larranaga">Nerea Larranaga</name><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Department of Public Health of Guipuzkoa</s1><s2>San Sebastian</s2><s3>ESP</s3><sZ>18 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Department of Public Health of Guipuzkoa</wicri:noRegion></affiliation></author><author><name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Epidemiology, Health Council of Murcia</s1><s3>ESP</s3><sZ>19 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Department of Epidemiology, Health Council of Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name></author><author><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name></author><author><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name></author><author><name sortKey="Allen, Naomi" sort="Allen, Naomi" uniqKey="Allen N" first="Naomi" last="Allen">Naomi Allen</name></author><author><name sortKey="Key, Tim" sort="Key, Tim" uniqKey="Key T" first="Tim" last="Key">Tim Key</name></author><author><name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name></author><author><name sortKey="Dilis, Vardis" sort="Dilis, Vardis" uniqKey="Dilis V" first="Vardis" last="Dilis">Vardis Dilis</name></author><author><name sortKey="Trichopoulos, Dimitrios" sort="Trichopoulos, Dimitrios" uniqKey="Trichopoulos D" first="Dimitrios" last="Trichopoulos">Dimitrios Trichopoulos</name></author><author><name sortKey="Pala, Valeria" sort="Pala, Valeria" uniqKey="Pala V" first="Valeria" last="Pala">Valeria Pala</name></author><author><name sortKey="Paii, Domenico" sort="Paii, Domenico" uniqKey="Paii D" first="Domenico" last="Paii">Domenico Paii</name></author><author><name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name></author><author><name sortKey="Panico, Salvatore" sort="Panico, Salvatore" uniqKey="Panico S" first="Salvatore" last="Panico">Salvatore Panico</name></author><author><name sortKey="Vineis, Paolo" sort="Vineis, Paolo" uniqKey="Vineis P" first="Paolo" last="Vineis">Paolo Vineis</name></author><author><name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H. Bas" last="Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name></author><author><name sortKey="Peeters, Petra H M" sort="Peeters, Petra H M" uniqKey="Peeters P" first="Petra H. M." last="Peeters">Petra H. M. Peeters</name></author><author><name sortKey="Monninkho, Evelyn" sort="Monninkho, Evelyn" uniqKey="Monninkho E" first="Evelyn" last="Monninkho">Evelyn Monninkho</name></author><author><name sortKey="Berglund, Goran" sort="Berglund, Goran" uniqKey="Berglund G" first="Göran" last="Berglund">Göran Berglund</name></author><author><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name></author><author><name sortKey="Slimani, Nadia" sort="Slimani, Nadia" uniqKey="Slimani N" first="Nadia" last="Slimani">Nadia Slimani</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Ferrari, Pietro" sort="Ferrari, Pietro" uniqKey="Ferrari P" first="Pietro" last="Ferrari">Pietro Ferrari</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Nutrition and Hormones Unit, International Agency for Research on Cancer</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>38 aut.</sZ><sZ>39 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Division of Clinical Epidemiology, German Cancer Research Centre</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>40 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name></author></analytic><series><title level="j" type="main">International journal of cancer</title><title level="j" type="abbreviated">Int. j. cancer</title><idno type="ISSN">0020-7136</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of cancer</title><title level="j" type="abbreviated">Int. j. cancer</title><idno type="ISSN">0020-7136</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancerology</term><term>Diet</term><term>Endometrium cancer</term><term>Epidemiology</term><term>Etiology</term><term>Europe</term><term>Malignant tumor</term><term>Mechanism</term><term>Nutrition</term><term>Physical exercise</term><term>Prospective</term><term>Risk factor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cancer endomètre</term><term>Exercice physique</term><term>Facteur risque</term><term>Tumeur maligne</term><term>Epidémiologie</term><term>Europe</term><term>Prospective</term><term>Nutrition</term><term>Régime alimentaire</term><term>Etiologie</term><term>Mécanisme</term><term>Cancérologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Prospective</term><term>Nutrition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The etiologic role of physical activity in endometrial cancer risk remains unclear given the few epidemiologic studies that have been conducted. To investigate this relation more fully, an analysis was undertaken in the European prospective investigation into cancer and nutrition (EPIC). During an average 6.6 years of follow-up, 689 incident endometrial cancer cases were identified from an analytic cohort within EPIC of 253,023 women. Cox proportional hazards models were used to estimate the associations between type of activity (total, occupational, household, recreational) and endometrial cancer risk. For total activity, women in the highest compared with the lowest quartile of activity had a risk of 0.88 (95% confidence interval (95% CI = 0.61-1.27). No clear associations between each type of activity and endometrial cancer risk were found for the total study population combined. Associations were more evident in the stratified results, with premenopausal women who were active versus inactive experiencing a risk of 0.66 (95% CI = 0.38-1.14) overall. Among premenopausal women, for household and recreational activities the risk estimates in the highest as compared with the lowest quartiles were, respectively, 0.48 (95% CI = 0.23-0.99) and 0.78 (95% CI = 0.44-1.39). No effect modification by body mass index, hormone replacement therapy, oral contraceptive use or energy intake was found. This study provides no evidence of a protective effect of increased physical activity in endometrial cancer risk in all women but some support for a benefit among premenopausal women. The relative risk reductions are most apparent for household activities.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Danemark</li><li>Espagne</li><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>Catalogne</li><li>District de Karlsruhe</li><li>Hovedstaden</li><li>Nouvelle-Galles du Sud</li><li>Rhône-Alpes</li></region><settlement><li>Barcelone</li><li>Copenhague</li><li>Heidelberg</li><li>Lyon</li><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><noCountry><name sortKey="Allen, Naomi" sort="Allen, Naomi" uniqKey="Allen N" first="Naomi" last="Allen">Naomi Allen</name><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name><name sortKey="Berglund, Goran" sort="Berglund, Goran" uniqKey="Berglund G" first="Göran" last="Berglund">Göran Berglund</name><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name><name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H. Bas" last="Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name><name sortKey="Dilis, Vardis" sort="Dilis, Vardis" uniqKey="Dilis V" first="Vardis" last="Dilis">Vardis Dilis</name><name sortKey="Key, Tim" sort="Key, Tim" uniqKey="Key T" first="Tim" last="Key">Tim Key</name><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name><name sortKey="Monninkho, Evelyn" sort="Monninkho, Evelyn" uniqKey="Monninkho E" first="Evelyn" last="Monninkho">Evelyn Monninkho</name><name sortKey="Paii, Domenico" sort="Paii, Domenico" uniqKey="Paii D" first="Domenico" last="Paii">Domenico Paii</name><name sortKey="Pala, Valeria" sort="Pala, Valeria" uniqKey="Pala V" first="Valeria" last="Pala">Valeria Pala</name><name sortKey="Panico, Salvatore" sort="Panico, Salvatore" uniqKey="Panico S" first="Salvatore" last="Panico">Salvatore Panico</name><name sortKey="Peeters, Petra H M" sort="Peeters, Petra H M" uniqKey="Peeters P" first="Petra H. M." last="Peeters">Petra H. M. Peeters</name><name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name><name sortKey="Trichopoulos, Dimitrios" sort="Trichopoulos, Dimitrios" uniqKey="Trichopoulos D" first="Dimitrios" last="Trichopoulos">Dimitrios Trichopoulos</name><name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name><name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name><name sortKey="Vineis, Paolo" sort="Vineis, Paolo" uniqKey="Vineis P" first="Paolo" last="Vineis">Paolo Vineis</name></noCountry><country name="Canada"><noRegion><name sortKey="Friedenreich, Christine" sort="Friedenreich, Christine" uniqKey="Friedenreich C" first="Christine" last="Friedenreich">Christine Friedenreich</name></noRegion></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Friedenreich, Christine" sort="Friedenreich, Christine" uniqKey="Friedenreich C" first="Christine" last="Friedenreich">Christine Friedenreich</name></region><name sortKey="Boutron Ruault, Marie Christine" sort="Boutron Ruault, Marie Christine" uniqKey="Boutron Ruault M" first="Marie-Christine" last="Boutron-Ruault">Marie-Christine Boutron-Ruault</name><name sortKey="Clavel Chapelon, Frangoise" sort="Clavel Chapelon, Frangoise" uniqKey="Clavel Chapelon F" first="Frangoise" last="Clavel-Chapelon">Frangoise Clavel-Chapelon</name><name sortKey="Cust, Anne" sort="Cust, Anne" uniqKey="Cust A" first="Anne" last="Cust">Anne Cust</name><name sortKey="Cust, Anne" sort="Cust, Anne" uniqKey="Cust A" first="Anne" last="Cust">Anne Cust</name><name sortKey="Ferrari, Pietro" sort="Ferrari, Pietro" uniqKey="Ferrari P" first="Pietro" last="Ferrari">Pietro Ferrari</name><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name><name sortKey="Mesrine, Sylvie" sort="Mesrine, Sylvie" uniqKey="Mesrine S" first="Sylvie" last="Mesrine">Sylvie Mesrine</name><name sortKey="Slimani, Nadia" sort="Slimani, Nadia" uniqKey="Slimani N" first="Nadia" last="Slimani">Nadia Slimani</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Cust, Anne" sort="Cust, Anne" uniqKey="Cust A" first="Anne" last="Cust">Anne Cust</name></region></country><country name="Allemagne"><noRegion><name sortKey="Lahmann, Petra H" sort="Lahmann, Petra H" uniqKey="Lahmann P" first="Petra H." last="Lahmann">Petra H. Lahmann</name></noRegion><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name><name sortKey="Linseisen, Jakob" sort="Linseisen, Jakob" uniqKey="Linseisen J" first="Jakob" last="Linseisen">Jakob Linseisen</name><name sortKey="Pischon, Tobias" sort="Pischon, Tobias" uniqKey="Pischon T" first="Tobias" last="Pischon">Tobias Pischon</name><name sortKey="Rohrmann, Sabine" sort="Rohrmann, Sabine" uniqKey="Rohrmann S" first="Sabine" last="Rohrmann">Sabine Rohrmann</name><name sortKey="Schuiz, Mandy" sort="Schuiz, Mandy" uniqKey="Schuiz M" first="Mandy" last="Schuiz">Mandy Schuiz</name><name sortKey="Steindorf, Karen" sort="Steindorf, Karen" uniqKey="Steindorf K" first="Karen" last="Steindorf">Karen Steindorf</name></country><country name="Danemark"><region name="Hovedstaden"><name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name></region><name sortKey="Johnsen, Nina Fons" sort="Johnsen, Nina Fons" uniqKey="Johnsen N" first="Nina Fons" last="Johnsen">Nina Fons Johnsen</name><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Mendez, Michelle" sort="Mendez, Michelle" uniqKey="Mendez M" first="Michelle" last="Mendez">Michelle Mendez</name></region><name sortKey="Arguelles, M V" sort="Arguelles, M V" uniqKey="Arguelles M" first="M. V." last="Arguelles">M. V. Arguelles</name><name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name><name sortKey="Larranaga, Nerea" sort="Larranaga, Nerea" uniqKey="Larranaga N" first="Nerea" last="Larranaga">Nerea Larranaga</name><name sortKey="Martinez Garcia, Carmen" sort="Martinez Garcia, Carmen" uniqKey="Martinez Garcia C" first="Carmen" last="Martinez Garcia">Carmen Martinez Garcia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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