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Author (up) Erren, T.C.; Morfeld, P.; Foster, R.G.; Reiter, R.J.; Gross, J.V.; Westermann, I.K. url  doi
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  Title Sleep and cancer: Synthesis of experimental data and meta-analyses of cancer incidence among some 1 500 000 study individuals in 13 countries Type Journal Article
  Year 2016 Publication Chronobiology International Abbreviated Journal Chronobiol Int  
  Volume 33 Issue 4 Pages 325-350  
  Keywords Human Health; Cancer; chronodisruption; meta-analyses; napping; sleep and circadian rhythm disruption (SCRD); sleep duration; sleep quality; sleep timing; Circadian Rhythm; sleep; Oncogenesis  
  Abstract Sleep and its impact on physiology and pathophysiology are researched at an accelerating pace and from many different angles. Experiments provide evidence for chronobiologically plausible links between chronodisruption and sleep and circadian rhythm disruption (SCRD), on the one hand, and the development of cancer, on the other. Epidemiological evidence from cancer incidence among some 1 500 000 study individuals in 13 countries regarding associations with sleep duration, napping or “poor sleep” is variable and inconclusive. Combined adjusted relative risks (meta-RRs) for female breast cancer, based on heterogeneous data, were 1.01 (95% CI: 0.97-1.06). Meta-RRs for cancers of the colorectum and of the lung in women and men and for prostate cancer were 1.08 (95% CI: 1.03-1.13), 1.11 (95% CI: 1.00-1.22) and 1.05 (95% CI: 0.83-1.33), respectively. The significantly increased meta-RRs for colorectal cancer, based on homogeneous data, warrant targeted study. However, the paramount epidemiological problem inhibiting valid conclusions about the associations between sleep and cancer is the probable misclassification of the exposures to facets of sleep over time. Regarding the inevitable conclusion that more research is needed to answer How are sleep and cancer linked in humans? we offer eight sets of recommendations for future studies which must take note of the complexity of multidirectional relationships.  
  Address a Institute and Policlinic for Occupational Medicine, Environmental Medicine and Prevention Research , University of Cologne , Cologne , Germany  
  Corporate Author Thesis  
  Publisher Taylor & Francis Place of Publication Editor  
  Language English Summary Language English Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0742-0528 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:27003385 Approved no  
  Call Number IDA @ john @ Serial 1407  
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