AI Article Synopsis

  • - The study investigated the link between sleep disturbances and prostate cancer risk, finding that overall sleep duration and deprivation weren't major factors, regardless of cancer aggressiveness.
  • - However, sleep deprivation increased prostate cancer risk for men with an evening chronotype, and long-term use of sleep medications was also associated with higher risk, especially in those who worked nights or didn't use NSAIDs.
  • - The findings suggest that factors like chronotype and specific work schedules may influence the relationship between sleep issues and prostate cancer, indicating the need for further research to identify high-risk subgroups for potential preventive measures.

Article Abstract

Background: Sleep disturbances have been singled out for their implication in the risk of several cancer sites. However, results for prostate cancer are still inconsistent.

Methods: We used data from the EPICAP study, a French population-based case-control study including 819 incident prostate cancer cases and 879 controls frequency matched by age. Detailed information on sleep duration on work/free days, and sleep medication over lifetime was collected.

Results: Sleep duration and sleep deprivation were not associated with prostate cancer, whatever the aggressiveness of prostate cancer. However, sleep deprivation was associated with an increased prostate cancer risk among men with an evening chronotype [OR, 1.96; 95% confidence interval (CI), 1.04-3.70]. We also observed an increased risk of prostate cancer with higher duration of sleep medication use (Ptrend = 0.008). This association with long duration of sleep medication use (≥10 years) was more pronounced among men who worked at night 15 years or more (OR, 3.84; 95% CI, 1.30-11.4) and among nonusers of NSAID (OR, 2.08; 95% CI, 1.15-3.75).

Conclusions: Our results suggested that chronotype, night work, or NSAID use could modify the association between sleep disorders and prostate cancer occurrence needing further investigations to go further.

Impact: EPICAP is the first study, which investigates several sleep indicators taking into account potential effect modifiers. If our findings were confirmed, we could identify subgroups of men at higher risk of prostate cancer that may be accessible to preventive measures.

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Source
http://dx.doi.org/10.1158/1055-9965.EPI-22-0302DOI Listing

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