Author:
Rezende Leandro Fórnias Machado de,Sá Thiago Hérick de,Markozannes Georgios,Rey-López Juan Pablo,Lee I-Min,Tsilidis Konstantinos K,Ioannidis John P A,Eluf-Neto José
Abstract
ObjectiveTo provide an overview of the breadth and validity of claimed associations between physical activity and risk of developing or dying from cancer.DesignUmbrella review.Data sourcesWe searched Medline, Embase, Cochrane Database and Web of Science.Eligibility criteria for selecting studiesSystematic reviews about physical activity and cancer incidence and cancer mortality in different body sites among general population.ResultsWe included 19 reviews covering 22 cancer sites, 26 exposure-outcome pairs meta-analyses and 541 original studies. Physical activity was associated with lower risk of seven cancer sites (colon, breast, endometrial, lung, oesophageal, pancreas and meningioma). Only colon (a protective association with recreational physical activity) and breast cancer (a protective association with overall physical activity) were supported by strong evidence and highly suggestive evidence, respectively. Evidence from endometrial, lung, oesophageal, pancreas and meningioma presented hints of uncertainty and bias in the literature (eg, not reaching P values<10-6) showing large between-study heterogeneity and/or not demonstrating a definite direction for the effect when 95% prediction intervals were considered. Four of the 26 meta-analyses showed small study effects and 4 showed excess significance.ConclusionPhysical activity is associated with a lower risk of several cancers, but only colon and breast cancer associations were supported by strong or highly suggestive evidence, respectively. Evidence from other cancer sites was less consistent, presenting hints of uncertainty and/or bias.
Funder
University of Sydney
World Cancer Research Fund International Regular Grant Programme
São Paulo Research Foundation
Subject
Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,General Medicine
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