Perceived stress and risk of colorectal cancer in men and women: a prospective cohort study
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Perceived stress and risk of colorectal cancer in men and women: a prospective cohort study. / Nielsen, N R; Kristensen, T S; Strandberg-Larsen, Katrine; Zhang, Z-F; Schnohr, P; Grønbaek, M.
In: Journal of Internal Medicine, Vol. 263, No. 2, 2008, p. 192-202.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Perceived stress and risk of colorectal cancer in men and women: a prospective cohort study
AU - Nielsen, N R
AU - Kristensen, T S
AU - Strandberg-Larsen, Katrine
AU - Zhang, Z-F
AU - Schnohr, P
AU - Grønbaek, M
N1 - Keywords: Adult; Aged; Aged, 80 and over; Cohort Studies; Colorectal Neoplasms; Denmark; Female; Humans; Male; Middle Aged; Proportional Hazards Models; Prospective Studies; Stress, Psychological
PY - 2008
Y1 - 2008
N2 - OBJECTIVE: We aim to assess the relationship between stress and risk of primary colorectal cancer in men and women. DESIGN: A prospective cohort study. SETTING: The Copenhagen City Heart Study, Denmark. SUBJECTS: A total of 6488 women and 5426 men were included in the study. The participants were asked about intensity and frequency of stress at baseline in 1981-1983 and were followed until the end of 2000 in the Danish Cancer Registry. Less than 0.1% was lost to follow-up. MAIN OUTCOME MEASURES: First time incidence of primary colorectal cancer. RESULTS: During follow-up 162 women and 166 men were diagnosed with colorectal cancer. Women with moderate and high stress intensity had a hazard ratio of 0.60 (95% CI: 0.37-0.98) and 0.52 (0.23-1.14) for colorectal cancer, respectively, compared to women with no stress. For colon cancer, a one-unit increase on a seven-point stress-score was associated with an 11% lower incidence of the disease (HR = 0.89, 95% CI: 0.81-0.99) amongst women. There was no consistent evidence of an association between stress and colorectal cancer in men. CONCLUSION: Perceived stress was associated with lower risk of particularly colon cancer in women, whilst there was no clear relationship between stress and colorectal cancer in men.
AB - OBJECTIVE: We aim to assess the relationship between stress and risk of primary colorectal cancer in men and women. DESIGN: A prospective cohort study. SETTING: The Copenhagen City Heart Study, Denmark. SUBJECTS: A total of 6488 women and 5426 men were included in the study. The participants were asked about intensity and frequency of stress at baseline in 1981-1983 and were followed until the end of 2000 in the Danish Cancer Registry. Less than 0.1% was lost to follow-up. MAIN OUTCOME MEASURES: First time incidence of primary colorectal cancer. RESULTS: During follow-up 162 women and 166 men were diagnosed with colorectal cancer. Women with moderate and high stress intensity had a hazard ratio of 0.60 (95% CI: 0.37-0.98) and 0.52 (0.23-1.14) for colorectal cancer, respectively, compared to women with no stress. For colon cancer, a one-unit increase on a seven-point stress-score was associated with an 11% lower incidence of the disease (HR = 0.89, 95% CI: 0.81-0.99) amongst women. There was no consistent evidence of an association between stress and colorectal cancer in men. CONCLUSION: Perceived stress was associated with lower risk of particularly colon cancer in women, whilst there was no clear relationship between stress and colorectal cancer in men.
U2 - 10.1111/j.1365-2796.2007.01826.x
DO - 10.1111/j.1365-2796.2007.01826.x
M3 - Journal article
C2 - 18226096
VL - 263
SP - 192
EP - 202
JO - Acta Medica Scandinavica
JF - Acta Medica Scandinavica
SN - 0955-7873
IS - 2
ER -
ID: 9612731