Associations of change in television viewing time with biomarkers of postmenopausal breast cancer risk: the Australian Diabetes, Obesity and Lifestyle Study

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• 作者：Allan J. Wiseman ; Brigid M. Lynch ; Adrian J. Cameron…
• 关键词：Television viewing ; Breast cancer ; Postmenopausal ; Biomarkers ; Fasting glucose
• 刊名：Cancer Causes and Control
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：25
• 期：10
• 页码：1309-1319
• 全文大小：361 KB
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• 作者单位：Allan J. Wiseman (1) (2)
  Brigid M. Lynch (1) (3)
  Adrian J. Cameron (2) (4)
  David W. Dunstan (1) (2) (5) (6) (7)
  
  1. Physical Activity Laboratory, Baker IDI Heart and Diabetes Institute, Level 4, 99 Commercial Road, Melbourne, VIC, 3004, Australia
  2. Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, VIC, Australia
  3. Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
  4. WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, VIC, Australia
  5. School of Population Health, The University of Queensland, Brisbane, QLD, Australia
  6. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  7. School of Sports Science, Exercise and Health, The University of Western Australia, Perth, WA, Australia
  
• ISSN：1573-7225

文摘

Purpose Sedentary behavior has been previously shown, in a cross-sectional study, to have deleterious associations with biomarkers of postmenopausal breast cancer risk. We examined the associations of change in sedentary behavior [daily television (TV) viewing time, h/day] over a 5-year period with putative markers of postmenopausal breast cancer risk. Methods The analytic cohort consisted of 1,001 postmenopausal women from the Australian Diabetes, Obesity and Lifestyle (AusDiab) study (1999-005). Multivariate linear regression models were used to examine associations of change in TV viewing time with biomarkers of the following risk mechanisms: adiposity (body mass index [BMI], waist circumference); metabolic dysfunction (fasting plasma glucose, 2-h plasma glucose, fasting insulin, insulin resistance [homeostasis model assessment of insulin resistance (HOMA-IR)]); and inflammation (high-sensitivity C-reactive protein?(hs-CRP)). All analyses were adjusted for age, baseline TV viewing, and potential confounders. Results Hourly increments of change in TV viewing time were positively associated with BMI (β?=?0.50, 95?% CI 0.20, 0.81; p?=?0.001), waist circumference (β?=?1.18, 95?% CI 0.49, 1.87; p?=?0.001), fasting insulin (β?=?38.13?%, 95?% CI 37.08, 39.20; p?=?0.01) and HOMA-IR (β?=?37.93?%, 95?% CI 36.92, 38.98; p?=?0.03) in fully adjusted models. Significant associations with BMI, waist circumference, fasting insulin and HOMA-IR were also present in analyses using categories of change in TV viewing time (reduced, same, increased). Conclusions The findings suggest that increasing habitual sedentary behavior over time could increase breast cancer risk among postmenopausal women. Further investigation into the role of sedentary behavior in breast cancer etiology is warranted.