{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T20:13:59Z","timestamp":1776111239225,"version":"3.50.1"},"reference-count":58,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007076","name":"Fondazione AIRC, Associazione Italianaper la Ricerca sul Cancro","doi-asserted-by":"publisher","award":["21378"],"award-info":[{"award-number":["21378"]}],"id":[{"id":"10.13039\/501100007076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>The association between sleep and stress and cancer is underinvestigated. We evaluated these factors in association with gastric cancer (GC). Five case-control studies from the Stomach Cancer Pooling (StoP) Project were included. We calculated the odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) for sleep duration and stress level in association with GC through multiple logistic regression models adjusted for several lifestyle factors. The analysis included 1293 cases and 4439 controls, 215 cardia and 919 noncardia GC, and 353 diffuse and 619 intestinal types. Sleep duration of \u22659 h was associated with GC (OR =1.57, 95% CI = 1.23\u20132.00) compared to 8 h. This was confirmed when stratifying by subsite (noncardia OR = 1.59, 95% CI = 1.22\u20132.08, and cardia OR = 1.63, 95% CI = 0.97\u20132.72) and histological type (diffuse OR = 1.65, 95% CI = 1.14\u20132.40 and intestinal OR = 1.24, 95% CI = 0.91\u20131.67). Stress was associated with GC (OR = 1.33, 95% CI = 1.18\u20131.50, continuous). This relationship was selectively related to noncardia GC (OR = 1.28, 95% 1.12\u20131.46, continuous). The risk of diffuse (OR = 1.32, 95% CI = 1.11\u20131.58) and intestinal type (OR = 1.23, 95% CI = 1.07\u20131.42) were higher when stress was reported. Results for the association between increasing level of stress and GC were heterogeneous by smoking and socioeconomic status (p for heterogeneity = 0.02 and &lt;0.001, respectively). In conclusion, long sleep duration (\u22659 h) was associated with GC and its subtype categories. Stress linearly increased the risk of GC and was related to noncardia GC.<\/jats:p>","DOI":"10.3390\/cancers15174319","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T08:51:14Z","timestamp":1693299074000},"page":"4319","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Sleep Duration and Stress Level in the Risk of Gastric Cancer: A Pooled Analysis of Case-Control Studies in the Stomach Cancer Pooling (StoP) Project"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2309-7365","authenticated-orcid":false,"given":"Giulia","family":"Collatuzzo","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"}]},{"given":"Claudio","family":"Pelucchi","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology \u201cG.A. Maccacaro\u201d, University of Milan, 20133 Milan, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9712-8526","authenticated-orcid":false,"given":"Eva","family":"Negri","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"},{"name":"Department of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology \u201cG.A. Maccacaro\u201d, University of Milan, 20133 Milan, Italy"}]},{"given":"Manolis","family":"Kogevinas","sequence":"additional","affiliation":[{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain"},{"name":"Barcelona Institute for Global Health\u2014ISGlobal, 08036 Barcelona, Spain"},{"name":"IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain"},{"name":"Department de Ci\u00e8ncies Experimentals i de la Salut, Universitat Pompeu Fabra (UPF), 08003 Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9637-3869","authenticated-orcid":false,"given":"Jos\u00e9 Mar\u00eda","family":"Huerta","sequence":"additional","affiliation":[{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain"},{"name":"Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, 30120 Murcia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2284-148X","authenticated-orcid":false,"given":"Jesus","family":"Vioque","sequence":"additional","affiliation":[{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria y Biom\u00e9dica de Alicante, Universidad Miguel Hernandez (ISABIAL-UMH), 03010 Alicante, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5742-2704","authenticated-orcid":false,"given":"Manoli Garc\u00eda","family":"de la Hera","sequence":"additional","affiliation":[{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria y Biom\u00e9dica de Alicante, Universidad Miguel Hernandez (ISABIAL-UMH), 03010 Alicante, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4105-2774","authenticated-orcid":false,"given":"Shoichiro","family":"Tsugane","sequence":"additional","affiliation":[{"name":"Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo 104-0045, Japan"},{"name":"National Institute of Biomedical Innovation, Health and Nutrition, Tokyo 566-0002, Japan"}]},{"given":"Gerson","family":"Shigueaki Hamada","sequence":"additional","affiliation":[{"name":"Nikkei Disease Prevention Center, S\u00e3o Paulo 13010-111, Brazil"}]},{"given":"Akihisa","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo 104-0045, Japan"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4669-3995","authenticated-orcid":false,"given":"Zuo-Feng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, CA 90095, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1065-2198","authenticated-orcid":false,"given":"M. Constanza","family":"Camargo","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8172-2483","authenticated-orcid":false,"given":"Maria Paula","family":"Curado","sequence":"additional","affiliation":[{"name":"Centro Internacional de Pesquisas, A.C.Camargo Cancer Center, S\u00e3o Paulo 01509-010, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1870-1430","authenticated-orcid":false,"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica da Universidade do Porto, 4050-091 Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), 4050-600 Porto, Portugal"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1441-897X","authenticated-orcid":false,"given":"Carlo","family":"La Vecchia","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology \u201cG.A. Maccacaro\u201d, University of Milan, 20133 Milan, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3811-2791","authenticated-orcid":false,"given":"Paolo","family":"Boffetta","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"},{"name":"Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY 11794, USA"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Helicobacter and Cancer Collaborative Group (2001). 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