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008 171219t2018 sp ||||| |||| 00| 0 spa |
022 _a1526-8209
040 _cSalus Infirmorum
245 0 0 _aPhysical Activity and Weight Loss Reduce the Risk of Breast Cancer: A Meta-analysis of 139 Prospective and Retrospective Studies /
_cPrue J. Hardefeldt, Ross Penninkilampi, Senarath Edirimanne, Guy D. Eslick
500 _aPDF en biblioteca
504 _aBibliografĂ­a: p.e609-e612
520 8 _aThe aim of this meta-analysis was to assess the effect of both physical activity and weight loss on breast cancer incidence. A total of 139 studies were included, involving 236,955 cases and 3,963,367 controls. Physical activity significantly reduced the risk of breast cancer (odds ratio, 0.78; P < .001). The effect size was similar in pre- and postmenopausal women. High-intensity physical exercise was slightly more protective. Background: Physical activity and weight loss have been shown to reduce breast cancer incidence in numerous observational studies. The aim of this meta-analysis was to assess the effect of both physical activity and weight loss on breast cancer incidence. Specifically, we aimed to complete subgroup analyses by the intensity of physical activity and menopausal status at breast cancer diagnosis to further elucidate the relationship between physical activity, weight loss, and breast cancer incidence. Materials and Methods: Studies were obtained from a database search of MEDLINE, EMBASE, PubMed, Current Contents Connect, and Google Scholar through November 5, 2017. A randomeffects model was used for pooled data. Results: There were 139 studies included in the meta-analysis, including 236,955 cases and 3,963,367 controls. Physical activity significantly reduced the risk of breast cancer (odds ratio [OR], 0.78; 95% confidence interval [CI], 0.76-0.81; P < .001), with high-intensity physical activity being slightly more protective (OR, 0.73; 95% CI, 0.65-0.81; P < .001) than low-intensity exercise (OR, 0.79; 95% CI, 0.72-0.86; P < .001). The effect size for general exercise was similar in both premenopausal (OR, 0.79; 95% CI, 0.73-0.87; P < .001) and postmenopausal (OR, 0.82; 95% CI, 0.78-0.86; P < .001) women. Additionally, weight loss reduced the risk of breast cancer incidence (OR, 0.82; 95% CI, 0.67-0.97). Conclusion: Physical activity and weight loss significantly reduce the risk of breast cancer, irrespective of the timing and intensity of the exercise.
653 1 4 _abody mass index
653 1 4 _aexercise
653 1 4 _amenopause
653 1 4 _areview
653 1 4 _arisk factors
773 _g-- 2018, v. 18, n4, p. e601-e612
_tClinical Breast Cancer
942 _2udc
_cARTÍCULO
999 _c13852
_d13852