2008, Número 2
<< Anterior Siguiente >>
salud publica mex 2008; 50 (2)
Actividad física y riesgo de cáncer de mama en mujeres mexicanas
Ortiz-Rodríguez SP, Torres-Mejía G, Mainero-Ratchelous F, Ángeles-Llerenas A, López-Caudana AE, Lazcano-Ponce E, Romieu I
Idioma: Español
Referencias bibliográficas: 26
Paginas: 126-135
Archivo PDF: 202.34 Kb.
RESUMEN
Objetivo. Evaluar el efecto de la actividad física moderada (en horas por semana y METs-hora por semana) sobre el riesgo de cáncer de mama (CM).
Material y métodos. Se trata de la primera fase de un estudio multicéntrico de casos y controles con base poblacional que se desarrolló en el Distrito Federal, Monterrey y Veracruz, México, en el año 2004. Se analizaron 58 casos y 58 controles pareados a los casos por quinquenio de edad, y pertenencia al sistema de salud; participaron tres hospitales del Instituto Mexicano del Seguro Social, tres del Instituto de Seguridad Social al Servicio de los Trabajadores del Estado y tres de la Secretaría de Salud.
Resultados. En mujeres posmenopáusicas se observó una reducción del riesgo de CM por cada hora semanal adicional de actividad física moderada (RM= 0.91; IC95% 0.85-0.97); en mujeres premenopáusicas, la disminución del riesgo no tuvo significancia estadística (RM= 0.99; IC95% 0.94-1.05) (p= 0.048, modificación de efecto).
Conclusiones. La actividad física reduce el riesgo de CM en mujeres mexicanas posmenopáusicas.
REFERENCIAS (EN ESTE ARTÍCULO)
John EM, Horn-Ross P, Koo J. Lifetime physical activity and breast cancer risk in a multiethnic population: The San Francisco Bay area breast cancer study. Cancer Epidemiol Biomarkers Prev 2003; 12: 1143-1152.
Bernstein L, Ross RK, Lobo R, Hanisch R, Krailo M, Henderson B. The effects of moderate physical activity on menstrual cycle patterns in adolescence: implications for breast cancer prevention. Br J Cancer 1985; 74: 741-745.
International Agency for Research on Cancer. Weight control and physical activity. Handbooks of Cancer Prevention. Metabolic consequences of overweight, underweight and physical activity/inactivity. Lyon, France: IARC Press, 2002;(6):53-82.
Friedenreich CM. Physical activity and breast cancer risk: the effect of menopausal status. Exerc Sport Sci Rev 2004;32:180-184.
Kaaks R, Lukanova A. Effects of weight control and physical activity in cancer prevention: role of endogenous hormone metabolism. Ann N Y Acad Sci 2002; 963: 268-281.
Friedenreich CM, Orestein MR. Physical and cancer prevention: etiologic evidence and biological mechanisms. J Nutric 2002;132:3456S-3464S.
United States Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, The President’s Council of Physical Fitness and Sports, 1996.
Dirección General de Epidemiología de México, Dirección de Vigilancia Epidemiológica y Enfermedades No Transmisibles. Ciudad de México: Registro Histopatológico de Neoplasias Malignas (RHNM) 2002.
Hernández-Avila M, Romieu I, Parra S, Hernández-Avila J, Madrigal H, Willett W. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex 1998; 40: 133-140.
Seven-Day Physical Activity Recall. A Collection of Physical Activity Questionnaires for Health-Related Research. Med Sci Sport Exerc 1997;29(Suppl 6):S89-S103.
Ainsworth BE, Haskell WL, Whitt MC, Irwin L, Swartz A, Strath S et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000; 32: S498-516.
Schlesselman JJ, Stolley PD. Case – control studies. Design, conduct, analysis. En: Basic Methods of Analisis. New York: Oxford University Pres, 1982:170-290.
Friedenreich CM, Courneya K, Briant S. Relation between intensity of physical activity and breast cancer risk reduction. Med Sci Sports Exerc 2001; 33: 1538-1545.
Verloop J, Rookus MA, van der Kooy K, van Leeuwen FE. Physical activity and breast cancer risk in women aged 20-54 years. J Natl Cancer Inst 2000; 92: 128-135.
Breslow R, Ballard-Barbash R, Muñoz K, Graudard B. Long-term recreational physical activity and breast cancer in the National Health and Nutrition Examination Survey I Epidemiologic Follow-Up Study. Cancer Epidemiol Biomarkers Prev 2001; 10: 805-808.
Moradi T, Hans-Olov A, Anders E. Physical activity and risk for breast cancer: a prospective cohort study among Swedish twins. Int J Cancer 2002; 100: 76-81.
Thune I, Furberg A. Physical activity and cancer risk: dose-response and cancer, all sites and site- specific. Med Sci Sports Exerc 2000: S530-S550.
Harlow SD, Matanoski, GM. The association between weight, physical activity, and stress and variation in the length of the menstrual cycle. Am J Epidemiol 1991; 133: 38-49.
Cauley JA, Gutai JP, Kuller LH, Ledone D, Powell G. The epidemiology of serum sex hormones in posmenopausal women. Am J Epidemiol 1989; 129: 1120-1131.
López AE, Téllez M, Hernández M, Juárez S, Lazcano E, Salmerón J et al. Predictors of bone mineral density in female workers in Morelos State, Mexico. Arch Med Res 2004; 35: 172-180.
Szklo M, Nieto J. Epidemiología intermedia. Conceptos y aplicaciones. En: Aseguramiento y control de la calidad. Ediciones Díaz de Santos; 2003.
Guilliland FD, Li YF, Baumgartner K, Crumly D, Samet J. Physical activity and breast cancer risk in hispanic and non-hispanic white women. Am J Epidemiol 2001;154:442-450.
Slattery M, Sweeney L, Edwards S, Herrick J, Murtaugh M, Baungartner K, et al. Physical activity patterns and obesity in hispanic and non hispanic white women. Med Sci Sports Exerc 2006;38:33-41.
Livingstone MBE, Robson PJ. How active are we? Levels of routine physical activity in children and adults. Proc Nutr Soc 2003;62(3):681-701.
Ainsworth BE, Sternfeld B, Slattery LM. Physical activity and breast cancer evaluation of physical activity assessment methods. Cancer Supplement 1998;83(3):611-620.
Chlebowski RT, Pettinger M, Stefanick ML, Howard BV, Mossavar- Rahmani Y, McTiernan A. Insulin, physical activity, and caloric intake in postmenopausal women: breast cancer implications. J Clin Oncol 2004; 22: 4507-4513.