Night work and prostate cancer risk: results from the EPICAP Study

• Published in: Occupational and environmental medicine (London, England) Vol. 75; no. 8; pp. 573 - 581
• Main Authors: Wendeu-Foyet, Méyomo Gaelle, Bayon, Virginie, Cénée, Sylvie, Trétarre, Brigitte, Rébillard, Xavier, Cancel-Tassin, Géraldine, Cussenot, Olivier, Lamy, Pierre-Jean, Faraut, Brice, Ben Khedher, Soumaya, Léger, Damien, Menegaux, Florence
• Format: Journal Article
• Language: English
• Published: England BMJ 01.08.2018; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original article
• Subjects: Cancer; Circadian rhythm; Ecology, environment; Health; Health risk assessment; Health risks; Human health and pathology; Life Sciences; Night; Nighttime; ORIGINAL ARTICLE; Population studies; Prostate cancer; Risk analysis; Risk factors; Rotation; Santé publique et épidémiologie; Schedules; Shift work; Sleep; Studies; Systematic review; Urology and Nephrology; Workplace; France; Epidemiology; Shift Work; Cancer
• ISSN: 1351-0711; 1470-7926; 1470-7926
• DOI: 10.1136/oemed-2018-105009

ObjectiveTo investigate the role of night work in prostate cancer based on data from the EPICAP Study.MethodsEPICAP is a French population-based case-control study including 818 incident prostate cancer cases and 875 frequency-matched controls that have been interviewed face to face on several potential risk factors including lifetime occupational history. Detailed information on work schedules for each job (permanent or rotating night work, duration, total number of nights, length of the shift, number of consecutive nights) as well as sleep duration and chronotype, was gathered. Prostate cancer aggressiveness was assessed by Gleason Score.ResultsNight work was not associated with prostate cancer, whatever the aggressiveness of prostate cancer, while we observed an overall increased risk among men with an evening chronotype (OR=1.83, 95% CI 1.05 to 3.19). A long duration of at least 20 years of permanent night work was associated with aggressive prostate cancer (OR=1.76, 95% CI 1.13 to 2.75), even more pronounced in combination with a shift length >10 hours or ≥ 6 consecutive nights (OR=4.64, 95% CI 1.78 to 12.13; OR=2.43, 95% CI 1.32 to 4.47, respectively).ConclusionOverall, ever night work, either permanent or rotating, was not associated to prostate cancer. Nevertheless, our results suggest that a long duration of permanent night work in combination with a long shift length or at least six consecutive nights may be associated with prostate cancer, particularly with aggressive prostate cancer. Further studies are needed to confirm those findings.