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10-12-2018

The association between life satisfaction, vitality, self-rated health, and risk of cancer

Auteurs: Anna Paldam Folker, Emilie Rune Hegelund, Erik Lykke Mortensen, Cathrine Lawaetz Wimmelmann, Trine Flensborg-Madsen

Gepubliceerd in: Quality of Life Research | Uitgave 4/2019

Abstract

Purpose

Only few prospective studies have been conducted on the contribution of quality of life-related factors to the risk of cancer. The aim of this study was to investigate the prospective associations of three quality of life-related factors with the risk of cancer; life satisfaction, vitality, and self-rated health.

Methods

In 2009–2011, 7189 participants in the Copenhagen Aging and Midlife Biobank were asked to rate their life satisfaction, their vitality, and their health. The study population was followed until the end of 2015 for registration of cancer in the Danish National Patient Register.

Results

During the follow-up period, cancer was diagnosed in 312 individuals. Life satisfaction was not associated with the risk of cancer. Vitality was significantly associated with the risk of cancer, but the association became non-significant after adjustment for age, sex, socioeconomic position, and lifestyle factors. However, when additionally adjusting for life satisfaction, individuals who rated their vitality as low had a hazard ratio of 1.46 (95% confidence interval [CI] 1.04–2.07) for the development of cancer. Individuals who rated their health as poor had a hazard ratio of 1.70 (95% CI 1.27–2.26) for the development of cancer, compared with individuals with good, very good, or excellent self-rated health. The association remained significant after adjustment for basic confounders, life satisfaction, and vitality.

Conclusion

A better grasp of the significance of quality of life-related factors for the risk of cancer may be of great importance to population-based cancer prevention that aims to target early risk factors for development of cancer across widespread cancer sites.

vorige artikel Quality of Life for 19,114 participants in the ASPREE (ASPirin in Reducing Events in the Elderly) study and their association with sociodemographic and modifiable lifestyle risk factors

volgende artikel Trials with proxy-reported outcomes registered on the Australian New Zealand Clinical Trials Registry (ANZCTR)

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Titel: The association between life satisfaction, vitality, self-rated health, and risk of cancer
Auteurs: Anna Paldam Folker
Emilie Rune Hegelund
Erik Lykke Mortensen
Cathrine Lawaetz Wimmelmann
Trine Flensborg-Madsen
Publicatiedatum: 10-12-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 4/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-2083-1

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