Abstract
Purpose
To examine the association of muscle-strengthening activities (MSA) and cancer mortality.
Methods
We pooled data from the 1998 to 2009 National Health Interview Survey (NHIS), which were linked to records in the National Death Index. Mortality follow-up was through 31 December 2011. Based on U.S. federal guidelines for physical activity, we dichotomized MSA and compared those who performed MSA twice a week or more to others with lower MSA. We also examined dose–response relationship of MSA frequency with cancer mortality. Hazard ratios (HR) from Cox regression were computed to estimate the association of MSA with the risk of cancer mortality. Mean follow-up was 7.9 years and the analysis sample size was 310,282.
Results
Covariate-adjusted results showed that meeting the MSA guideline was associated with a 19% lower risk of cancer mortality (HR 0.81, 95% CI 0.73, 0.90). We found no evidence of a dose–response relationship between the frequency of performing MSA and cancer mortality.
Conclusion
Adhering to the U.S. federal guideline for MSA is associated with lower cancer mortality. Public health programs and policy for cancer prevention and control should promote MSA to further reduce cancer mortality.
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Data availability
Secondary data that are publically available were used in this paper.
References
Centers for Disease Control and prevention (2018) Cancer Prevention and Control. U.S. Department of Health and Human Services. https://www.cdc.gov/cancer/dcpc/data/types.htm. Accessed May 2018
World Health Organization (2011) Global status report on noncommunicable diseases 2010. World Health Organization, Geneva
Islami F, Goding SA, Miller KD, Siegel RL, Fedewa SA, Jacobs EJ, McCullough ML, Patel AV, Ma J, Soerjomataram I (2018) Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States. Cancer J Clin 68(1):31–54
Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJ, Ezzati M (2009) The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med 6(4):e1000058
Vineis P, Wild CP (2014) Global cancer patterns: causes and prevention. Lancet 383(9916):549–557
O’Donovan G, Hamer M, Stamatakis E (2017) Relationships between exercise, smoking habit and mortality in more than 100,000 adults. Int J Cancer 140(8):1819–1827. https://doi.org/10.1002/ijc.30611
Laukkanen JA, Rauramaa R, Mäkikallio T, Toriola AT, Kurl S (2011) Intensity of leisure-time physical activity and cancer mortality in men. Br J Sports Med 45(2):125–129
2018 Physical Activity Guidelines Advisory Committee (2018) 2018 Physical Activity Guidelines Advisory Committee Scientific Report. U.S. Department of Health and Human Services
Hu G, Tuomilehto J, Silventoinen K, Barengo NC, Peltonen M, Jousilahti P (2005) The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47 212 middle-aged Finnish men and women. Int J Obes 29(8):894
U.S. Department of Health and Human Services (2018) Physical Activity Guidelines for Americans, 2nd edition, vol U.S. Departmnet of Health and Human Services. Washington, DC
Kamada M, Shiroma EJ, Buring JE, Miyachi M, Lee IM (2017) Strength training and all-cause, cardiovascular disease, and cancer mortality in older women: a cohort study. J Am Heart Assoc 6(11):e007677
Hsu B, Merom D, Blyth FM, Naganathan V, Hirani V, Le Couteur DG, Seibel MJ, Waite LM, Handelsman DJ, Cumming RG (2018) Total physical activity, exercise intensity, and walking speed as predictors of all-cause and cause-specific mortality over 7 years in older men: the Concord Health and Aging in Men Project. J Am Med Direct Assoc 19(3):216–222
Loprinzi PD, Addoh O, Mann JR (2017) Association between muscle strengthening physical activities and mortality among American adults with mobility limitations. Prev Med 99:207–210
Dankel SJ, Loenneke JP, Loprinzi PD (2018) Cancer-specific mortality relative to engagement in muscle-strengthening activities and lower extremity strength. J Phys Act Health 15(2):144–149
Blewett LA, Rivera Drew JA, Griffin R, King ML, Williams KCW (2016) IPUMS Health Surveys: National Health Interview Survey, version 6.2. http://doi.org/10.18128/D070.V6.2
Botman S, Moriarity CL (2000) Design and estimation for the national health interview survey, 1995–2004, vol 2. National Center for Health Statistics, Hyattsville
Parsons VL, Moriarity CL, Jonas K, Moore TF, Davis KE, Tompkins L (2014) Design and estimation for the national health interview survey, 2006–2015, vol 2. National Center for Health Statistics, Hyattsville
National Center for Health Statistics (2009) The National Health Interview Survey (1986–2004) linked mortality files, mortality follow-up through 2006: matching methodology. National Center for Health Statistics, Hyattsville
World Health Organization (1993) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization, Geneva
Hedblad B, Ogren M, Isacsson S-O, Janzon L (1997) Reduced cardiovascular mortality risk in male smokers who are physically active: results from a 25-year follow-up of the prospective population study men born in 1914. Arch Intern Med 157(8):893–899
Thun MJ, Carter BD, Feskanich D, Freedman ND, Prentice R, Lopez AD, Hartge P, Gapstur SM (2013) 50-year trends in smoking-related mortality in the United States. N Engl J Med 368(4):351–364
Liang W, Chikritzhs T (2013) The association between alcohol exposure and self-reported health status: the effect of separating former and current drinkers. PLoS ONE 8(2):e55881
French MT, Zavala SK (2007) The health benefits of moderate drinking revisited: alcohol use and self-reported health status. American Journal of Health Promotion 21(6):484–491
Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893
U.S. Census Bureau (2016) Poverty thresholds. U.S. Census Bureau. https://www.census.gov/data/tables/time-series/demo/income-poverty/historical-poverty-thresholds.html. Accessed 2 May 2017
Korn EL, Graubard BI (1999) Analysis of health surveys. John Wiley & Sons, New York
StataCorp (2015) Stata Statistical Software: release 14.1, MP Parallel Edition, vol Book, Whole. StataCorp LP, College Station
McTiernan A (2008) Mechanisms linking physical activity with cancer. Nat Rev Cancer 8(3):205
Friedenreich CM, Neilson HK, Lynch BM (2010) State of the epidemiological evidence on physical activity and cancer prevention. Eur J Cancer 46(14):2593–2604. https://doi.org/10.1016/j.ejca.2010.07.028
Rogers CJ, Colbert LH, Greiner JW, Perkins SN, Hursting SD (2008) Physical activity and cancer prevention: pathways and targets for intervention. Sports Med 38(4):271–296
Clague J, Bernstein L (2012) Physical activity and cancer. Cur Oncol Rep 14(6):550–558. https://doi.org/10.1007/s11912-012-0265-5
Frank LL, Sorensen BE, Yasui Y, Tworoger SS, Schwartz RS, Ulrich CM, Irwin ML, Rudolph RE, Rajan KB, Stanczyk F, Bowen D, Weigle DS, Potter JD, McTiernan A (2005) Effects of exercise on metabolic risk variables in overweight postmenopausal women: a randomized clinical trial. Obes Res 13(3):615–625. https://doi.org/10.1038/oby.2005.66
Boule NG, Haddad E, Kenny GP, Wells GA, Sigal RJ (2001) Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 286(10):1218–1227
Il’yasova D, Colbert LH, Harris TB, Newman AB, Bauer DC, Satterfield S, Kritchevsky SB (2005) Circulating levels of inflammatory markers and cancer risk in the health aging and body composition cohort. Cancer Epidemiol Biomarkers Prev 14(10):2413–2418. https://doi.org/10.1158/1055-9965.Epi-05-0316
Hamer M, Sabia S, Batty GD, Shipley MJ, Tabak AG, Singh-Manoux A, Kivimaki M (2012) Physical activity and inflammatory markers over 10 years: follow-up in men and women from the Whitehall II cohort study. Circulation 126(8):928–933. https://doi.org/10.1161/circulationaha.112.103879
Lakka TA, Lakka H-M, Rankinen T, Leon AS, Rao D, Skinner JS, Wilmore JH, Bouchard C (2005) Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study. Eur Heart J 26(19):2018–2025
Camhi SM, Stefanick ML, Ridker PM, Young DR (2010) Changes in C-reactive protein from low-fat diet and/or physical activity in men and women with and without metabolic syndrome. Metabolism 59(1):54–61
Strickland JC, Smith MA (2014) The anxiolytic effects of resistance exercise. Front Psychol 5:753. https://doi.org/10.3389/fpsyg.2014.00753
Chida Y, Hamer M, Wardle J, Steptoe A (2008) Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Clin Pract Oncol 5(8):466–475. https://doi.org/10.1038/ncponc1134
Moreno-Smith M, Lutgendorf SK, Sood AK (2010) Impact of stress on cancer metastasis. Fut Oncol (London, England) 6(12):1863–1881. https://doi.org/10.2217/fon.10.142
McTiernan A (2016) Cancer prevention and management through exercise and weight control. CRC Press, New York
Brill PA, Macera CA, Davis DR, Blair SN, Gordon N (2000) Muscular strength and physical function. Med Sci Sports Exerc 32(2):412
Rantanen T, Guralnik JM, Foley D, Masaki K, Leveille S, Curb JD, White L (1999) Midlife hand grip strength as a predictor of old age disability. JAMA 281(6):558–560
Saquib N, Pierce JP, Saquib J, Flatt SW, Natarajan L, Bardwell WA, Patterson RE, Stefanick ML, Thomson CA, Rock CL (2011) Poor physical health predicts time to additional breast cancer events and mortality in breast cancer survivors. Psycho-Oncology 20(3):252–259
Stommel M, Given BA, Given CW (2002) Depression and functional status as predictors of death among cancer patients. Cancer 94(10):2719–2727
Research WCRFAIfC (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC
Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, Gapstur S, Patel AV, Andrews K, Gansler T (2012) American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. Cancer J Clin 62(1):30–67
National Center for Health Statistics (2013) National death index. Centers for Disease Control and Prevention, Hyattsville
American Cancer Society (2019) Diet and physical activity: what’s the cancer connection? American Cancer Society. https://www.cancer.org/cancer/cancer-causes/diet-physical-activity/diet-and-physical-activity.html
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Siahpush, M., Farazi, P.A., Wang, H. et al. Muscle-strengthening physical activity is associated with cancer mortality: results from the 1998–2011 National Health Interview Surveys, National Death Index record linkage. Cancer Causes Control 30, 663–670 (2019). https://doi.org/10.1007/s10552-019-01169-z
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DOI: https://doi.org/10.1007/s10552-019-01169-z