Subject: Prostate cancer kills more Puerto Rican men than the combined cancer mortality rates of the lung, trachea and bronchus. The most extensively studied risk factors for prostate cancer include age, race/ethnicity, family history, diet, androgen metabolism, alcohol consumption, obesity, physical activity and smoking. Of these, age, race and family history are well documented but poorly understood risk factors. The fact that prostate cancer rates change in migrant populations and vary dramatically in ethnically similar populations residing in different geographic locations strongly suggest that environmental factors can greatly influence the risk of this cancer. Purpose: The purpose of this investigation is therefore, to study the relationship of physical activity and body habitus with prostate cancer mortality among Puerto Rican men. This study uses an observational longitudinal design with a random sample of 9,824 Puerto Rican men aged 35-79 years at baseline (1964) who were part of the Puerto Rico Heart Health Program (PRHHP). The Puerto Rico Heart Health Program provides a unique epidemiological cohort of men who took part in multiple examinations including extensive information on lifestyle, diet, body composition, exercise, and smoking habits. Survival analyses will be used to study the relationship between prostate cancer mortality and physical inactivity and obesity with approximately 35 years of follow up data. Scope of the research: This research is to generate new knowledge of how sedentary lifestyles or excess body weight are related to prostate cancer mortality, and to increase our knowledge of prostate cancer in a population where prostate cancer is the number one killer. Additionally, once prostate cancer mortality is identified, other exposures such as diet, smoking and alcohol intake can also be studied.
BODY:Below is an itemized list of activities that have been conducted during the past year of the research and our progress in completing these tasks. Primarily we have published several manuscripts addressing the relationship of inactivity, obesity, and prostate cancer risk. We have also presented multiple abstracts with our preliminary results on these associations and providing the background for further publications. We identified other dietary components that may be related to prostate cancer to further understand this part of the energy balance component. The manuscript examining diet and prostate cancer was accepted in Nutrition and Cancer. The manuscript Physical activity and prostate cancer mortality: results from the Puerto Rico Heart Health Program has been submitted to the International Journal of Cancer. The manuscripts on "Body mass index and its relationship to prostate cancer mortality in US Whites and Blacks: the feasibility J-shaped curve" was submitted to the American Journal of Epidemiology, but was not accepted for publication. We have incorporated suggestions from the reviewers and will be submitting to a second journal.
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