Circadian Disruption and Fatal Ovarian Cancer

Brian D. Carter · W. Ryan Diver · Janet S. Hildebrand · Alpa V. Patel · Susan M. Gapstur

64 citations0/0 files storedAmerican Journal of Preventive Medicine

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Sleep and Work-Related Fatigue Ovarian cancer diagnosis and treatment Circadian rhythm and melatonin

Abstract

BACKGROUND: The International Agency for Research on Cancer determination that shift work is a "probable" human carcinogen was based primarily on studies of breast cancer but it was also noted that additional aspects of circadian disruption and other cancer sites deserved further research. PURPOSE: To examine possible associations of three measures of circadian disruption: nontypical work schedules, nightly sleep duration, and monthly frequency of insomnia with risk of fatal ovarian cancer in a sample of American women. METHODS: Several measures of circadian disruption and other information were assessed in 1982 from 161,004 employed women in the American Cancer Society's Cancer Prevention Study-II, a cohort that has been followed for mortality through 2010. In 2013, Cox proportional hazards regression was used to model the relative risks (RRs) and 95% CIs of death from ovarian cancer for categories of each indicator of circadian disruption. RESULTS: Over 28 years of follow-up, 1289 deaths from ovarian cancer occurred in the at-risk cohort. Compared to fixed daytime work, a rotating schedule was associated with an elevated risk of fatal ovarian cancer (RR=1.27, 95% CI=1.03, 1.56). No significant associations were observed for sleep duration (p trend=0.24) or insomnia (p trend=0.44). CONCLUSIONS: In this large prospective study, there was a higher risk of fatal ovarian cancer in women who reported a rotating work schedule. These findings and the high prevalence of rotating shift schedules underscore the need for further research examining the role of work schedule and risk of ovarian cancer.

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2014International Statistical Classification of Diseases and Related Health Problems 2004Meta-Analysis of Quantitative Sleep Parameters From Childhood to Old Age in Healthy Individuals: Developing Normative Sleep Values Across the Human Lifespan 2002Mortality Associated With Sleep Duration and Insomnia 2001Rotating Night Shifts and Risk of Breast Cancer in Women Participating in the Nurses' Health Study 2003Night-Shift Work and Risk of Colorectal Cancer in the Nurses' Health Study 2001Increased Breast Cancer Risk among Women Who Work Predominantly at Night 2006Prospective Cohort Study of the Risk of Prostate Cancer among Rotating-Shift Workers: Findings from the Japan Collaborative Cohort Study 2007A Time to Work: Recent Trends in Shift Work and Flexible Schedules

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