Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study
Purpose The objective was to explore the relationship of sun behavior patterns with the risk of developing non-Hodgkin lymphoma (NHL). Methods Sun behavior information from Alberta’s Tomorrow Project, CARTaGENE, and Ontario Health Study were utilized. The relationship between time in the sun during...
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| Veröffentlicht in: | Cancer causes & control 2023-09, Vol.34 (9), p.791-799 |
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| creator | O’Sullivan, Dylan E. Hillier, Troy W. R. Brenner, Darren R. Peters, Cheryl E. King, Will D. |
| description | Purpose
The objective was to explore the relationship of sun behavior patterns with the risk of developing non-Hodgkin lymphoma (NHL).
Methods
Sun behavior information from Alberta’s Tomorrow Project, CARTaGENE, and Ontario Health Study were utilized. The relationship between time in the sun during summer months and risk of NHL was assessed using Cox proportional hazard models with age as the time scale and adjustment for confounders. Cohorts were analyzed separately and hazard ratios (HR) pooled with random effects meta-analysis. Joint effects of time in the sun and use of sun protection were examined. Patterns of exposure were explored via combinations of weekday and weekend time in the sun.
Results
During an average follow-up of 7.6 years, 205 NHL cases occurred among study participants (
n
= 79,803). Compared to 2 h. There was suggestive evidence that > 2 h was protective against NHL with use of sun protection, but not without it. Compared to 2 h daily) were not.
Conclusion
This study provides evidence of a protective effect of moderate time spent in the sun on NHL risk. |
| doi_str_mv | 10.1007/s10552-023-01719-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2822374746</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2822374746</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-449bbf95b56cf3592ab3cb39cc5c0a081345f0dc0fa241d0d89b298b66c14b563</originalsourceid><addsrcrecordid>eNp9kM1O3DAURq0KVKbAC7BAlth0Y7j-iyfs0KgtlZC6odtaju3MBBI72EmleXs8DAWJRVe25fN99-ogdEbhkgKoq0xBSkaAcQJU0ZpUn9CCSsWJYkweoAXUUhHJBD9CX3J-AABZMfiMjrhilWBSLtCf-27wOI8-TLgLeNqUxxywCe7lnrr8iGOLnf_r-zh2YY1DDOQ2uvVjwfvtMG7iYK6xwSsTjOtMwDZuYppwnma3PUGHremzP309j9Hv79_uV7fk7tePn6ubO2I5qyYiRN00bS0bWdmWy5qZhtuG19ZKCwaWlAvZgrPQGiaoA7esG1Yvm6qyVJQQP0Zf971jik-zz5Meumx935vg45w1WzLGlVBih158QB_inELZrlACKkUVqEKxPWVTzDn5Vo-pG0zaagp6Z1_v7etiX7_Y17vq89fquRm8e4v8010Avgdy-Qprn95n_6f2GQVcjqM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2840671707</pqid></control><display><type>article</type><title>Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>O’Sullivan, Dylan E. ; Hillier, Troy W. R. ; Brenner, Darren R. ; Peters, Cheryl E. ; King, Will D.</creator><creatorcontrib>O’Sullivan, Dylan E. ; Hillier, Troy W. R. ; Brenner, Darren R. ; Peters, Cheryl E. ; King, Will D.</creatorcontrib><description>Purpose
The objective was to explore the relationship of sun behavior patterns with the risk of developing non-Hodgkin lymphoma (NHL).
Methods
Sun behavior information from Alberta’s Tomorrow Project, CARTaGENE, and Ontario Health Study were utilized. The relationship between time in the sun during summer months and risk of NHL was assessed using Cox proportional hazard models with age as the time scale and adjustment for confounders. Cohorts were analyzed separately and hazard ratios (HR) pooled with random effects meta-analysis. Joint effects of time in the sun and use of sun protection were examined. Patterns of exposure were explored via combinations of weekday and weekend time in the sun.
Results
During an average follow-up of 7.6 years, 205 NHL cases occurred among study participants (
n
= 79,803). Compared to < 30 min daily in the sun, we observed HRs of 0.84 (95% CI 0.55–1.28) for 30–59 min, 0.63 (95% CI 0.40–0.98) for 1–2 h, and 0.91 (95% CI 0.61–1.36) for > 2 h. There was suggestive evidence that > 2 h was protective against NHL with use of sun protection, but not without it. Compared to < 30 min daily, moderate exposure (30 min to 2 h on weekdays or weekend) was associated with a lower risk of NHL (HR 0.63, 95% CI 0.43–0.92), while intermittent (< 30 min on weekdays and > 2 h on weekends) and chronic (> 2 h daily) were not.
Conclusion
This study provides evidence of a protective effect of moderate time spent in the sun on NHL risk.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-023-01719-6</identifier><identifier>PMID: 37264255</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Cohort analysis ; Cohort Studies ; Epidemiology ; Health behavior ; Health risks ; Hematology ; Humans ; Lymphoma ; Lymphoma, Non-Hodgkin - epidemiology ; Lymphoma, Non-Hodgkin - etiology ; Non-Hodgkin's lymphoma ; Oncology ; Ontario ; Original Paper ; Pathogenesis ; Public Health ; Risk Factors ; Risk taking ; Statistical models ; Sunburn & sun tanning ; Sunlight - adverse effects ; Sunscreen</subject><ispartof>Cancer causes & control, 2023-09, Vol.34 (9), p.791-799</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-449bbf95b56cf3592ab3cb39cc5c0a081345f0dc0fa241d0d89b298b66c14b563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10552-023-01719-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10552-023-01719-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37264255$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O’Sullivan, Dylan E.</creatorcontrib><creatorcontrib>Hillier, Troy W. R.</creatorcontrib><creatorcontrib>Brenner, Darren R.</creatorcontrib><creatorcontrib>Peters, Cheryl E.</creatorcontrib><creatorcontrib>King, Will D.</creatorcontrib><title>Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose
The objective was to explore the relationship of sun behavior patterns with the risk of developing non-Hodgkin lymphoma (NHL).
Methods
Sun behavior information from Alberta’s Tomorrow Project, CARTaGENE, and Ontario Health Study were utilized. The relationship between time in the sun during summer months and risk of NHL was assessed using Cox proportional hazard models with age as the time scale and adjustment for confounders. Cohorts were analyzed separately and hazard ratios (HR) pooled with random effects meta-analysis. Joint effects of time in the sun and use of sun protection were examined. Patterns of exposure were explored via combinations of weekday and weekend time in the sun.
Results
During an average follow-up of 7.6 years, 205 NHL cases occurred among study participants (
n
= 79,803). Compared to < 30 min daily in the sun, we observed HRs of 0.84 (95% CI 0.55–1.28) for 30–59 min, 0.63 (95% CI 0.40–0.98) for 1–2 h, and 0.91 (95% CI 0.61–1.36) for > 2 h. There was suggestive evidence that > 2 h was protective against NHL with use of sun protection, but not without it. Compared to < 30 min daily, moderate exposure (30 min to 2 h on weekdays or weekend) was associated with a lower risk of NHL (HR 0.63, 95% CI 0.43–0.92), while intermittent (< 30 min on weekdays and > 2 h on weekends) and chronic (> 2 h daily) were not.
Conclusion
This study provides evidence of a protective effect of moderate time spent in the sun on NHL risk.</description><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Epidemiology</subject><subject>Health behavior</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Humans</subject><subject>Lymphoma</subject><subject>Lymphoma, Non-Hodgkin - epidemiology</subject><subject>Lymphoma, Non-Hodgkin - etiology</subject><subject>Non-Hodgkin's lymphoma</subject><subject>Oncology</subject><subject>Ontario</subject><subject>Original Paper</subject><subject>Pathogenesis</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Risk taking</subject><subject>Statistical models</subject><subject>Sunburn & sun tanning</subject><subject>Sunlight - adverse effects</subject><subject>Sunscreen</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kM1O3DAURq0KVKbAC7BAlth0Y7j-iyfs0KgtlZC6odtaju3MBBI72EmleXs8DAWJRVe25fN99-ogdEbhkgKoq0xBSkaAcQJU0ZpUn9CCSsWJYkweoAXUUhHJBD9CX3J-AABZMfiMjrhilWBSLtCf-27wOI8-TLgLeNqUxxywCe7lnrr8iGOLnf_r-zh2YY1DDOQ2uvVjwfvtMG7iYK6xwSsTjOtMwDZuYppwnma3PUGHremzP309j9Hv79_uV7fk7tePn6ubO2I5qyYiRN00bS0bWdmWy5qZhtuG19ZKCwaWlAvZgrPQGiaoA7esG1Yvm6qyVJQQP0Zf971jik-zz5Meumx935vg45w1WzLGlVBih158QB_inELZrlACKkUVqEKxPWVTzDn5Vo-pG0zaagp6Z1_v7etiX7_Y17vq89fquRm8e4v8010Avgdy-Qprn95n_6f2GQVcjqM</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>O’Sullivan, Dylan E.</creator><creator>Hillier, Troy W. R.</creator><creator>Brenner, Darren R.</creator><creator>Peters, Cheryl E.</creator><creator>King, Will D.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230901</creationdate><title>Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study</title><author>O’Sullivan, Dylan E. ; Hillier, Troy W. R. ; Brenner, Darren R. ; Peters, Cheryl E. ; King, Will D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-449bbf95b56cf3592ab3cb39cc5c0a081345f0dc0fa241d0d89b298b66c14b563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Epidemiology</topic><topic>Health behavior</topic><topic>Health risks</topic><topic>Hematology</topic><topic>Humans</topic><topic>Lymphoma</topic><topic>Lymphoma, Non-Hodgkin - epidemiology</topic><topic>Lymphoma, Non-Hodgkin - etiology</topic><topic>Non-Hodgkin's lymphoma</topic><topic>Oncology</topic><topic>Ontario</topic><topic>Original Paper</topic><topic>Pathogenesis</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Risk taking</topic><topic>Statistical models</topic><topic>Sunburn & sun tanning</topic><topic>Sunlight - adverse effects</topic><topic>Sunscreen</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O’Sullivan, Dylan E.</creatorcontrib><creatorcontrib>Hillier, Troy W. R.</creatorcontrib><creatorcontrib>Brenner, Darren R.</creatorcontrib><creatorcontrib>Peters, Cheryl E.</creatorcontrib><creatorcontrib>King, Will D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O’Sullivan, Dylan E.</au><au>Hillier, Troy W. R.</au><au>Brenner, Darren R.</au><au>Peters, Cheryl E.</au><au>King, Will D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study</atitle><jtitle>Cancer causes & control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>34</volume><issue>9</issue><spage>791</spage><epage>799</epage><pages>791-799</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><abstract>Purpose
The objective was to explore the relationship of sun behavior patterns with the risk of developing non-Hodgkin lymphoma (NHL).
Methods
Sun behavior information from Alberta’s Tomorrow Project, CARTaGENE, and Ontario Health Study were utilized. The relationship between time in the sun during summer months and risk of NHL was assessed using Cox proportional hazard models with age as the time scale and adjustment for confounders. Cohorts were analyzed separately and hazard ratios (HR) pooled with random effects meta-analysis. Joint effects of time in the sun and use of sun protection were examined. Patterns of exposure were explored via combinations of weekday and weekend time in the sun.
Results
During an average follow-up of 7.6 years, 205 NHL cases occurred among study participants (
n
= 79,803). Compared to < 30 min daily in the sun, we observed HRs of 0.84 (95% CI 0.55–1.28) for 30–59 min, 0.63 (95% CI 0.40–0.98) for 1–2 h, and 0.91 (95% CI 0.61–1.36) for > 2 h. There was suggestive evidence that > 2 h was protective against NHL with use of sun protection, but not without it. Compared to < 30 min daily, moderate exposure (30 min to 2 h on weekdays or weekend) was associated with a lower risk of NHL (HR 0.63, 95% CI 0.43–0.92), while intermittent (< 30 min on weekdays and > 2 h on weekends) and chronic (> 2 h daily) were not.
Conclusion
This study provides evidence of a protective effect of moderate time spent in the sun on NHL risk.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37264255</pmid><doi>10.1007/s10552-023-01719-6</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| subjects | Biomedical and Life Sciences Biomedicine Cancer Research Cohort analysis Cohort Studies Epidemiology Health behavior Health risks Hematology Humans Lymphoma Lymphoma, Non-Hodgkin - epidemiology Lymphoma, Non-Hodgkin - etiology Non-Hodgkin's lymphoma Oncology Ontario Original Paper Pathogenesis Public Health Risk Factors Risk taking Statistical models Sunburn & sun tanning Sunlight - adverse effects Sunscreen |
| title | Time spent in the sun and the risk of developing non-Hodgkin lymphoma: a Canadian cohort study |
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