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Physical activity and reduced risk of colon cancer: implications for prevention
Abstract
This paper reviews the consistency of the relation between increased physical activity and reduced risk of colon cancer, estimates the potential prevention benefit from increasing population levels of physical activity, and considers social strategies to increase activity levels. The published literature was reviewed systematically and supplemented by MEDLINE searches through March 1997. Studies that reported a measure of physical activity and outcomes of colon cancer or colorectal cancer were included. We excluded the first report of a study that was expanded subsequently by extended follow-up, and any study that did not report the methods for measurement of physical activity. Data were extracted including details on study size, methods of classifying physical activity, and outcomes. A consistent inverse relation was observed such that increased physical activity was associated with reduced risk of colon cancer. About a 50 percent reduction in incidence was observed among those with the highest level of activity across numerous studies that used different measures of activity (occupational or leisure-time activity). This association persisted in studies using multivariate analyses to control for diet and other known or suspected risk factors for colon cancer. Risk reduction was attenuated in those studies that combined colon and rectal cancer. This review indicates that greater attention should be placed on social strategies to increase physical activity as a means of preventing colon cancer.
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A review of 23 case-control and 17 cohort studies found that the most physically active people had about 40-50% lower colon cancer risk than the least active.
“A literature review through March 1997 found 23 case-control (cross-sectional) studies and 17 cohort (longitudinal) studies. In both types of studies, those in the highest physical activity category had ~40%–50% reduction in risk of colon cancer compared with the least active category (111).”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [111]
Physical activity reduces the risk of breast and colon cancers and may reduce the risk of several other types of cancer.
“Physical activity reduces the risk of breast and colon cancers and may reduce the risk of several other types of cancer.109 -113”
For breast cancer, vigorous physical activity may decrease the exposure of breast tissue to circulating ovarian hormones.
“For breast cancer, vigorous physical activity may decrease the exposure of breast tissue to circulating ovarian hormones.”
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Metadata
- Authors
- Colditz, G. A., Cannuscio, C. C., & Frazier, A. L.
- Affiliations
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Venue
- Cancer Causes & Control
- Published
- 1997-07
- Volume
- 8
- Issue
- 4
- Pages
- 649-667
- ISSN
- 0957-5243 (ISSN-L)
- 1573-7225
- OpenAlex
- W1571571428
- Cited by
- 311
- References
- 97
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 7 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 8 · 2016: 8 · 2015: 8 · 2014: 11 · 2013: 10 · 2012: 16
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Cancer Causes & Control (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07ca062252-05)
- National Cancer Institute (KO7CA62252)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- physical activity, colon cancer, colorectal cancer, cancer prevention, cancer risk reduction, occupational physical activity, leisure-time physical activity, social strategies, activity measurement
- MeSH terms
- Colonic Neoplasms, Humans, Leisure Activities, Occupations, Research Design, Risk Factors, Colorectal Neoplasms, Exercise, Incidence, Multivariate Analysis
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