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BackgroundImmigrants are at a higher risk of poor mental and physical health. Regular participation in physical activity (PA) and low levels of sedentary time are beneficial for both these aspects of health. The aim was to investigate levels and trends in domain-specific PA and sedentary behaviour in the US. immigrant compared with non-immigrant populations.MethodsFrom the 2007–2016 National Health and Nutrition Examination Survey (NHANES), a total of 25 142 adults (≥18 years) were included in this analysis. PA and sedentary behaviour time were assessed by a questionnaire.ResultsTransit-related PA showed downward linear trends in young immigrant adults (ptrend=0.006) and middle-aged non-immigrant adults (ptrend=0.009). We found significant upward linear trends in sedentary behaviour for both immigrants and non-immigrants across all age groups. For sitting watching TV or videos ≥2 hours/day, there was a downward linear trend in young immigrant adults (ptrend=0.009). For computer use ≥1 hours/day, an upward linear trend in older non-immigrants was found (ptrend=0.024). Young immigrants spent 37.5 (95% CI −55.4 to −19.6) min less than non-immigrants on recreational PA per week. Also, older immigrants spent 23.5 (95% CI 1.5 to 45.6) and 22.5 (95% CI 5.9 to 39.0) min/week more than non-immigrants on recreational PA and transit-related PA, respectively. Last, young and middle-aged immigrants spent 37.6 (95% CI −68.2 to −7.0) and 37.6 (95% CI −99.7 to −9.7) min/day less than non-immigrants on sedentary behaviour, respectively.ConclusionOverall, levels of recreational PA were stable, yet the transit-related PA declined coupled with an increase in sedentary behaviour. US. immigrants exhibit higher levels of transit-PA, lower levels of leisure-time PA and lower levels of sedentary behaviour, in some age groups.
Background Pain is a common side effect of cancer or cancer treatment that negatively impacts biopsychosocial wellbeing and quality of life. Exercise is a potential intervention to manage pain that is safe and has multiple benefits. The objective was to determine the role of exercise in cancer pain management. Methods We completed a systematic review and meta-analysis of exercise interventions in adults with any type or stage of cancer by searching Ovid MEDLINE®, Embase, APA PsycInfo, the Cochrane Central Register of Controlled Trials, CINAHL, and SPORTDiscus. We included experimental and quasi-experimental designs where pain was measured as an outcome. Data synthesis included narrative and tabular summary. A meta-analysis was performed on studies powered to detect the effect of exercise on pain. Study quality was evaluated using the Cochrane risk of bias tool and certainty of evidence was evaluated using the GRADE tool. Results Seventy-six studies were included. Studies were predominantly conducted in breast cancer and exercise usually included a combination of aerobic and strength training. Ten studies were included in the meta-analysis demonstrating a significant effect for exercise in decreasing pain (estimated average standard mean difference (SMD) was g = − 0.73 (95% CI: − 1.16 to − 0.30)); however, the overall effect prediction interval was large. Overall risk of bias for most studies was rated as some concerns and the grading of evidence certainty was low. Conclusion There are limitations in the evidence for exercise to manage cancer-related pain. Further research is needed to understand the role of exercise in a multimodal pain management strategy. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-023-07716-4.
Objective: To deliver a systematic review of the literature synthesizing data on the association of occupational physical activity with lung cancer risk in observational studies. Design: Systematic review with meta-analysis. Data Source: A literature search was performed in electronic databases of PubMed/Medline and Embase. Eligibility criteria for selecting studies: We screened for peer-reviewed articles from prospective cohort and case-control studies assessing the association of occupational physical activity with lung cancer risk. A sex-specific meta-analysis assessed the association of high (compared to low) level occupational physical activity with lung cancer risk, estimating the relative risk (RR) and odds ratio (OR) with a 95% confidence interval (CI). Results: The systematic search identified 2065 articles, among which, 13 journal articles met the inclusion criteria. The meta-analysis adjusted for age, status and/or intensity of smoking, with a pooled sample size of 623,741 participants (men: 263,530; women: 358,589). A random-effect model of four prospective and four case-control studies indicated that men who engage in high-level occupational physical activity had a 16% higher risk (OR 1.16, 95% CI 1.00 to 1.35) of lung cancer than those engaging in low-level occupational physical activity. There was no association observed among women (RR=1.05, 95% CI 0.81 to 1.36) based on three available studies (prospective cohort: n=2; case-control: n=1). Conclusions: Findings from the review suggest a higher risk of lung cancer among men reported high-level occupational physical activity. Further prospective studies incorporating rigorous measures of domain-specific physical activity and other occupational exposures are needed to elucidate this association. Citation Format: Benny Rana, Liang Hu, Andrew Harper, Chao Cao, Cheryl Peters, Darren Brenner, Lin Yang. The physical activity paradox in lung cancer: A systematic review and meta-analysis [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 3497.
Objectives: Increased lung cancer risk has been associated with markers of circadian disruption (e.g., overly short or long sleep duration, shift work, circadian gene mutation) in both human and animal studies. However, no study to date has reported the association of social jetlag, the misalignment between the internal clock and the socially required timing of activities, with lung cancer risk. We, therefore, aim to investigate this association in the Alberta's Tomorrow Project (ATP), a population-based prospective cohort study in Alberta, Canada, and the potential effect modification of smoking behavior. Methods: Data on sleep patterns were collected on 19,436 (37.6% male) Albertans aged 35-69 years recruited from 2001-2015. Social jetlag was defined as the absolute difference in waking time between free day and workday that accounted for sleep debt, and categorized into three levels, 0 hours (32.52%), >0-1 hours (32.44%), and >1-4 hours (35.04%). Incident lung cancer cases were determined through linkage with the Alberta Cancer Registry by June 2018. Smoking behavior was defined as never smokers, former smokers, and current smokers. Hazard ratios (HR) were estimated using a series of Cox proportional hazards regressions, adjusting for age, sex, recreational physical activity, sitting time, daily calorie consumption, body mass index, marital status, education, employment status, total household income, smoking and drinking behavior, family history of cancer and preexistence of medical condition. Results: A total of 117 incident lung cancer cases were identified during a medium of 9.6 years of follow-up, yielded 179,028 person-years. In the multivariable-adjusted model, a suggestive significant association between social jetlag and lung cancer risk was observed (>1-4 hours vs. 0: HR=1.67, 95% CI: 0.96-2.92, p for trend = 0.047). The increased lung cancer risk with social jetlag was retrained and heightened among daily smokers (>1-4 hours vs. 0: HR=2.72, 95% CI: 1.26-5.84, p for trend = 0.010), and attended to null among never smokers (>1-4 hours vs. 0: HR=0.98, 95% CI: 0.15-6.54, p for trend = 0.91) and former smokers (>1-4 hours vs. 0: HR=0.76, 95% CI: 0.27-2.12, p for trend = 0.63). Latency multivariate-adjusted model excluding those diagnosed with cancer within 2 years of baseline assessment returned similar results. Conclusion: Increased risk for lung cancer was observed among adults who reported social jetlag, particularly daily smokers. Our findings suggest a potential lung cancer risk associated with switching sleep patterns between work and free days among smokers. Further studies are necessary to confirm these findings and elucidate the biological mechanisms. Citation Format: Benny Rana, Andrew Harper, Grace Shen-Tu, Cheryl Peters, Darren Brenner, Don G. Morris, Lin Yang. Social jetlag and lung cancer incidence in the Alberta's Tomorrow Project: A prospective cohort study [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 4655.
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