Recreational physical inactivity and mortality in women with invasive epithelial ovarian cancer: Evidence from the Ovarian Cancer Association Consortium

Rikki A. Cannioto, Michael J. LaMonte, Linda E Kelemen, Harvey A Risch, Kevin H Eng, Albina N. Minlikeeva, Chi-chen Hong, J Brian Szender, Lara Sucheston-Campbell, Janine M Joseph, Andrew Berchuck, Jenny Chang-Claude, Daniel W Cramer, Anna de Fazio, Brenda Diergaarde, Thilo Doerk, Jennifer A Doherty, Robert P Edwards, Brooke L Fridley, Grace FrielEllen L Goode, Marc T Goodman, Peter Hillemanns, Estrid Hogdall, Satoyo Hosono, Joseph L Kelley, Susanne K. Kjaer, Rüdiger Klapdor, Keitaro Matsuo, Kunle Odunsi, Christina M Nagle, Catherine M Olsen, Lisa E Paddock, Celeste L Pearce, Malcolm C Pike, Mary Anne Rossing, Barbara Schmalfeldt, Brahm H. Segal, Elizabeth A. Szamreta, Pamela J Thompson, Chiu-Chen Tseng, Robert A Vierkant, Joellen M Schildkraut, Nicolas Wentzensen, Kristine G Wicklund, Stacey J Winham, Anna H Wu, Francesmary Modugno, Roberta B Ness, Allan Jensen, Penelope M Webb, Kathryn L Terry, Elisa V Bandera, Kirsten B Moysich

24 Citations (Scopus)

Abstract

Background: Little is known about modifiable behaviours that may be associated with epithelial ovarian cancer (EOC) survival. We conducted a pooled analysis of 12 studies from the Ovarian Cancer Association Consortium to investigate the association between pre-diagnostic physical inactivity and mortality. Methods: Participants included 6806 women with a primary diagnosis of invasive EOC. In accordance with the Physical Activity Guidelines for Americans, women reporting no regular, weekly recreational physical activity were classified as inactive. We utilised Cox proportional hazard models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) representing the associations of inactivity with mortality censored at 5 years. Results: In multivariate analysis, inactive women had significantly higher mortality risks, with (HR=1.34, 95% CI: 1.18-1.52) and without (HR=1.22, 95% CI: 1.12-1.33) further adjustment for residual disease, respectively. Conclusion: In this large pooled analysis, lack of recreational physical activity was associated with increased mortality among women with invasive EOC.

Original languageEnglish
JournalBritish Journal of Cancer
Volume115
Issue number1
Pages (from-to)95-101
Number of pages7
ISSN0007-0920
DOIs
Publication statusPublished - 28 Jun 2016

Keywords

  • epithelial ovarian cancer
  • inactivity
  • mortality risk
  • recreational physical activity
  • survival

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