Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)

Donat Vargas, Carolina; Vallbona Vistós, Miquel; Castaño Vinyals, Gemma; Moreno González, Víctor; Aragonés, Nuria; Boldo, Elena; Molina de la Torre, Antonio José; Gómez Acebo, Inés; Guevara, Marcela; Jiménez Zabala, Ana; Amiano, Pilar; Molina Barceló, Ana; Fernández Tardón, Guillermo; Chirlaque, María Dolores; Pollán, Marina; Kogevinas, Manolis; Villanueva, Cristina M.

Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)

[EN] Swimming in pools involves inhalation and skin absorption of potential carcinogenic disinfection byproducts (DBPs) as well as physical activity, which is protective for some cancer sites. We evaluated the association between lifetime pool attendance and the risk of breast, colorectal, and prost...

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Autores:	Donat Vargas, Carolina, Vallbona Vistós, Miquel, Castaño Vinyals, Gemma, Moreno González, Víctor, Aragonés, Nuria, Boldo, Elena, Molina de la Torre, Antonio José, Gómez Acebo, Inés, Guevara, Marcela, Jiménez Zabala, Ana, Amiano, Pilar, Molina Barceló, Ana, Fernández Tardón, Guillermo, Chirlaque, María Dolores, Pollán, Marina, Kogevinas, Manolis, Villanueva, Cristina M.
Tipo de recurso:	artículo
Estado:	Versión publicada
Fecha de publicación:	2025
País:	España
Institución:	Universidad de León
Repositorio:	BULERIA. Repositorio Institucional de la Universidad de León
OAI Identifier:	oai:dnet:buleria_____::13dca2f25f531fa42a49117dfc0e86ab
Acceso en línea:	https://pubs.acs.org/doi/10.1021/acs.est.5c06488 https://hdl.handle.net/10612/28189
Access Level:	acceso abierto
Palabra clave:	Medicina. Salud Disinfection byproducts Swimming pool Breast cancer Colorectal cancer Prostate cancer Observational study Case-control study Environmental epidemiology 3207.13 Oncología 3210 Medicina Preventiva

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dc.title.none.fl_str_mv	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
title	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
spellingShingle	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain) Donat Vargas, Carolina Medicina. Salud Disinfection byproducts Swimming pool Breast cancer Colorectal cancer Prostate cancer Observational study Case-control study Environmental epidemiology 3207.13 Oncología 3210 Medicina Preventiva
title_short	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
title_full	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
title_fullStr	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
title_full_unstemmed	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
title_sort	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)
dc.creator.none.fl_str_mv	Donat Vargas, Carolina Vallbona Vistós, Miquel Castaño Vinyals, Gemma Moreno González, Víctor Aragonés, Nuria Boldo, Elena Molina de la Torre, Antonio José Gómez Acebo, Inés Guevara, Marcela Jiménez Zabala, Ana Amiano, Pilar Molina Barceló, Ana Fernández Tardón, Guillermo Chirlaque, María Dolores Pollán, Marina Kogevinas, Manolis Villanueva, Cristina M.
author	Donat Vargas, Carolina
author_facet	Donat Vargas, Carolina Vallbona Vistós, Miquel Castaño Vinyals, Gemma Moreno González, Víctor Aragonés, Nuria Boldo, Elena Molina de la Torre, Antonio José Gómez Acebo, Inés Guevara, Marcela Jiménez Zabala, Ana Amiano, Pilar Molina Barceló, Ana Fernández Tardón, Guillermo Chirlaque, María Dolores Pollán, Marina Kogevinas, Manolis Villanueva, Cristina M.
author_role	author
author2	Vallbona Vistós, Miquel Castaño Vinyals, Gemma Moreno González, Víctor Aragonés, Nuria Boldo, Elena Molina de la Torre, Antonio José Gómez Acebo, Inés Guevara, Marcela Jiménez Zabala, Ana Amiano, Pilar Molina Barceló, Ana Fernández Tardón, Guillermo Chirlaque, María Dolores Pollán, Marina Kogevinas, Manolis Villanueva, Cristina M.
author2_role	author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Medicina Preventiva Facultad de Veterinaria
dc.subject.none.fl_str_mv	Medicina. Salud Disinfection byproducts Swimming pool Breast cancer Colorectal cancer Prostate cancer Observational study Case-control study Environmental epidemiology 3207.13 Oncología 3210 Medicina Preventiva
topic	Medicina. Salud Disinfection byproducts Swimming pool Breast cancer Colorectal cancer Prostate cancer Observational study Case-control study Environmental epidemiology 3207.13 Oncología 3210 Medicina Preventiva
description	[EN] Swimming in pools involves inhalation and skin absorption of potential carcinogenic disinfection byproducts (DBPs) as well as physical activity, which is protective for some cancer sites. We evaluated the association between lifetime pool attendance and the risk of breast, colorectal, and prostate cancer in a multicase-control study that recruited 4,941 hospital-based cancer cases (1,724 breast, 2,111 colorectal, 1,106 prostate) and 4,039 population-based controls in Spain (2008–2013). Lifetime swimming pool attendance in summer (as a surrogate of outdoor pools) and the rest of the year (as a surrogate of indoor pools), socio-demographics, and lifestyle were ascertained in face-to-face interviews. Cancer risk associated with pool attendance markers was estimated using linear mixed-effect models, adjusting for covariates with recruitment area as a random effect. Participants reporting lifetime pool attendance compared to those who did not showed lower odds of breast and colorectal cancer (approximately 5% lower risk). Swimming more than 10 times/month did not increase the protective association. For breast and colorectal cancer, only pool attendance outside the summer months was associated with a lower risk, whereas it was associated with increased prostate cancer risk. Findings suggest that lifetime swimming in pools may reduce breast cancer and colorectal cancer risk despite DBP exposure. These novel findings require replication
publishDate	2025
dc.date.none.fl_str_mv	2025
dc.type.none.fl_str_mv	info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion
format	article
status_str	publishedVersion
dc.identifier.none.fl_str_mv	https://pubs.acs.org/doi/10.1021/acs.est.5c06488 https://hdl.handle.net/10612/28189
url	https://pubs.acs.org/doi/10.1021/acs.est.5c06488 https://hdl.handle.net/10612/28189
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09 info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09 info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09 info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09 info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PI11 info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PI11 info:eu-repo/grantAgreement/MINECO/Programa Estatal de I+D+I Orientada a los Retos de la Sociedad/PI15 info:eu-repo/grantAgreement/GVA/Proyectos de I+D+I (CCAA)/AP_061
dc.rights.none.fl_str_mv	http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
rights_invalid_str_mv	http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.publisher.none.fl_str_mv	ACS Publications
publisher.none.fl_str_mv	ACS Publications
dc.source.none.fl_str_mv	reponame:BULERIA. Repositorio Institucional de la Universidad de León instname:Universidad de León
instname_str	Universidad de León
reponame_str	BULERIA. Repositorio Institucional de la Universidad de León
collection	BULERIA. Repositorio Institucional de la Universidad de León
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling	Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)Donat Vargas, CarolinaVallbona Vistós, MiquelCastaño Vinyals, GemmaMoreno González, VíctorAragonés, NuriaBoldo, ElenaMolina de la Torre, Antonio JoséGómez Acebo, InésGuevara, MarcelaJiménez Zabala, AnaAmiano, PilarMolina Barceló, AnaFernández Tardón, GuillermoChirlaque, María DoloresPollán, MarinaKogevinas, ManolisVillanueva, Cristina M.Medicina. SaludDisinfection byproductsSwimming poolBreast cancerColorectal cancerProstate cancerObservational studyCase-control studyEnvironmental epidemiology3207.13 Oncología3210 Medicina Preventiva[EN] Swimming in pools involves inhalation and skin absorption of potential carcinogenic disinfection byproducts (DBPs) as well as physical activity, which is protective for some cancer sites. We evaluated the association between lifetime pool attendance and the risk of breast, colorectal, and prostate cancer in a multicase-control study that recruited 4,941 hospital-based cancer cases (1,724 breast, 2,111 colorectal, 1,106 prostate) and 4,039 population-based controls in Spain (2008–2013). Lifetime swimming pool attendance in summer (as a surrogate of outdoor pools) and the rest of the year (as a surrogate of indoor pools), socio-demographics, and lifestyle were ascertained in face-to-face interviews. Cancer risk associated with pool attendance markers was estimated using linear mixed-effect models, adjusting for covariates with recruitment area as a random effect. Participants reporting lifetime pool attendance compared to those who did not showed lower odds of breast and colorectal cancer (approximately 5% lower risk). Swimming more than 10 times/month did not increase the protective association. For breast and colorectal cancer, only pool attendance outside the summer months was associated with a lower risk, whereas it was associated with increased prostate cancer risk. Findings suggest that lifetime swimming in pools may reduce breast cancer and colorectal cancer risk despite DBP exposure. These novel findings require replicationSIThe study was partially funded by the \u201CAccion Transversal del Cancer\u201D, approved by the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos III-FEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773, PS09/01286, PS09/01903, PS09/02078, PS09/01662, PI11/01889, PI11/00226, PI12/01270, PI12/00715, PI14/0613, PI15/00914, PI17CIII/00034), by the Fundacio\u0301n Marque\u0301s de Valdecilla (API 10/09), by the Conselleria de Sanitat of the Generalitat Valenciana (AP_061/10), by the European Commission grants FOOD-CT-2006-036224-HIWATE, by the Spanish Association Against Cancer (AECC) Scientific Foundation, by the Catalan Government-Agency for Management of University and Research Grants (AGAUR) grants 2017SGR723 and 2014SGR850, and by the Fundacio\u0301n Caja de Ahorros de Asturias and by the University of Oviedo. We acknowledge support from the grant CEX2023-0001290-S funded by MCIN/AEI/10.13039/501100011033 and support from the Generalitat de Catalunya through the CERCA ProgramACS PublicationsMedicina PreventivaFacultad de Veterinaria2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://pubs.acs.org/doi/10.1021/acs.est.5c06488https://hdl.handle.net/10612/28189reponame:BULERIA. Repositorio Institucional de la Universidad de Leóninstname:Universidad de LeónInglésinfo:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PS09info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PI11info:eu-repo/grantAgreement/MICINN/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/PI11info:eu-repo/grantAgreement/MINECO/Programa Estatal de I+D+I Orientada a los Retos de la Sociedad/PI15info:eu-repo/grantAgreement/GVA/Proyectos de I+D+I (CCAA)/AP_061http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:buleria_____::13dca2f25f531fa42a49117dfc0e86ab2026-06-24T12:43:27Z
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Lifetime Swimming Pool Attendance and Cancer Risk: Findings from the Multicase-Control Study in Spain (MCC-Spain)

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