Purpose: Although physical activity (PA) has been consistently associated with breast cancer, existing evidence is limited to self-reported physical activity, which is prone to dilution bias. Therefore, this aims to examine the associations of device-measured PA domains with breast cancer risk and whether it differs by menopausal status. Methods: Prospective cohort study. Data from 48,286 women from the UK Biobank cohort were analyzed. A wrist triaxial accelerometer was used to collect physical activity data for light, moderate, vigorous, moderate to vigorous, and total PA. Cox proportional models were performed to examine the association between PA domains, menopausal status, and breast cancer risk. Results: Eight hundred thirty-six breast cancer cases were diagnosed during a median of 5.4 years (interquartile range: 4.7–5.9). For total PA, those in the most active quartile had a 26% lower risk of breast cancer (Hazard ratio [HR]: 0.74; 95% confidence interval [CI], 0.61–0.91) compared with those least active. Similar results were observed for light PA (HR: 0.79; 95% CI, 0.64–0.96), and moderate to vigorous PA (HR: 0.78; 95% CI, 0.64–0.96). However, moderate PA (HR: 0.73; 95% CI, 0.44–1.19) and vigorous PA (HR: 0.77; 95% CI, 0.56–1.05) was nonsignificant. No evidence of interaction between PA domains and menopause status was found (P > .10). Conclusion: High levels of PA are associated with a lower risk of breast cancer with similar magnitude of associations observed across different intensity domains.
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Associations of Physical Activity With Breast Cancer Risk: Findings From the UK Biobank Prospective Cohort Study
Solange Parra-Soto, Craig Tumblety, Carolina Araya, Leandro F.M. Rezende, Frederick K. Ho, Jill P. Pell, and Carlos Celis-Morales
Association of Sitting Time With All-Cause and Cardiovascular Mortality: How Does Frailty Modify This Association?
Felipe Diaz-Toro, Carolina Nazzal Nazal, Gabriela Nazar, Ximena Diaz-Martinez, Yeny Concha-Cisternas, Carlos Celis-Morales, and Fanny Petermann-Rocha
To investigate how frailty modifies the association of sitting time with all-cause and cardiovascular mortality in Chilean adults. This prospective study included 2,604 participants aged ≥35 from the Chilean National Health Survey 2009–2010. Sitting time was self-reported, while frailty was assessed using a 36-item Frailty Index. Sitting time was categorized as low, medium, and high. Cox proportional hazard models were used to estimate the risk of mortality stratified for the sitting time categories. Over a median follow-up of 8.9 years, 311 participants died, 28% of them due to cardiovascular events. Frail people with prolonged sitting time were at higher risk of all-cause and cardiovascular mortality (hazard ratio 3.13; 95% confidence interval [2.06, 4.71] and hazard ratio 2.41; 95% confidence interval [1.50, 3.64], respectively). The observed risk was higher in women than men. Public health and individual strategies should be implemented to decrease sitting time across the population, with special attention on frail people.
The FTO rs17817449 Polymorphism is Not Associated With Sedentary Time, Physical Activity, or Cardiorespiratory Fitness: Findings From the GENADIO Cross-Sectional Study
Miquel Martorell, Lorena Mardones, Fanny Petermann-Rocha, Maria Adela Martinez-Sanguinetti, Ana Maria Leiva-Ordoñez, Claudia Troncoso-Pantoja, Fernando Flores, Igor Cigarroa, Francisco Perez-Bravo, Natalia Ulloa, Daniel Mondaca-Rojas, Ximena Diaz-Martinez, Carlos Celis-Morales, Marcelo Villagran, and on behalf of the Epidemiology of Lifestyle and Health Outcomes in Chile Consortium*
Background: Genetic variants within the FTO gene have been associated with increased adiposity and metabolic markers; however, there is limited evidence regarding the association of FTO gene variants with physical activity-related variables. The authors aimed to investigate the association of the rs17817449 single-nucleotide polymorphism of FTO with physical activity, sedentary time, and cardiorespiratory fitness in Chilean adults. Methods: A total of 409 participants from the GENADIO study were included and genotyped for the rs17817449 single-nucleotide polymorphism of FTO in this cross-sectional study. Physical activity and sedentary time were measured with ActiGraph accelerometers. Cardiorespiratory fitness was assessed using the Chester step test. The associations were assessed by using multivariate regression analyses. Results: No associations were found for FTO variant with physical activity levels and cardiorespiratory fitness. The risk allele (G) of the FTO was found to be associated with sedentary time in the minimally adjusted model (β = 19.7 min/d; 95% confidence interval, 4.0 to 35.5, per each copy of the risk allele; P = .006), but the association was no longer significant when body mass index was included as a confounder (P = .211). Conclusion: The rs17817449 single-nucleotide polymorphism of the FTO gene was not associated with the level of physical activity, cardiorespiratory fitness, and sedentary behaviors in Chilean adults.
Results from Chile’s 2018 Report Card on Physical Activity for Children and Youth
Nicolas Aguilar-Farias, Sebastian Miranda-Marquez, Kabir P. Sadarangani, Pia Martino-Fuentealba, Carlos Cristi-Montero, Jaime Carcamo-Oyarzun, Pedro Delgado-Floody, Damian Chandia-Poblete, Camila Mella-Garcia, Fernando Rodriguez-Rodriguez, Astrid Von Oetinger, Teresa Balboa-Castillo, Sebastian Peña, Cristobal Cuadrado, Paula Bedregal, Carlos Celis-Morales, Antonio García-Hermoso, and Andrea Cortinez-O’Ryan
2018 Chilean Physical Activity Report Card for Children and Adolescents: Full Report and International Comparisons
Nicolas Aguilar-Farias, Sebastian Miranda-Marquez, Pia Martino-Fuentealba, Kabir P. Sadarangani, Damian Chandia-Poblete, Camila Mella-Garcia, Jaime Carcamo-Oyarzun, Carlos Cristi-Montero, Fernando Rodriguez-Rodriguez, Pedro Delgado-Floody, Astrid Von Oetinger, Teresa Balboa-Castillo, Sebastian Peña, Cristobal Cuadrado, Paula Bedregal, Carlos Celis-Morales, Antonio Garcia-Hermoso, and Andrea Cortínez-O’Ryan
Background: The study summarizes the findings of the 2018 Chilean Report Card (RC) on Physical Activity (PA) for Children and Adolescents and compares the results with the first Chilean RC and with other countries from the Global Matrix 3.0. Methods: A Research Work Group using a standardized methodology from the Global Matrix 3.0 awarded grades for 13 PA-related indicators based on the percentage of compliance for defined benchmarks. Different public data sets, government reports, and papers informed the indicators. Results: The grades assigned were for (1) “behaviors that contribute to overall PA levels”: overall PA, D−; organized sport participation, D−; active play, INC; and active transportation, F; (2) “factors associated with cardiometabolic risk”: sedentary behavior, C−; overweight and obesity, F; fitness, D; sleep, INC; and (3) “factors that influence PA”: family and peers, F; school, D; inclusion, INC; community and built environment, B; government strategies and investments, B−. Conclusions: Chile’s grades remained low compared with the first RC. On the positive side, Chile is advancing in environmental and policy aspects. Our findings indicate that the implementation of new strategies should be developed through collaboration between different sectors to maximize effective investments for increasing PA and decreasing sedentary time among children and adolescents in Chile.