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1. Sleep duration and napping in relation to colorectal and gastric cancer in the MCC-Spain study

Author

Kyriaki Papantoniou, Gemma Castaño-Vinyals, Ana Espinosa, Michelle C. Turner, Vicente Martín-Sánchez, Delphine Casabonne, Nuria Aragonés, Inés Gómez-Acebo, Eva Ardanaz, Jose-Juan Jimenez-Moleon, Pilar Amiano, Ana Molina-Barceló, Juan Alguacil, Guillermo Fernández-Tardón, José María Huerta, Natalia Hernández-Segura, Beatriz Perez-Gomez, Javier Llorca, Juana Vidán-Alli, Rocıo Olmedo-Requena, Leire Gil, Carmen Castañon-López, Marina Pollan, Manolis Kogevinas, and Victor Moreno

Subjects
Medicine, Science
Abstract

Abstract Sleep duration is a novel and potentially modifiable risk factor for cancer. We evaluated the association of self-reported sleep duration and daytime napping with odds of colorectal and gastric cancer. We included 2008 incident colorectal cancer cases, 542 gastric cancer cases and 3622 frequency-matched population controls, recruited in the MCC-Spain case–control study (2008–2013). Sleep information, socio-demographic and lifestyle characteristics were obtained through personal interviews. Multivariable adjusted logistic regression models were used to estimate odds ratios (OR) with 95% confidence intervals (CI) for cancer, across categories of sleep duration (≤ 5, 6, 7, 8, ≥ 9 hours/day), daytime napping frequency (naps/week) and duration (minutes/nap). Compared to 7 hours of sleep, long sleep was associated with increased odds of colorectal (OR≥9 hours: 1.59; 95%CI 1.30–1.94) and gastric cancer (OR≥9 hours: 1.95; 1.37–2.76); short sleep was associated with increased odds of gastric cancer (OR≤5 hours: 1.32; 0.93–1.88). Frequent and long daytime naps increased the odds of colorectal (OR6–7 naps/week, ≥30 min: 1.32; 1.14–1.54) and gastric cancer (OR6–7 naps/week, ≥30 min: 1.56; 1.21–2.02). Effects of short sleep and frequent long naps were stronger among participants with night shift-work history. Sleep and circadian disruption may jointly play a role in the etiology of colorectal and gastric cancer.

Published
2021
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2. Sleep duration and napping in relation to colorectal and gastric cancer in the MCC‑Spain study

Author

Leire Gil, Juana Vidán-Alli, Juan Alguacil, Guillermo Fernández-Tardón, Delphine Casabonne, Kyriaki Papantoniou, Michelle C. Turner, Vicente Martín-Sánchez, José-Juan Jiménez-Moleón, Gemma Castaño-Vinyals, Javier Llorca, Victor Moreno, Nuria Aragonés, Natalia Hernández-Segura, Ana Espinosa, Rocío Olmedo-Requena, Marina Pollán, Pilar Amiano, Ana Molina-Barceló, Eva Ardanaz, Carmen Castañon-López, Inés Gómez-Acebo, José María Huerta, Manolis Kogevinas, Beatriz Pérez-Gómez, Universidad de Cantabria, Government of Spain, Instituto de Salud Carlos III, Fundación Marqués de Valdecilla, International Cancer Genome Consortium, Ministerio de Economía y Competitividad (España), Red Temática de Investigación Cooperativa en Cáncer (España), Junta de Castilla y León (España), Regional Government of Andalusia (España), Generalitat Valenciana (España), Fundación La Caixa, Unión Europea. Comisión Europea, Asociación Española Contra el Cáncer, Government of Catalonia (España), Ministerio de Ciencia, Innovación y Universidades (España), Agency for Administration of University and Research, Xarxa de Bancs de Tumors de Catalunya, Institut Català d'Oncologia, and Unión Europea. Fondo Social Europeo (ESF/FSE)

Subjects
Male, Colorectal cancer, Logistic regression, Body Mass Index, 0302 clinical medicine, Medicine, 030212 general & internal medicine, Cancer, education.field_of_study, Multidisciplinary, Factors de risc en les malalties, Gastroenterology, Middle Aged, 030220 oncology & carcinogenesis, Female, Colorectal Neoplasms, medicine.medical_specialty, Risk factors in diseases, Science, Population, Article, 03 medical and health sciences, Gastrointestinal cancer, Stomach Neoplasms, Càncer colorectal, Internal medicine, mental disorders, Humans, Càncer gastrointestinal, Risk factor, education, Aged, business.industry, Cáncer gastrointestinal, Odds ratio, medicine.disease, Son, Confidence interval, Nap, Risk factors, Spain, Case-Control Studies, Multivariate Analysis, business, Sleep
Abstract

Sleep duration is a novel and potentially modifiable risk factor for cancer. We evaluated the association of self-reported sleep duration and daytime napping with odds of colorectal and gastric cancer. We included 2008 incident colorectal cancer cases, 542 gastric cancer cases and 3622 frequency-matched population controls, recruited in the MCC-Spain case–control study (2008–2013). Sleep information, socio-demographic and lifestyle characteristics were obtained through personal interviews. Multivariable adjusted logistic regression models were used to estimate odds ratios (OR) with 95% confidence intervals (CI) for cancer, across categories of sleep duration (≤ 5, 6, 7, 8, ≥ 9 hours/day), daytime napping frequency (naps/week) and duration (minutes/nap). Compared to 7 hours of sleep, long sleep was associated with increased odds of colorectal ( OR≥9 hours: 1.59; 95%CI 1.30–1.94) and gastric cancer ( OR≥9 hours: 1.95; 1.37–2.76); short sleep was associated with increased odds of gastric cancer ( OR≤5 hours: 1.32; 0.93–1.88). Frequent and long daytime naps increased the odds of colorectal ( OR6–7 naps/week, ≥30 min: 1.32; 1.14–1.54) and gastric cancer ( OR6–7 naps/week, ≥30 min: 1.56; 1.21–2.02). Effects of short sleep and frequent long naps were stronger among participants with night shift-work history. Sleep and circadian disruption may jointly play a role in the etiology of colorectal and gastric cancer., Catalan Government DURSI 2009SGR1489,RYC-2017-01892, Catalan Institute of Oncology, Centro de Investigacion Biomedica en Red: Epidemiologia y Salud Publica, Consejería de Salud of the Junta de Andalucía 2009-S0143, FEDER funds/European Regional Develpment Fund, ICGC International Cancer Genome Consortium CLL, ICOBIOBANC, Red Temática de Investigación del Cáncer RD12/0036/0036, Spanish Association Against Cancer, Xarxa de Bancs de Tumors de Cata-lunya, Albert Einstein Cancer Center AECC, Ministerio de Ciencia, Innovación y Universidades MCIU, Eno Scientific Foundation, European Commission FOOD-CT-2006-036224-HIWATE EC, Generalitat de Catalunya 2017SGR723, Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1085 AGAUR, Ministerio de Economía y Competitividad MINECO, Instituto de Salud Carlos III PI08/0533,PI08/1359,PI08/1770,PI11/00226,PI11/01403,PI11/01810,PI11/02213,PI12/00150,PI12/00265,PI12/00488,PI12/00715,PI12/01270 ISCIII, Ministerio de Ciencia e Innovación CEX2018-000806-S MICINN, European Social Fund ESF, European Regional Development Fund PI17/01280 ERDF, Conselleria de Sanitat Universal i Salut Pública 2010ACUP 00310,AP_061/10, Junta de Castilla y León LE22A10-2, Fundación Marqués de Valdecilla API 10/09 FMV

Published
2021

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