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Sedentary behavior is associated with colorectal adenoma recurrence in men

Randomized Controlled Trial

. 2014 Oct;25(10):1387-95. doi: 10.1007/s10552-014-0444-9. Epub 2014 Jul 25. Sedentary behavior is associated with colorectal adenoma recurrence in men Elizabeth A HiblerErin L AshbeckCynthia A ThomsonDavid O GarciaDenise RoeRobin B HarrisPeter LanceMartin CisnerozMaria Elena MartinezPatricia A ThompsonElizabeth T Jacobs

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Randomized Controlled Trial

Sedentary behavior is associated with colorectal adenoma recurrence in men

Christine L Sardo Molmenti et al. Cancer Causes Control. 2014 Oct.

. 2014 Oct;25(10):1387-95. doi: 10.1007/s10552-014-0444-9. Epub 2014 Jul 25. Authors Christine L Sardo Molmenti  1 Elizabeth A HiblerErin L AshbeckCynthia A ThomsonDavid O GarciaDenise RoeRobin B HarrisPeter LanceMartin CisnerozMaria Elena MartinezPatricia A ThompsonElizabeth T Jacobs Affiliation

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Abstract

Purpose: The association between physical activity and colorectal adenoma is equivocal. This study was designed to assess the relationship between physical activity and colorectal adenoma recurrence.

Methods: Pooled analyses from two randomized, controlled trials included 1,730 participants who completed the Arizona Activity Frequency Questionnaire at baseline, had a colorectal adenoma removed within 6 months of study registration, and had a follow-up colonoscopy during the trial. Logistic regression modeling was employed to estimate the effect of sedentary behavior, light-intensity physical activity, and moderate-vigorous physical activity on colorectal adenoma recurrence.

Results: No statistically significant trends were found for any activity type and odds of colorectal adenoma recurrence in the pooled population. However, males with the highest levels of sedentary time experienced 47% higher odds of adenoma recurrence. Compared to the lowest quartile of sedentary time, the ORs (95% CIs) for the second, third, and fourth quartiles among men were 1.23 (0.88, 1.74), 1.41 (0.99, 2.01), and 1.47 (1.03, 2.11), respectively (p(trend) = 0.03). No similar association was observed for women.

Conclusions: This study suggests that sedentary behavior is associated with a higher risk of colorectal adenoma recurrence among men, providing evidence of detrimental effects of a sedentary lifestyle early in the carcinogenesis pathway.

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Conflict of interest statement

The authors have no conflict of interest to report.

Figures

Figure 1

Sedentary behavior and colorectal adenoma…

Figure 1

Sedentary behavior and colorectal adenoma recurrence among men, stratified by trial arm

Figure 1

Sedentary behavior and colorectal adenoma recurrence among men, stratified by trial arm

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