Abstract
Objective
We conducted a nested case–control study of 362 cases diagnosed between 1 January 1988 and 31 December 1999, and 1,805 matched controls to examine the association between occupational physical activity and prostate-cancer incidence among workers at a nuclear and rocket engine-testing facility in Southern California.
Methods
We obtained cancer incidence data from the California Cancer Registry and seven other state cancer registries. Data from company records were used to construct a job exposure matrix (JEM) for occupational physical activity during employment. Conditional logistic regression was used to estimate associations.
Results
With adjustment for occupational confounders, including socioeconomic status and trichloroethylene (TCE) exposure, high activity levels at work were inversely associated with prostate-cancer incidence among aerospace workers (odds ratio [OR] = 0.55; 95% CI = 0.32–0.95), but not among radiation workers (OR = 0.95; 95% CI = 0.43–2.1).
Conclusions
Our results suggest that adult men who are more continually active at work may have a decreased risk of prostate cancer.
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References
Wannamethee SG, Shaper AG, Walker M (2001) Physical activity and risk of cancer in middle-aged men. Br J Can 85(9):1311–1316
Dosemeci M, Hayes RB, Vetter R et al (1993) Occupational physical activity, socioeconomic status, and risks of 15 cancer sites in Turkey. Cancer Causes Control 4:313–321
Friedenreich CM, Thune I (2001) A review of physical activity and prostate cancer risk. Cancer Causes Control 12:461–475
Lee I, Sesso HD, Chen J, Paffenbarger R Jr (2001) Does physical activity play a role in the prevention of prostate cancer? Epidemiol Rev 23:132–137
Stewart PA, Stewart WF, Siemiatycki J, Heineman EF, Dosemeci M (1998) Questionnaires for collecting detailed occupational information for community-based case control studies. Am Ind Hyg Assoc J 58:39–44
Demers PA, Vaughan TL, Checkoway H, Weiss NS, Heyer NJ, Rosenstock L (1992) Cancer identification using a tumor registry versus death certificates in occupational cohort studies in the United States. Am J Epidemiol 136(10):1232–1240
Ritz B, Morgenstern H, Crawford-Brown D, Young B (2000) The effects of internal radiation exposure on cancer mortality in nuclear workers at Rocketdyne/Atomics International. Environ Health Perspect 108(8):743–751
Morgenstern H, Ritz B (2001) Effects of radiation and chemical exposures on cancer mortality among Rocketdyne workers: a review of three cohort studies. Occup Med 16:219–237
Ritz B, Zhao Y, Krishnadasan A, Kennedy N, Morgenstern H (2006) Estimated effects of hydrazine exposure on cancer incidence and mortality in aerospace workers. Epidemiology 17(2):154–161
Zhao Y, Krishnadasan A, Kennedy N, Morgenstern H, Ritz B (2005) Estimated effects for solvents and mineral oils and cancer mortality and incidence. Am J Ind Med 48(4):249–258
Ritz B, Morgenstern H, Froines J, Moncau J (1999) Chemical exposures of rocket-engine test-stand personnel and cancer mortality in a cohort of aerospace workers. J Occup Environ Med 41(10):903–910
Breslow NE, Day NE (1980) Statistical methods in cancer research. Volume I—the analysis of case-control studies. IARC Sci Publ (32):5–338
Rothman K, Greenland S (1998) Modern epidemiology, 2nd edn. Lippincott-Raven Publisher, Philadelphia
Krishnadasan A, Kennedy N, Zhao Y, Morgenstern H, Ritz B (2007) Nested case-control study of occupational chemical exposures and prostate cancer in aerospace and radiation workers. Am J Ind Med 50(5):383–390
Axelson O, Steenland K (1988) Indirect methods of assessing the effects of tobacco use in occupational studies. Am J Ind Med 13(1):105–118
Thune I, Lund E (1994) Physical activity and the risk of prostate and testicular cancer: a cohort study of 53,000 Norwegian men. Cancer Causes Control 5:549–556
Hartman TJ, Albanes D, Rautalahti M et al (1998) Physical activity and prostate cancer in the alpha-tocopherol, beta-carotene (ATBC) cancer prevention study (Finland). Cancer Causes Control 9:11–18
Wheeler GD, Wall SR, Belcastro AN, Cumming DC (1984) Reduced serum testosterone and prolactin levels in male distance runners. JAMA 252(4):514–516
Makridakis NM, Reichardt JKV (2001) Molecular epidemiology of hormone-metabolic loci in prostate cancer. Epidemiol Rev 23:24–29
Ross R, Bernstein L, Judd H, Hanisch R, Pike M, Henderson B (1986) Serum testosterone levels in healthy young black and white men. J Natl Cancer Inst 76(1):45–48
Nilsen TL, Johnsen R, Vatten LJ (2000) Socio-economic and lifestyle factors associated with the risk of prostate cancer. Br J Can 82(7):1358–1363
Steenland K, Nowlin S, Paul S (1995) Cancer incidence in the national health and nutrition survey I follow-up data: diabetes, cholesterol, pulse and physical activity. Cancer Epidemiol Biomarkers Prev 4:807–811
Clarke G, Whittemore AS (2000) Prostate cancer risk in relation to anthropometry and physical activity: the national health and nutrition examination survey I epidemiological follow-up study. Cancer Epidemiol Biomarkers Prev 9:875–881
Vena JE, Graham S, Zielezny M, Brasure J, Swanson MK (1987) Occupational exercise and risk of cancer. Am J Clin Nutr 45:318–327
Norman A, Moradi T, Gridley G et al (2002) Occupational physical activity and risk for prostate cancer in a nationwide cohort study in Sweden. Br J Can 86:70–75
Bouyer J, Hemon D (1993) Retrospective evaluation of occupational exposures in population-based case-control studies: general overview with special attention to job exposure matrices. Int J Epidemiol 22(suppl 2):S57–S64
Acknowledgments
We thank Kavitha Pathmarajah for help with data collection and entry, and the employees of the Rocketdyne/Boeing Company who provided valuable information about work conducted at the facility.
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Krishnadasan, A., Kennedy, N., Zhao, Y. et al. Nested case–control study of occupational physical activity and prostate cancer among workers using a job exposure matrix. Cancer Causes Control 19, 107–114 (2008). https://doi.org/10.1007/s10552-007-9076-7
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DOI: https://doi.org/10.1007/s10552-007-9076-7