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@ARTICLE{Watts:286195,
author = {E. L. Watts and T. I. Gonzales and T. Strain and P. F.
Saint-Maurice and D. T. Bishop and S. J. Chanock and M.
Johansson and T. O. Keku and L. Le Marchand and V. Moreno
and P. A. Newcomb and C. C. Newton and R. K. Pai and M. P.
Purdue and C. M. Ulrich and K. Smith-Byrne and B. Van
Guelpen and F. R. Day and K. Wijndaele and N. J. Wareham and
C. E. Matthews and S. C. Moore and S. Brage},
collaboration = {C. PRACTICAL consortium},
othercontributors = {R. A. Eeles and C. A. Haiman and Z. Kote-Jarai and F. R.
Schumacher and S. Benlloch and A. A. A. Olama and K. R. Muir
and S. I. Berndt and D. V. Conti and F. Wiklund and S. J.
Chanock and Y. Wang and C. M. Tangen and J. Batra and J. A.
Clements and H. Grönberg and N. Pashayan and J. Schleutker
and D. Albanes and S. J. Weinstein and A. Wolk and C. M. L.
West and L. A. Mucci and G. Cancel-Tassin and S. Koutros and
K. D. Sørensen and E. M. Grindedal and D. E. Neal and F. C.
Hamdy and J. L. Donovan and R. C. Travis and R. J. Hamilton
and S. A. Ingles and B. S. Rosenstein and Y.-J. Lu and G. G.
Giles and R. J. MacInnis and A. S. Kibel and A. Vega and M.
Kogevinas and K. L. Penney and J. Y. Park and J. L. Stanford
and C. Cybulski and B. G. Nordestgaard and S. F. Nielsen and
H. Brenner$^*$ and C. Maier and J. Kim and E. M. John and M.
R. Teixeira and S. L. Neuhausen and K. De Ruyck and A.
Razack and L. F. Newcomb and D. Lessel and R. Kaneva and N.
Usmani and F. Claessens and P. A. Townsend and J. E.
Castelao and M. J. Roobol and F. Menegaux and K.-T. Khaw and
L. Cannon-Albright and H. Pandha and S. N. Thibodeau and D.
J. Hunter and P. Kraft and W. J. Blot and E. Riboli},
title = {{O}bservational and genetic associations between
cardiorespiratory fitness and cancer: a {UK} {B}iobank and
international consortia study.},
journal = {British journal of cancer},
volume = {130},
number = {1},
issn = {0007-0920},
address = {Edinburgh},
publisher = {Nature Publ. Group},
reportid = {DKFZ-2023-02699},
pages = {114-124},
year = {2024},
note = {2024 Jan;130(1):114-124},
abstract = {The association of fitness with cancer risk is not clear.We
used Cox proportional hazards models to estimate hazard
ratios (HRs) and $95\%$ confidence intervals (CIs) for risk
of lung, colorectal, endometrial, breast, and prostate
cancer in a subset of UK Biobank participants who completed
a submaximal fitness test in 2009-12 (N = 72,572). We also
investigated relationships using two-sample Mendelian
randomisation (MR), odds ratios (ORs) were estimated using
the inverse-variance weighted method.After a median of 11
years of follow-up, 4290 cancers of interest were diagnosed.
A 3.5 ml O2⋅min-1⋅kg-1 total-body mass increase in
fitness (equivalent to 1 metabolic equivalent of task (MET),
approximately 0.5 standard deviation (SD)) was associated
with lower risks of endometrial (HR = 0.81, $95\%$ CI:
0.73-0.89), colorectal (0.94, 0.90-0.99), and breast cancer
(0.96, 0.92-0.99). In MR analyses, a 0.5 SD increase in
genetically predicted O2⋅min-1⋅kg-1 fat-free mass was
associated with a lower risk of breast cancer (OR = 0.92,
$95\%$ CI: 0.86-0.98). After adjusting for adiposity, both
the observational and genetic associations were
attenuated.Higher fitness levels may reduce risks of
endometrial, colorectal, and breast cancer, though
relationships with adiposity are complex and may mediate
these relationships. Increasing fitness, including via
changes in body composition, may be an effective strategy
for cancer prevention.},
cin = {C070 / C120 / HD01},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38057395},
doi = {10.1038/s41416-023-02489-3},
url = {https://inrepo02.dkfz.de/record/286195},
}