Evidence map›Paper›PMID 32409489›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2020

Prevalence of Healthy Behaviors among Cancer Survivors in the United States: How Far Have We Come?

Hannah Arem, Scherezade K Mama, Xuejing Duan, Julia H Rowland, Keith M Bellizzi, Diane K Ehlers

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05931874 (Fit2ThriveMIND), which is not on this map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05931874 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Fit2ThriveMIND: Optimizing a mHealth Physical Activity Intervention With Mindful Awareness Lessons in Breast Cancer Survivors

TypeinterventionalSponsorNorthwestern UniversityRan2024 to 2027Enrolled304ConditionsBreast CancerArmsCore Intervention, E-Coach, Buddy, General Mindfulness Training, MVPA-Specific Mindfulness Training
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Community-based interventions designed to optimize health behaviors among cancer survivors: an integrative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Effectiveness of Physical Activity Interventions among Rural Cancer Survivors: A Systematic Review and Meta-Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Pooled it
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  7. Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Trial
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  10. Cancer survivors' interests and preferences for muscle-strengthening activity interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Article
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  14. Acute cancer-related fatigue response following exercise during an outpatient cancer rehabilitation program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  15. Article
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  18. Functional limitations among adult cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2026
    Article
  19. Research Priorities and Future Directions in Cardio-Oncology.Current treatment options in oncology · 2026
    Review
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Hannah AremGW Milken Institute School of Public Health, Department of Epidemiology, Washington D.C. hannaharem@gwu.edu.ORCID 0000-0002-5734-0810
Scherezade K MamaDepartment of Kinesiology, College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania.
Xuejing DuanGW Milken Institute School of Public Health, Department of Biostatistics, Washington D.C.
Julia H RowlandSmith Center for Healing and the Arts, Washington D.C.
Keith M BellizziHuman Development and Family Sciences, University of Connecticut, Storrs, Connecticut.
Diane K EhlersUniversity of Nebraska Medical Center, Omaha, Nebraska.
Milken Institute · USNebraska Medical Center · USPennsylvania State University · USSmith Center for Healing and the Arts · USUniversity of Connecticut · US

Funding

Transdisciplinary Research in Energetics and Cancer (TREC) Training GrantR25CA203650 · NCI · YALE UNIVERSITY · PI IRWIN, MELINDA L · 2016 to 2025
$2.9M
Adaptation and implementation of a community-based intervention to reduce psychosocial distress and promote physical activity in rural breast cancer survivorsK07CA222335 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MAMA, SCHEREZADE KELLY · 2018 to 2022
$828k
NCI NIH HHS K07 CA222335NCI NIH HHS R25 CA203650
6 · The paper itself

Abstract

backgroundThe 16.9 million cancer survivors in the United States are at increased risk for comorbidities and recurrence. However, this risk may be attenuated by a healthy lifestyle. This study describes health behaviors by cancer history to inform behavior change priorities.

methodsWe analyzed 2013-2017 data from the National Health Interview Survey. There were 164,692 adults, of whom 12,648 reported a cancer history. We calculated prevalence of smoking, physical activity, alcohol consumption, body mass index (BMI), and sleep duration by cancer history, age, and cancer site. We conducted logistic regression to determine odds of meeting lifestyle recommendations by cancer history.

resultsOverall, those with a cancer history were less likely to report current smoking (14.1% vs. 16.8%) and moderate/heavy drinking (18.8% vs. 21.9%) than those without a cancer history. However, a lower percentage of cancer survivors met physical activity guidelines (14.2% vs. 21.1%) or reported a healthy BMI (31.6% vs. 34.7%) compared with those without a cancer history. Cancer survivors were more likely to report excessive sleep (6.8% vs. 3.6%). In adjusted logistic regression, survivors were more likely to meet recommendations on smoking, physical activity, and BMI but were less likely to meet alcohol recommendations; meeting sleep recommendations did not differ by cancer history.

conclusionsWhile cancer survivors had lower prevalence of smoking and moderate/heavy drinking, they also had lower prevalence of physical activity and healthy BMI, and reported longer sleep duration. Regression analyses suggested survivors only showed poorer behaviors for alcohol. IMPACT: Targeted health promotion interventions among cancer survivors are needed.

Indexed as

AdolescentAdultAgedCancer SurvivorsCross-Sectional StudiesFemaleHealth BehaviorHealthy LifestyleHumansMaleMiddle AgedPrevalenceUnited StatesYoung Adult

Identifiers

PMID32409489
PMCPMC7778877
OpenAlexW3025014049

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 OpenQuestion graph.