Habitual sleep duration, healthy eating, and digestive system cancer mortality

Abstract Background Lifestyle choices, such as dietary patterns and sleep duration, significantly impact the health of the digestive system and may influence the risk of mortality from digestive system cancer. Methods This study aimed to examine the associations between sleep duration, dietary habit...

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Main Authors: Diana A. Nôga, Elisa M. S. Meth, André P. Pacheco, Jonathan Cedernaes, Pei Xue, Christian Benedict
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medicine
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Online Access:https://doi.org/10.1186/s12916-025-03882-w
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author Diana A. Nôga
Elisa M. S. Meth
André P. Pacheco
Jonathan Cedernaes
Pei Xue
Christian Benedict
author_facet Diana A. Nôga
Elisa M. S. Meth
André P. Pacheco
Jonathan Cedernaes
Pei Xue
Christian Benedict
author_sort Diana A. Nôga
collection DOAJ
description Abstract Background Lifestyle choices, such as dietary patterns and sleep duration, significantly impact the health of the digestive system and may influence the risk of mortality from digestive system cancer. Methods This study aimed to examine the associations between sleep duration, dietary habits, and mortality from digestive system cancers. The analysis included 406,584 participants from the UK Biobank cohort (54.1% women; age range: 38–73 years), with sleep duration classified as short (≤ 6 h, 24.2%), normal (7–8 h, 68.4%), and long (≥ 9 h, 7.4%). Healthy eating habits were defined as a daily intake of at least 25 g of fibre, seven portions of fruits and vegetables, and fewer than four servings of meat per week. These dietary factors were combined into a score ranging from 0 (least healthy) to 3 (healthiest). Cox proportional hazards regression analyses were conducted, with a median follow-up period of 12.6 years, ending on September 30, 2021. Results 3949 participants died from cancer of the digestive system. Both short and long sleep duration were associated with an increased risk of mortality from cancer of the digestive system (1.09 (1.01–1.18) and 1.14 (1.03–1.27), respectively). Additionally, a diet score ≥ 1 was linked to a lower cancer risk (0.72–0.91 (0.59–0.96)). Adjusting for smoking, type 2 diabetes, and body mass index (BMI) status eliminated the association between sleep duration and digestive cancer mortality. The association between healthy dietary patterns and the risk of digestive system cancer mortality did not vary by sleep duration. Conclusions Aberrant sleep durations may increase the risk of mortality from digestive system cancer, potentially through smoking, higher BMI, and type 2 diabetes. However, aberrant sleep durations do not seem to reduce the protective effects of a healthy dietary pattern.
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spelling doaj-art-e815a8e0863141f289dc0e840e98de012025-02-02T12:28:10ZengBMCBMC Medicine1741-70152025-01-0123111210.1186/s12916-025-03882-wHabitual sleep duration, healthy eating, and digestive system cancer mortalityDiana A. Nôga0Elisa M. S. Meth1André P. Pacheco2Jonathan Cedernaes3Pei Xue4Christian Benedict5Department of Pharmaceutical Biosciences, Uppsala UniversityDepartment of Pharmaceutical Biosciences, Uppsala UniversityDepartment of Pharmaceutical Biosciences, Uppsala UniversityDepartment of Medical Sciences, Uppsala UniversityDepartment of Pharmaceutical Biosciences, Uppsala UniversityDepartment of Pharmaceutical Biosciences, Uppsala UniversityAbstract Background Lifestyle choices, such as dietary patterns and sleep duration, significantly impact the health of the digestive system and may influence the risk of mortality from digestive system cancer. Methods This study aimed to examine the associations between sleep duration, dietary habits, and mortality from digestive system cancers. The analysis included 406,584 participants from the UK Biobank cohort (54.1% women; age range: 38–73 years), with sleep duration classified as short (≤ 6 h, 24.2%), normal (7–8 h, 68.4%), and long (≥ 9 h, 7.4%). Healthy eating habits were defined as a daily intake of at least 25 g of fibre, seven portions of fruits and vegetables, and fewer than four servings of meat per week. These dietary factors were combined into a score ranging from 0 (least healthy) to 3 (healthiest). Cox proportional hazards regression analyses were conducted, with a median follow-up period of 12.6 years, ending on September 30, 2021. Results 3949 participants died from cancer of the digestive system. Both short and long sleep duration were associated with an increased risk of mortality from cancer of the digestive system (1.09 (1.01–1.18) and 1.14 (1.03–1.27), respectively). Additionally, a diet score ≥ 1 was linked to a lower cancer risk (0.72–0.91 (0.59–0.96)). Adjusting for smoking, type 2 diabetes, and body mass index (BMI) status eliminated the association between sleep duration and digestive cancer mortality. The association between healthy dietary patterns and the risk of digestive system cancer mortality did not vary by sleep duration. Conclusions Aberrant sleep durations may increase the risk of mortality from digestive system cancer, potentially through smoking, higher BMI, and type 2 diabetes. However, aberrant sleep durations do not seem to reduce the protective effects of a healthy dietary pattern.https://doi.org/10.1186/s12916-025-03882-wLifestyleFibreFruitsVegetablesMeatUK Biobank Cohort
spellingShingle Diana A. Nôga
Elisa M. S. Meth
André P. Pacheco
Jonathan Cedernaes
Pei Xue
Christian Benedict
Habitual sleep duration, healthy eating, and digestive system cancer mortality
BMC Medicine
Lifestyle
Fibre
Fruits
Vegetables
Meat
UK Biobank Cohort
title Habitual sleep duration, healthy eating, and digestive system cancer mortality
title_full Habitual sleep duration, healthy eating, and digestive system cancer mortality
title_fullStr Habitual sleep duration, healthy eating, and digestive system cancer mortality
title_full_unstemmed Habitual sleep duration, healthy eating, and digestive system cancer mortality
title_short Habitual sleep duration, healthy eating, and digestive system cancer mortality
title_sort habitual sleep duration healthy eating and digestive system cancer mortality
topic Lifestyle
Fibre
Fruits
Vegetables
Meat
UK Biobank Cohort
url https://doi.org/10.1186/s12916-025-03882-w
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