Night Shift Work, Chronotype, Sleep Duration, and Prostate Cancer Risk: CAPLIFE Study
To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 4...
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| Published in | International journal of environmental research and public health Vol. 17; no. 17; p. 6300 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
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Basel
MDPI AG
29.08.2020
MDPI |
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| ISSN | 1660-4601 1661-7827 1660-4601 |
| DOI | 10.3390/ijerph17176300 |
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| Abstract | To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 40–80 years, and (ii) residence in the coverage area of the reference hospitals for ≥6 months before recruitment. Exposure variables were: (i) night shift work (permanent or rotating); (ii) chronotype: morning, neither, or evening (Munich ChronoType Questionnaire) and (iii) sleep duration according to the recommendations of the American National Sleep Foundation. PCa aggressiveness was determined according to the International Society of Urology Pathology classification. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were estimated using logistic regression models. Night shift work was associated with PCa, aOR = 1.47 (95% CI 1.02–2.11), especially for rotating night shifts, aOR = 1.73 (95% CI 1.09–2.75). The magnitude of the association between ever night work and PCa was higher in evening subjects with aOR = 3.14 (95% CI 0.91–10.76) than in morning chronotypes with an aOR = 1.25 (95% CI 0.78–2.00). Working night shifts, especially rotating night shifts, could increase PCa risk. This risk may be higher in people with an evening chronotype. |
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| AbstractList | To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 40–80 years, and (ii) residence in the coverage area of the reference hospitals for ≥6 months before recruitment. Exposure variables were: (i) night shift work (permanent or rotating); (ii) chronotype: morning, neither, or evening (Munich ChronoType Questionnaire) and (iii) sleep duration according to the recommendations of the American National Sleep Foundation. PCa aggressiveness was determined according to the International Society of Urology Pathology classification. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were estimated using logistic regression models. Night shift work was associated with PCa, aOR = 1.47 (95% CI 1.02–2.11), especially for rotating night shifts, aOR = 1.73 (95% CI 1.09–2.75). The magnitude of the association between ever night work and PCa was higher in evening subjects with aOR = 3.14 (95% CI 0.91–10.76) than in morning chronotypes with an aOR = 1.25 (95% CI 0.78–2.00). Working night shifts, especially rotating night shifts, could increase PCa risk. This risk may be higher in people with an evening chronotype. To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 40-80 years, and (ii) residence in the coverage area of the reference hospitals for ≥6 months before recruitment. Exposure variables were: (i) night shift work (permanent or rotating); (ii) chronotype: morning, neither, or evening (Munich ChronoType Questionnaire) and (iii) sleep duration according to the recommendations of the American National Sleep Foundation. PCa aggressiveness was determined according to the International Society of Urology Pathology classification. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were estimated using logistic regression models. Night shift work was associated with PCa, aOR = 1.47 (95% CI 1.02-2.11), especially for rotating night shifts, aOR = 1.73 (95% CI 1.09-2.75). The magnitude of the association between ever night work and PCa was higher in evening subjects with aOR = 3.14 (95% CI 0.91-10.76) than in morning chronotypes with an aOR = 1.25 (95% CI 0.78-2.00). Working night shifts, especially rotating night shifts, could increase PCa risk. This risk may be higher in people with an evening chronotype.To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 40-80 years, and (ii) residence in the coverage area of the reference hospitals for ≥6 months before recruitment. Exposure variables were: (i) night shift work (permanent or rotating); (ii) chronotype: morning, neither, or evening (Munich ChronoType Questionnaire) and (iii) sleep duration according to the recommendations of the American National Sleep Foundation. PCa aggressiveness was determined according to the International Society of Urology Pathology classification. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were estimated using logistic regression models. Night shift work was associated with PCa, aOR = 1.47 (95% CI 1.02-2.11), especially for rotating night shifts, aOR = 1.73 (95% CI 1.09-2.75). The magnitude of the association between ever night work and PCa was higher in evening subjects with aOR = 3.14 (95% CI 0.91-10.76) than in morning chronotypes with an aOR = 1.25 (95% CI 0.78-2.00). Working night shifts, especially rotating night shifts, could increase PCa risk. This risk may be higher in people with an evening chronotype. |
| Author | Vega-Galindo, María-Victoria Olmedo-Requena, Rocío Lozano-Lorca, Macarena Salcedo-Bellido, Inmaculada Sánchez, María-José Jiménez-Pacheco, Antonio Jiménez-Moleón, José-Juan Vázquez-Alonso, Fernando |
| AuthorAffiliation | 6 Urology Department, San Cecilio University Hospital, 18016 Granada, Spain; anjipa29@hotmail.com 3 Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain 4 Góngora Primary Health Care Centre, Distrito Sanitario Granada-Metropolitano, 18006 Granada, Spain; maveggal@gmail.com 5 Urology Department, Virgen de las Nieves University Hospital, 18014 Granada, Spain; fvazquezalonso@gmail.com 7 Andalusian School of Public Health (EASP), 18011 Granada, Spain 1 Universidad de Granada, Departamento de Medicina Preventiva y Salud Pública, 18016 Granada, Spain; macarenalozano@ugr.es (M.L.-L.); isalcedo@ugr.es (I.S.-B.); mariajose.sanchez.easp@juntadeandalucia.es (M.-J.S.); jjmoleon@ugr.es (J.-J.J.-M.) 2 Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain |
| AuthorAffiliation_xml | – name: 6 Urology Department, San Cecilio University Hospital, 18016 Granada, Spain; anjipa29@hotmail.com – name: 3 Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain – name: 1 Universidad de Granada, Departamento de Medicina Preventiva y Salud Pública, 18016 Granada, Spain; macarenalozano@ugr.es (M.L.-L.); isalcedo@ugr.es (I.S.-B.); mariajose.sanchez.easp@juntadeandalucia.es (M.-J.S.); jjmoleon@ugr.es (J.-J.J.-M.) – name: 7 Andalusian School of Public Health (EASP), 18011 Granada, Spain – name: 5 Urology Department, Virgen de las Nieves University Hospital, 18014 Granada, Spain; fvazquezalonso@gmail.com – name: 4 Góngora Primary Health Care Centre, Distrito Sanitario Granada-Metropolitano, 18006 Granada, Spain; maveggal@gmail.com – name: 2 Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain |
| Author_xml | – sequence: 1 givenname: Macarena orcidid: 0000-0001-5282-814X surname: Lozano-Lorca fullname: Lozano-Lorca, Macarena – sequence: 2 givenname: Rocío orcidid: 0000-0003-0054-6700 surname: Olmedo-Requena fullname: Olmedo-Requena, Rocío – sequence: 3 givenname: María-Victoria surname: Vega-Galindo fullname: Vega-Galindo, María-Victoria – sequence: 4 givenname: Fernando surname: Vázquez-Alonso fullname: Vázquez-Alonso, Fernando – sequence: 5 givenname: Antonio surname: Jiménez-Pacheco fullname: Jiménez-Pacheco, Antonio – sequence: 6 givenname: Inmaculada orcidid: 0000-0003-4601-198X surname: Salcedo-Bellido fullname: Salcedo-Bellido, Inmaculada – sequence: 7 givenname: María-José orcidid: 0000-0003-4817-0757 surname: Sánchez fullname: Sánchez, María-José – sequence: 8 givenname: José-Juan orcidid: 0000-0001-7917-6145 surname: Jiménez-Moleón fullname: Jiménez-Moleón, José-Juan |
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