關(guān)于睡眠持續(xù)時間對于乳腺癌發(fā)生風(fēng)險有利或不利影響的研究證據(jù)仍然存在爭議和局限性,尤其對于亞洲人群。
2018年11月20日,施普林格·自然旗下《乳腺癌研究與治療》在線發(fā)表日本大阪大學(xué)、北海道大學(xué)、埃及米尼亞大學(xué)、日本人群研究協(xié)作組的大數(shù)據(jù)研究報告,分析了睡眠持續(xù)時間與乳腺癌發(fā)生風(fēng)險的相關(guān)性(注:相關(guān)性≠必然性)。
該前瞻研究對3萬4350位年齡40~79歲日本女性進行調(diào)查和隨訪,其中睡眠持續(xù)時間、月經(jīng)史、生育史通過自填問卷獲得,隨訪時間為1988~2009年,并且通過多因素比例風(fēng)險回歸模型,計算每天睡眠持續(xù)時間<8小時與≥8小時的乳腺癌發(fā)生風(fēng)險比及其95%置信區(qū)間。
結(jié)果,中位19.2年隨訪期間發(fā)生乳腺癌236例,睡眠持續(xù)時間與乳腺癌發(fā)生風(fēng)險成反比,尤其是絕經(jīng)后女性和生育較少(未生育和孩子少于3個)女性。
校正其他多種影響因素后,每天睡眠持續(xù)時間與絕經(jīng)后女性的乳腺癌發(fā)生風(fēng)險成反比(趨勢分析P=0.028)
7小時與≥8小時相比:風(fēng)險增加49%(風(fēng)險比:1.49,95%置信區(qū)間:0.81~2.76)
≤6小時與≥8小時相比:風(fēng)險增加98%(風(fēng)險比:1.98,95%置信區(qū)間:1.08~3.70)
校正其他多種影響因素后,每天睡眠持續(xù)時間與生育較少女性的乳腺癌發(fā)生風(fēng)險成反比(趨勢分析P=0.018)
7小時與≥8小時相比:風(fēng)險增加50%(風(fēng)險比:1.50,95%置信區(qū)間:0.96~2.35)
≤6小時與≥8小時相比:風(fēng)險增加76%(風(fēng)險比:1.76,95%置信區(qū)間:1.01~2.79)
因此,該研究結(jié)果表明,睡眠持續(xù)時間較短與乳腺癌發(fā)生風(fēng)險增加相關(guān),尤其對于絕經(jīng)后和生育較少的女性。
注:本文并非科普文章,僅供專業(yè)人士參考,切忌向無專業(yè)知識的讀者轉(zhuǎn)發(fā),以免不必要的誤讀和誤解,謝謝!
相關(guān)閱讀
Breast Cancer Res Treat. 2018 Nov 20.
Sleep duration and risk of breast cancer: The JACC Study.
Cao J, Eshak ES, Liu K, Muraki I, Cui R, Iso H, Tamakoshi A; JACC Study Group.
Osaka University Graduate School of Medicine, Osaka, Japan; Minia University, Minia, Egypt; Hokkaido University, Sapporo, Japan.
PURPOSE: The evidence on beneficial or adverse effects of sleep duration on risk of breast cancer remains controversial and limited, especially in Asia.
METHODS: A prospective study of 34,350 women aged 40-79 years in whom sleep duration, and menstrual and reproductive histories were determined by a self-administered questionnaire. The follow-up period was from 1988 to 2009, and hazard ratios (HRs) with 95% confidence intervals (CIs) of breast cancer incidence were calculated for shorter sleep duration in reference to sleep duration of ≥ 8 h/day by Cox proportional hazard models.
RESULTS: During 19.2-year median follow-up (236 cases), we found a significant inverse association between sleep duration and risk of breast cancer, especially among postmenopausal women and women with low parity (nulliparous and women with < 3 children); the multivariable HRs (95% CIs) among postmenopausal women who reported 7 h/day and ≤ 6 h/day of sleep in reference to ≥ 8 h/day were 1.49 (0.81-2.76) and 1.98 (1.08-3.70) (P for trend = 0.028), respectively, and the corresponding values among women with low parity were 1.50 (0.96-2.35) and 1.76 (1.01-2.79) (P for trend = 0.018).
CONCLUSIONS: Short sleep duration was associated with increased risk of incident breast cancer, especially among postmenopausal women and women with low parity.
KEYWORDS: Breast cancer; Cohort study; Incidence; Japan; Parity; Postmenopausal; Sleep duration
PMID: 30460465
DOI: 10.1007/s10549-018-4995-4
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