Evidence map›Paper›PMID 42142261›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Adherence to 24-hour movement guidelines and mortality risks in US cancer survivors: a national cohort study.

Mingzhen Yang, Yijiao Chen, Ting Fan, Dexiang Zhu, Meiling Ji, Yifan Ding, Li Ren, Jianmin Xu

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Mingzhen YangDepartment of Rehabilitation, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yijiao ChenDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Ting FanInstitutes of Biomedical Sciences, Fudan University, Shanghai, 200433, China.
Dexiang ZhuDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Meiling JiDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Yifan DingDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Li RenDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Jianmin XuDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China. xujmin@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile physical activity, sedentary behavior, and sleep have individually been linked to long-term outcomes in cancer survivors, few studies have evaluated their synergistic effects across a full 24-h period. This study aimed to examine the association between adherence to the Canadian 24-Hour Movement Guidelines and mortality risk in a nationally representative sample of US cancer survivors.

methodsData from 2551 cancer survivors participating in the 2007-2018 National Health and Nutrition Examination Survey were analyzed. Adherence to the 24-Hour Movement Guidelines for aerobic physical activity, sedentary behavior, and sleep was summed to categorize participants into four groups. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause and cancer-specific mortality.

resultsThe proportions of participants meeting no, one, two, and three guidelines were 14.4%, 38.6%, 34.4%, and 12.6%, respectively. Over a median follow-up of 70 months, 617 deaths occurred, of which 261 were attributed to cancer. Compared to those meeting no guideline, HRs (95% CIs) for those meeting one, two, and all three guidelines were 0.72 (0.55-0.95), 0.59 (0.43-0.81), and 0.55 (0.38-0.81), respectively, for all-cause mortality, and 0.47 (0.29-0.76), 0.53 (0.33-0.85), and 0.22 (0.10-0.49), respectively, for cancer-specific mortality. Subgroup analysis showed that the association between cumulative adherence to the guidelines and all-cause mortality was stronger among individuals with a body mass index ≥ 30 kg/m

conclusionsGreater integrated adherence to the 24-h movement guidelines was associated with a progressive reduction in mortality risk among US cancer survivors, especially those with obesity.

Indexed as

Cancer SurvivorsExerciseGuideline AdherenceNeoplasmsAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsRisk FactorsSedentary BehaviorSleepCancer survivorCohort studyNHANESObesityPhysical activitySedentary behaviorSleep

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.