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Long-term Cancer Risk in the Randomised Oslo Diet and Antismoking Study

18. januar 2018 opdateret af: Paula Berstad, Oslo University Hospital

The Effect of Lifestyle Intervention on the Risk of Cancer - A Study of Participants in the Oslo Diet and Antismoking Study

This study examines the effect of a five-year multifactorial lifestyle intervention in the Oslo diet and antismoking study on long-term cancer risk. In 1972-1973, 1232 men with high cardiovascular risk profile were randomised to intervention including cholesterol lowering diet, weight loss and antismoking advice, or control (1:1). This study examines the effect of the intervention on 43-year cancer incidence and mortality.

Studieoversigt

Detaljeret beskrivelse

The Oslo diet and antismoking study showed that a 5-year lifestyle intervention reduced the long-term risk of coronary events and mortality. The lifestyle risk factors for cancer are partly similar to those for coronary heart disease, e.g. smoking, high body weight, unfavourable diet. The investigators therefore expect that the intervention has an effect on cancer risk in the long term.

In this follow-up study, the investigators analyse the association between the intervention, and cancer incidence and mortality drawn from the Cancer Registry of Norway and the Norwegian Cause of Death Registry from the time of randomisation in 1972/3 until the end of 2015.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

1216

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

40 år til 49 år (Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Han

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The participants selected for this follow-up study (n=1216) are the eligible subjects of the 1232 men at high cardiovascular risk profile who participated in the Oslo Diet and Antismoking Study (included in 1972-73). Fourteen men were excluded because they did not consent to studies other than the main study, and two more because of previous history of cancer.

Beskrivelse

Inclusion Criteria:

  • participated in screening of coronary risk factors, into which all men born in 1923-1932 and living in Oslo were invited in 1972-1973
  • being in the upper quartile of a coronary risk score based on blood pressure, serum total cholesterol concentration and cigarette smoking

Exclusion Criteria:

  • serum total cholesterol level above 9.0 mmol per Liter
  • having a healthy diet, based on a short dietary history
  • self-reported cardiovascular disease or diabetes
  • previous history of cancer

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Styring
Ingen indgriben
Diet and antismoking advice
Dietary and antismoking advice, aiming to reduce participant's risk of cardiovascular diseases
Dietary advice with the aim of reducing participant's serum cholesterol levels, including reduction in the intake of saturated fat and cholesterol, and increased intake of polyunsaturated fat, fish, vegetables and fruit. Weight reduction was recommended for overweight men, as well as reduced consumption of sugar rich foods and drinks, and alcoholic beverages. Smokers were advised to stop smoking. The advice was given both individually and in group sessions during a five-year time period from 1972/3 until 1977/8.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of the group of cancers related to smoking, diet or body mass index
Tidsramme: 43 years
Diagnosis of carcinoma in the oral cavity, oropharynx, esophagus, stomach, colorectum, liver and intrahepatic bile ducts, pancreas, larynx, trachea, bronchus and lung, urinary tract and thyroid gland, drawn from the Cancer Registry of Norway
43 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Mortality in the group of cancers related to smoking, diet or body mass index
Tidsramme: 43 years
Mortality in cancers in the oral cavity, oropharynx, esophagus, stomach, colorectum, liver and intrahepatic bile ducts, pancreas, larynx, trachea, bronchus and lung, urinary tract and thyroid gland, drawn from the Norwegian Cause of Death Registry
43 years
Cancer incidence
Tidsramme: 43 years
Any cancer diagnosis, drawn from the Cancer Registry of Norway
43 years
Cancer mortality
Tidsramme: 43 years
Mortality in any cancer, drawn from the Norwegian Cause of Death Registry
43 years
Incidence of gastrointestinal cancer
Tidsramme: 43 years
Diagnosis of carcinoma in gastro-intestinal tract, drawn from the Cancer Registry of Norway
43 years
Incidence of lung cancer
Tidsramme: 43 years
Diagnosis of carcinoma in lung, drawn from the Cancer Registry of Norway
43 years
Incidence of urinary tract cancer
Tidsramme: 43 years
Diagnosis of carcinoma in urinary tract, drawn from the Cancer Registry of Norway
43 years
Incidence of prostate cancer
Tidsramme: 43 years
Diagnosis of carcinoma in prostate, drawn from the Cancer Registry of Norway
43 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Paula Berstad, PhD, Cancer Registry of Norway

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. januar 1972

Primær færdiggørelse (Faktiske)

30. juni 2017

Studieafslutning (Faktiske)

30. september 2017

Datoer for studieregistrering

Først indsendt

8. januar 2018

Først indsendt, der opfyldte QC-kriterier

18. januar 2018

Først opslået (Faktiske)

25. januar 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

25. januar 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. januar 2018

Sidst verificeret

1. januar 2018

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

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Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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