RT Journal Article T1 Physical activity and risk of Amyotrophic Lateral Sclerosis in a prospective cohort study. A1 Gallo, Valentina A1 Vanacore, Nicola A1 Bueno-de-Mesquita, H Bas A1 Vermeulen, Roel A1 Brayne, Carol A1 Pearce, Neil A1 Wark, Petra A A1 Ward, Heather A A1 Ferrari, Pietro A1 Jenab, Mazda A1 Andersen, Peter M A1 Wennberg, Patrik A1 Wareham, Nicholas A1 Katzke, Verena A1 Kaaks, Rudolf A1 Weiderpass, Elisabete A1 Peeters, Petra H A1 Mattiello, Amalia A1 Pala, Valeria A1 Barricante, Aurelio A1 Chirlaque, Maria-Dolores A1 Travier, Noémie A1 Travis, Ruth C A1 Sanchez-Perez, Maria-Jose A1 Pessah-Rasmussen, Hélène A1 Petersson, Jesper A1 Tjønneland, Anne A1 Tumino, Rosario A1 Quiros, Jose Ramon A1 Trichopoulou, Antonia A1 Kyrozis, Andreas A1 Oikonomidou, Despoina A1 Masala, Giovanna A1 Sacerdote, Carlotta A1 Arriola, Larraitz A1 Boeing, Heiner A1 Vigl, Matthaeus A1 Claver-Chapelon, Francoise A1 Middleton, Lefkos A1 Riboli, Elio A1 Vineis, Paolo K1 Amyotrophic Lateral Sclerosis K1 BMI K1 Cohort study K1 EPIC study K1 Physical activity K1 Vigorous physical activity AB Previous case-control studies have suggested a possible increased risk of Amyotrophic Lateral Sclerosis (ALS) with physical activity (PA), but this association has never been studied in prospective cohort studies. We therefore assessed the association between PA and risk of death from ALS in the European Prospective Investigation into Cancer and Nutrition. A total of 472,100 individuals were included in the analysis, yielding 219 ALS deaths. At recruitment, information on PA was collected thorough standardised questionnaires. Total PA was expressed by the Cambridge Physical Activity Index (CPAI) and analysed in relation to ALS mortality, using Cox hazard models. Interactions with age, sex, and anthropometric measures were assessed. Total PA was weakly inversely associated with ALS mortality with a borderline statistically significant trend across categories (p = 0.042), with those physically active being 33% less likely to die from ALS compared to those inactive: HR = 0.67 (95% CI 0.42-1.06). Anthropometric measures, sex, and age did not modify the association with CPAI. The present study shows a slightly decreased-not increased like in case-control studies-risk of dying from ALS in those with high levels of total PA at enrolment. This association does not appear confounded by age, gender, anthropometry, smoking, and education. Ours was the first prospective cohort study on ALS and physical activity. YR 2016 FD 2016-03-11 LK http://hdl.handle.net/10668/9911 UL http://hdl.handle.net/10668/9911 LA en DS RISalud RD Apr 11, 2025