2018
DOI: 10.1007/s10549-018-4995-4
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Sleep duration and risk of breast cancer: The JACC Study

Abstract: Purpose-The evidence on beneficial or adverse effects of sleep duration on risk of breast cancer remains controversial and limited, especially in Asia. Methods-A prospective study of 34 350 women aged 40-79 years in whom sleep duration, menstrual and reproductive histories were determined by a self-administered questionnaire. The follow-up period was from 1988 to 2009, and hazard ratios (HRs) with 95% confidence intervals (CIs) of breast cancer incidence were calculated for shorter sleep duration in reference … Show more

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Cited by 28 publications
(23 citation statements)
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“…Shift work may modify sleep habits and chronotype [ 31 , 32 ]. Along these lines, an association between sleep duration and cancer has been described, finding a relationship between a deficit of hours of sleep and a higher risk of breast and colorectal cancer [ 33 , 34 ]. This risk association could be due to the existence of reduced levels of melatonin, as it suppresses the initiation phase of tumorigenesis and inhibits the proliferation of human cancer cell lines [ 35 ].…”
Section: Introductionmentioning
confidence: 99%
“…Shift work may modify sleep habits and chronotype [ 31 , 32 ]. Along these lines, an association between sleep duration and cancer has been described, finding a relationship between a deficit of hours of sleep and a higher risk of breast and colorectal cancer [ 33 , 34 ]. This risk association could be due to the existence of reduced levels of melatonin, as it suppresses the initiation phase of tumorigenesis and inhibits the proliferation of human cancer cell lines [ 35 ].…”
Section: Introductionmentioning
confidence: 99%
“…Our meta-analysis compared breast cancer risk for short (<7 hours) and for long (>8 hours), versus referent sleep duration (mostly 7-8 hours). The referent sleep duration group was similar to that used in other studies, except for Cao et al [11], Shen et al [13] and Wu et al [4] where the baseline category was switched using the generalised least squares method [26]. In studies where multiple categories of short or long sleep were available [2,5,6,8,9,13] , a single estimate was obtained using the generalised least squares method [26].…”
Section: Discussionmentioning
confidence: 99%
“…We performed a sensitivity analysis of the shortest versus average sleep of the individual studies. Since data on premenopausal women were only available in three studies [2,3,11], our sensitivity analysis was restricted to postmenopausal women [2][3][4][5]11]. never/rarely napping, and a complete case analysis (Table S2).…”
Section: Discussionmentioning
confidence: 99%
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