A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018

Abstract Colon cancer poses a significant threat to global health, and studies have shown a correlation between physical activity (PA) and the incidence of colon cancer. However, existing research has not quantitatively analyzed PA to evaluate its impact on the risk of colon cancer comprehensively....

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Main Authors: Daoyang Zou, Xi Xin, Yunxian Xu, Huangzhen Xu, Tianwen Xu
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-88067-4
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author Daoyang Zou
Xi Xin
Yunxian Xu
Huangzhen Xu
Tianwen Xu
author_facet Daoyang Zou
Xi Xin
Yunxian Xu
Huangzhen Xu
Tianwen Xu
author_sort Daoyang Zou
collection DOAJ
description Abstract Colon cancer poses a significant threat to global health, and studies have shown a correlation between physical activity (PA) and the incidence of colon cancer. However, existing research has not quantitatively analyzed PA to evaluate its impact on the risk of colon cancer comprehensively. Data related to the study were obtained from the NHANES database for participants aged 20 and above between 2007 and 2018. Calculate the daily total metabolic equivalent (MET) based on the duration of different physical activities for each participant, use multivariate logistic regression analysis to evaluate the association between PA and colon cancer risk, perform subgroup analysis to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) between different subgroups, and use RCS regression analysis to evaluate the non-linear relationship between MET and colon cancer risk. After adjusting for potential confounding factors, multivariate logistic regression analysis showed that compared with the overall data of the participants in this study, the OR of the low PA group (PA ≤ 120MET/day) was 1.224 (95% CI 1.031–1.453, P = 0.023), the OR of the mild PA group (120 < PA ≤ 600MET/day) was 1.026 (95%CI 0.707–1.488, P = 0.894), the OR of the moderate intensity PA group (600 < PA ≤ 1200MET/day) was 0.798 (95% CI 0.506–1.258, P = 0.334), and the OR of the high-intensity PA group (PA > 1200MET/day) was 0.470 (95% CI 0.249–0.885, P = 0.022), these results are consistent in subgroup analysis. The RCS regression analysis results showed a significant nonlinear relationship between MET and the risk of colon cancer(p < 0.001), with an inflection point observed at 1879 MET/day on the correlation curve. Low physical activity increases the risk of colon cancer, while moderate to high-intensity physical activity can reduce the risk of colon cancer. The results of this study emphasize the importance of maintaining appropriate physical activity as a healthy way to prevent colon cancer.
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spelling doaj-art-cf7db8ce8cc04067a7dfde21cfb361ed2025-02-02T12:22:15ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-025-88067-4A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018Daoyang Zou0Xi Xin1Yunxian Xu2Huangzhen Xu3Tianwen Xu4The Second Affiliated Hospital of Fujian Medical UniversityGanzhou People’s HospitalThe Second Affiliated Hospital of Fujian Medical UniversityThe Second Affiliated Hospital of Fujian Medical UniversityThe Second Affiliated Hospital of Fujian Medical UniversityAbstract Colon cancer poses a significant threat to global health, and studies have shown a correlation between physical activity (PA) and the incidence of colon cancer. However, existing research has not quantitatively analyzed PA to evaluate its impact on the risk of colon cancer comprehensively. Data related to the study were obtained from the NHANES database for participants aged 20 and above between 2007 and 2018. Calculate the daily total metabolic equivalent (MET) based on the duration of different physical activities for each participant, use multivariate logistic regression analysis to evaluate the association between PA and colon cancer risk, perform subgroup analysis to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) between different subgroups, and use RCS regression analysis to evaluate the non-linear relationship between MET and colon cancer risk. After adjusting for potential confounding factors, multivariate logistic regression analysis showed that compared with the overall data of the participants in this study, the OR of the low PA group (PA ≤ 120MET/day) was 1.224 (95% CI 1.031–1.453, P = 0.023), the OR of the mild PA group (120 < PA ≤ 600MET/day) was 1.026 (95%CI 0.707–1.488, P = 0.894), the OR of the moderate intensity PA group (600 < PA ≤ 1200MET/day) was 0.798 (95% CI 0.506–1.258, P = 0.334), and the OR of the high-intensity PA group (PA > 1200MET/day) was 0.470 (95% CI 0.249–0.885, P = 0.022), these results are consistent in subgroup analysis. The RCS regression analysis results showed a significant nonlinear relationship between MET and the risk of colon cancer(p < 0.001), with an inflection point observed at 1879 MET/day on the correlation curve. Low physical activity increases the risk of colon cancer, while moderate to high-intensity physical activity can reduce the risk of colon cancer. The results of this study emphasize the importance of maintaining appropriate physical activity as a healthy way to prevent colon cancer.https://doi.org/10.1038/s41598-025-88067-4
spellingShingle Daoyang Zou
Xi Xin
Yunxian Xu
Huangzhen Xu
Tianwen Xu
A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
Scientific Reports
title A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
title_full A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
title_fullStr A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
title_full_unstemmed A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
title_short A cross-sectional study on the association between physical activity and the risk of colon cancer based on NHANES 2007–2018
title_sort cross sectional study on the association between physical activity and the risk of colon cancer based on nhanes 2007 2018
url https://doi.org/10.1038/s41598-025-88067-4
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