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Television watching and colorectal cancer survival in men

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Abstract

Purpose

To assess the association between pre- and postdiagnostic time spent sitting watching TV as well as other sedentary behaviors (other sitting at home and at work/driving) and mortality from colorectal cancer or other causes, and overall mortality.

Methods

We followed stage I–III colorectal cancer patients from the Health Professionals Follow-up Study (1986–2010). Cox models were used to calculate hazard ratios (HRs) and 95 % confidence intervals (CIs).

Results

A total of 926 and 714 patients were included in the analysis of pre- and postdiagnostic TV watching, respectively, and 471 and 325 died during follow-up. Prolonged prediagnostic TV viewing was associated with increased risk of colorectal cancer-specific mortality independent of leisure-time physical activity. The HRs (95 % CIs) for 0–6, 7–13, 14–20, and ≥21 h/week were 1.00 (referent), 0.84 (0.56–1.25), 1.15 (0.75–1.78), and 2.13 (1.31–3.45) (p trend = 0.01). The association was observed primarily among overweight and obese individuals. Prediagnostic TV watching was also associated with overall mortality within 5 years of diagnosis, largely due to the association with colorectal cancer mortality. Other prediagnostic sitting at home or at work/driving was not associated with mortality. Postdiagnostic TV viewing was associated with a nonsignificantly increased risk of colorectal cancer-specific mortality (HR for ≥21 vs 0–6 h/week = 1.45; 95 % CI 0.73–2.87) adjusting for TV viewing before diagnosis.

Conclusion

Prolonged prediagnostic TV watching is associated with higher colorectal cancer-specific mortality independent of leisure-time physical activity among colorectal cancer patients.

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Acknowledgments

We would like to thank the participants and staff of the Health Professionals Follow-Up Study for their valuable contributions as well as the following state cancer registries for their help: AL, AZ, AR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KY, LA, ME, MD, MA, MI, NE, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WY. The authors assume full responsibility for analyses and interpretation of these data.

Funding

This work was supported by Grants from the National Institute of Health (P01 CA87969; P01 CA55075; UM1 CA167552; R01 CA137178; K24 DK098311). Dr. Chan is a Damon Runyon Clinical Investigator. The study sponsors had no role in the design of the study: the collection, analysis, and interpretation of the data; the writing of the manuscript; and the decision to submit the manuscript for publication.

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Authors and Affiliations

  1. Department of Nutrition, Harvard T. H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA

    Yin Cao, Kana Wu & Edward L. Giovannucci

  2. Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA

    Jeffrey A. Meyerhardt & Charles S. Fuchs

  3. Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

    Andrew T. Chan, Charles S. Fuchs & Edward L. Giovannucci

  4. Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    Andrew T. Chan

  5. Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA

    Edward L. Giovannucci

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  1. Yin Cao
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Correspondence to Yin Cao.

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Previous presentation

The manuscript was presented in part as a poster in the Thirteenth Annual AACR International Conference on Frontiers in Cancer Prevention Research, New Orleans, 2014.

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Cao, Y., Meyerhardt, J.A., Chan, A.T. et al. Television watching and colorectal cancer survival in men. Cancer Causes Control 26, 1467–1476 (2015). https://doi.org/10.1007/s10552-015-0645-x

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  • DOI: https://doi.org/10.1007/s10552-015-0645-x

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