Cancer Res Treat.  2019 Oct;51(4):1509-1517. 10.4143/crt.2018.705.

Television Viewing Time and Breast Cancer Incidence for Japanese Premenopausal and Postmenopausal Women: The JACC Study

• Cao J
• Eshak ES
• Liu K
• Muraki I
• Cui R
• Iso H
• Tamakoshi
• JACC Study Group

• KMID: 2460599
• DOI: http://doi.org/10.4143/crt.2018.705

Abstract

PURPOSE
The evidence on effects of TV viewing time among premenopausal and postmenopausal women for breast cancer risk remains controversial and limited.
MATERIALS AND METHODS
A prospective study encompassing 33,276 (17,568 premenopausal, and 15,708 postmenopausal) women aged 40-79 years in whom TV viewing time, menstrual, and reproductive histories were determined by a self-administered questionnaire. The follow-up was from 1988 to 2009 and hazard ratios (HRs) with 95% confidence intervals (CIs) of breast cancer incidence were calculated for longer TV viewing time in reference to shorter TV viewing time by Cox proportional hazard models.
RESULTS
During 16.8-year median follow-up, we found positive associations between TV viewing time and breast cancer incidence with a borderline significant trend among total women and a significant trend among postmenopausal women. Among total women, the multivariable HRs (95% CIs) for risk of breast cancer in reference to < 1.5 hr/day of TV viewing time were 0.89 (0.59-1.34) for 1.5 to < 3.0 hr/day, 1.19 (0.82-1.74) for 3.0 to < 4.5 hr/day, and 1.45 (0.91-2.32) for ≥ 4.5 hr/day (p for trend=0.053) and among postmenopausal women, the corresponding risk estimates were 1.10 (0.42-2.88), 2.54 (1.11-5.80), and 2.37 (0.92-6.10) (p for trend=0.009), respectively.
CONCLUSION
Prolonged TV viewing time was associated with increased risk of breast cancer, especially among postmenopausal women.

Keyword

Television viewing time; Breast neoplasms; Incidence; Cohort study; Postmenopausal; Body mass index; Japan

MeSH Terms

Asian Continental Ancestry Group*
Body Mass Index
Breast Neoplasms*
Breast*
Cohort Studies
Female
Follow-Up Studies
Humans
Incidence*
Japan
Proportional Hazards Models
Prospective Studies
Reproductive History
Television*

Reference

References

1. Clark BK, Healy GN, Winkler EA, Gardiner PA, Sugiyama T, Dunstan DW, et al. Relationship of television time with accelerometer-derived sedentary time: NHANES. Med Sci Sports Exerc. 2011; 43:822–8.

2. Schmid D, Leitzmann MF. Television viewing and time spent sedentary in relation to cancer risk: a meta-analysis. J Natl Cancer Inst. 2014; 106:dju098.

3. American time use survey: 2007 results [Internet]. Washington, DC: U.S. Department of Labor;2008. [cited 2017 Mar 20]. Available from: https://www.bls.gov/news.release/archives/atus_06252008.pdf.

4. Japan Broadcasting Culture Research Institute. National Lifetime Study [Internet]. Tokyo: Japan Broadcasting Corporation;2010. [cited 2017 Mar 20]. Available from: http://www.nhk.or.jp/bunken/summary/yoron/lifetime/pdf/110223.pdf.

5. Matsuda A, Matsuda T, Shibata A, Katanoda K, Sobue T, Nishimoto H, et al. Cancer incidence and incidence rates in Japan in 2008: a study of 25 population-based cancer registries for the Monitoring of Cancer Incidence in Japan (MCIJ) project. Jpn J Clin Oncol. 2014; 44:388–96.

6. Minami Y, Tsubono Y, Nishino Y, Ohuchi N, Shibuya D, Hisamichi S. The increase of female breast cancer incidence in Japan: emergence of birth cohort effect. Int J Cancer. 2004; 108:901–6.

7. Cohen SS, Matthews CE, Bradshaw PT, Lipworth L, Buchowski MS, Signorello LB, et al. Sedentary behavior, physical activity, and likelihood of breast cancer among Black and White women: a report from the Southern Community Cohort Study. Cancer Prev Res (Phila). 2013; 6:566–76.

8. Marcus PM, Newman B, Moorman PG, Millikan RC, Baird DD, Qaqish B, et al. Physical activity at age 12 and adult breast cancer risk (United States). Cancer Causes Control. 1999; 10:293–302.

9. Mathew A, Gajalakshmi V, Rajan B, Kanimozhi VC, Brennan P, Binukumar BP, et al. Physical activity levels among urban and rural women in south India and the risk of breast cancer: a case-control study. Eur J Cancer Prev. 2009; 18:368–76.

10. Dirx MJ, Voorrips LE, Goldbohm RA, van den Brandt PA. Baseline recreational physical activity, history of sports participation, and postmenopausal breast carcinoma risk in the Netherlands Cohort Study. Cancer. 2001; 92:1638–49.

11. Nomura SJ, Dash C, Rosenberg L, Palmer J, Adams-Campbell LL. Sedentary time and breast cancer incidence in African American women. Cancer Causes Control. 2016; 27:1239–52.

12. Pronk A, Ji BT, Shu XO, Chow WH, Xue S, Yang G, et al. Physical activity and breast cancer risk in Chinese women. Br J Cancer. 2011; 105:1443–50.

13. Kruk J. Lifetime occupational physical activity and the risk of breast cancer: a case-control study. Asian Pac J Cancer Prev. 2009; 10:443–8.

14. Zhou Y, Zhao H, Peng C. Association of sedentary behavior with the risk of breast cancer in women: update meta-analysis of observational studies. Ann Epidemiol. 2015; 25:687–97.

15. Tamakoshi A, Ozasa K, Fujino Y, Suzuki K, Sakata K, Mori M, et al. Cohort profile of the Japan Collaborative Cohort Study at final follow-up. J Epidemiol. 2013; 23:227–32.

16. Lynch BM, Friedenreich CM, Winkler EA, Healy GN, Vallance JK, Eakin EG, et al. Associations of objectively assessed physical activity and sedentary time with biomarkers of breast cancer risk in postmenopausal women: findings from NHANES (2003-2006). Breast Cancer Res Treat. 2011; 130:183–94.

17. Wiseman AJ, Lynch BM, Cameron AJ, Dunstan DW. Associations of change in television viewing time with biomarkers of postmenopausal breast cancer risk: the Australian Diabetes, Obesity and Lifestyle Study. Cancer Causes Control. 2014; 25:1309–19.

18. Lovejoy JC, Champagne CM, de Jonge L, Xie H, Smith SR. Increased visceral fat and decreased energy expenditure during the menopausal transition. Int J Obes (Lond). 2008; 32:949–58.

19. Cleary MP, Grossmann ME. Minireview: obesity and breast cancer: the estrogen connection. Endocrinology. 2009; 150:2537–42.

20. Nitta J, Nojima M, Ohnishi H, Mori M, Wakai K, Suzuki S, et al. Weight gain and alcohol drinking associations with breast cancer risk in Japanese postmenopausal women: results from the Japan Collaborative Cohort (JACC) study. Asian Pac J Cancer Prev. 2016; 17:1437–43.

21. Tao Y, Pinzi V, Bourhis J, Deutsch E. Mechanisms of disease: signaling of the insulin-like growth factor 1 receptor pathway: therapeutic perspectives in cancer. Nat Clin Pract Oncol. 2007; 4:591–602.

22. Rose DP, Vona-Davis L. The cellular and molecular mechanisms by which insulin influences breast cancer risk and progression. Endocr Relat Cancer. 2012; 19:R225–41.

23. Renehan AG, Roberts DL, Dive C. Obesity and cancer: pathophysiological and biological mechanisms. Arch Physiol Biochem. 2008; 114:71–83.

24. Lipsky LM, Iannotti RJ. Associations of television viewing with eating behaviors in the 2009 Health Behaviour in School-aged Children Study. Arch Pediatr Adolesc Med. 2012; 166:465–72.

25. Chandran U, McCann SE, Zirpoli G, Gong Z, Lin Y, Hong CC, et al. Intake of energy-dense foods, fast foods, sugary drinks, and breast cancer risk in African American and European American women. Nutr Cancer. 2014; 66:1187–99.

26. Harvie M, Howell A. Energy balance adiposity and breast cancer: energy restriction strategies for breast cancer prevention. Obes Rev. 2006; 7:33–47.

27. Wakai K, Tamakoshi K, Date C, Fukui M, Suzuki S, Lin Y, et al. Dietary intakes of fat and fatty acids and risk of breast cancer: a prospective study in Japan. Cancer Sci. 2005; 96:590–9.

28. Shin S, Saito E, Inoue M, Sawada N, Ishihara J, Takachi R, et al. Dietary pattern and breast cancer risk in Japanese women: the Japan Public Health Center-based Prospective Study (JPHC Study). Br J Nutr. 2016; 115:1769–79.

29. Gidwani PP, Sobol A, DeJong W, Perrin JM, Gortmaker SL. Television viewing and initiation of smoking among youth. Pediatrics. 2002; 110:505–8.

30. Goldvaser H, Gal O, Rizel S, Hendler D, Neiman V, Shochat T, et al. The association between smoking and breast cancer characteristics and outcome. BMC Cancer. 2017; 17:624.

31. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363:157–63.