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Sedentary time and postmenopausal breast cancer incidence

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Abstract

Purpose

The objective of this study was to evaluate the prospective association between sedentary time and postmenopausal breast cancer incidence, and whether associations differ by race/ethnicity, physical activity levels, and body measurements.

Methods

The Women’s Health Initiative Observational Study is a prospective cohort among women ages 50–79 years at baseline (1994–1998) (analytic cohort = 70,233). Baseline questionnaire data were used to estimate time spent sitting and total sedentary time. Associations between time spent sitting and invasive breast cancer incidence overall (n = 4,115 cases through September 2015), and by hormone receptor subtypes, were investigated using Cox proportional hazards regression. Analyses were replicated stratified by race/ethnicity, body measurements, and physical activity.

Results

Among women in this study, 34.5% reported ≤ 5 h/day sitting, 40.9% reported 6–9 h/day and 24.7% reported ≥ 10 h/day. Time spent sitting (≥ 10 vs. ≤5 h/day adjusted HR = 1.00, 95% CI 0.92–1.09) was not associated with breast cancer incidence, regardless of hormone receptor subtype. Associations did not differ by race/ethnicity, physical activity, or body measurements.

Conclusions

Results from this study do not support an association between sedentary time and breast cancer incidence.

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Acknowledgments

The WHI program is funded by the National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services through contracts HHSN268201600018C, HHSN268201600001C, HHSN268201600002C, HHSN268201600003C, and HHSN268201600004C. The authors would like to acknowledge the WHI Program Office, including (National Heart, Lung, and Blood Institute, Bethesda Maryland), Jacques Rossouw, Shari Ludlam, Joan McGowan, Leslie Ford, and Nancy Geller, Clinical Coordinating Center: (Fred Hutchinson Cancer Research Center, Seattle, WA) Garnet Anderson, Ross Prentice, Andrea LaCroix, and Charles Kooperberg; Investigators and Academic Centers including (Brigham and Women’s Hospital, Harvard Medical School, Boston, MA) JoAnn E. Manson; (MedStar Health Research Institute/Howard University, Washington, DC) Barbara V. Howard; (Stanford Prevention Research Center, Stanford, CA) Marcia L. Stefanick; (The Ohio State University, Columbus, OH) Rebecca Jackson; (University of Arizona, Tucson/Phoenix, AZ) Cynthia A. Thomson; (University at Buffalo, Buffalo, NY) Jean Wactawski-Wende; (University of Florida, Gainesville/Jacksonville, FL) Marian Limacher; (University of Iowa, Iowa City/Davenport, IA) Jennifer Robinson; (University of Pittsburgh, Pittsburgh, PA) Lewis Kuller; (Wake Forest University School of Medicine, Winston-Salem, NC) Sally Shumaker; (University of Nevada, Reno, NV) Robert Brunner; (University of Minnesota, Minneapolis, MN) Karen L. Margolis; And Women’s Health Initiative Memory Study (Wake Forest University School of Medicine, Winston-Salem, NC) Mark Espeland.

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Authors and Affiliations

  1. Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 1000 New Jersey Ave SE, Washington, DC, 20003, USA

    Sarah J. O. Nomura, Chiranjeev Dash & Lucile L. Adams-Campbell

  2. Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, 830 East Main Street, Richmond, VA, 23219, USA

    Vanessa B. Sheppard

  3. Department of Bioethics and Humanities, University of Washington, Health Sciences Building, 1959 NE Pacific Street, Seattle, WA, 98195, USA

    Deborah Bowen

  4. Department of Family Medicine and Public Health, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA

    Matthew Allison

  5. Department of Epidemiology, School of Public Health, University of Washington, Health Sciences Building, 1959 NE Pacific Street, Seattle, WA, 98195, USA

    Wendy Barrington

  6. Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, 90502, USA

    Rowan Chlebowski

  7. Department of Preventive Medicine, The University of Tennessee Health Science Center, Doctors Office Building, 66 North Pauline Street, Memphis, TN, 38163, USA

    Mace Coday

  8. Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, 680 North Lake Shore Drive, Chicago, IL, 60611, USA

    Lifang Hou

  9. MedStar Health Research Institute, 6525 Belcrest Road, Hyattsville, MD, 20782, USA

    Barbara Howard

  10. Department of Epidemiology and Environmental Health, University at Buffalo, 401 Kimball Tower, Buffalo, NY, 14214, USA

    Michael LaMonte & Jean Wactawski-Wende

  11. Division of Preventive Medicine, Brigham and Women’s Hospital and Harvard Medical School, 900 Commonwealth Avenue, Boston, MA, 02215, USA

    JoAnn E. Manson

  12. Department of Epidemiology, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA

    JoAnn E. Manson

  13. Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., Seattle, WA, 98109, USA

    Marian L. Neuhouser

  14. Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, 370 W 9th Ave, Columbus, OH, 43210, USA

    Electra Paskett

  15. Department of Internal Medicine, University of Florida College of Medicine, 2000 SW Archer Rd, Gainesville, FL, 3260, USA

    Maryam Sattari

  16. Department of Medicine, Stanford Prevention Research Center, Stanford University, Stanford, California, 1265 Welch Rd, Palo Alto, CA, 94305, USA

    Marcia Stefanick

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  1. Sarah J. O. Nomura
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  2. Chiranjeev Dash
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  4. Deborah Bowen
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  5. Matthew Allison
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  6. Wendy Barrington
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  7. Rowan Chlebowski
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  8. Mace Coday
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  10. Barbara Howard
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  11. Michael LaMonte
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  12. JoAnn E. Manson
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  13. Marian L. Neuhouser
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  15. Maryam Sattari
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  16. Marcia Stefanick
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  17. Jean Wactawski-Wende
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  18. Lucile L. Adams-Campbell
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Corresponding author

Correspondence to Sarah J. O. Nomura.

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Nomura, S.J.O., Dash, C., Sheppard, V.B. et al. Sedentary time and postmenopausal breast cancer incidence. Cancer Causes Control 28, 1405–1416 (2017). https://doi.org/10.1007/s10552-017-0968-x

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