A. Tavani et al., Physical activity and risk of cancers of the colon and rectum: an Italian case control study, BR J CANC, 79(11-12), 1999, pp. 1912-1916
We investigated the relationships between risk of colon and rectal cancers
and physical activity in both sexes at different ages by a case-control stu
dy conducted between 1991 and 1996 in six Italian centres. Cases were 1225
patients (688 men, 537 women) below the age of 75 with colon cancer and the
controls included 4154 patients (2073 men, 2081 women) admitted to hospita
l for acute, non-neoplastic conditions. We also analysed 722 cases of recta
l cancer. Compared with the lowest level of occupational physical activity
at 30-39 years old the odds ratios (OR) for the highest level were 0.64 (95
% confidence interval, CI 0.44-0.93) in men and 0.49 (95% CI 0.33-0.72) in
women. The inverse association in both sexes was similar at 15-19 and 50-59
years old, No association was found in either sex for leisure-time physica
l activity. For both sexes the inverse relationship between occupational ph
ysical activity at 30-39 years old and colon cancer risk was not significan
tly heterogeneous across strata of selected covariates, and for ascending,
transverse, descending and sigmoid colon. Rectal cancer risk was not associ
ated with any measure of physical activity (OR = 1.32 for men and 0.88 for
women for the highest level of occupational physical activity at 30-39 year
s old compared with the lowest). This study confirms that occupational phys
ical activity is protective against colon, but not against rectal cancer.