Evidence map›Paper›PMID 34750779›Full record

ArticleJournal of cancer survivorship : research and practice2022

Determinants of sleep quality in 5835 individuals living with and beyond breast, prostate, and colorectal cancer: a cross-sectional survey.

Silje Aronsen, Rana Conway, Phillippa Lally, Anna Roberts, Helen Croker, Rebecca J Beeken, Abigail Fisher

Abstract read
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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  3. Longitudinal associations of body composition with sleep problems in the first two years after colorectal cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

7 authors at 1 institution in 1 country.

Silje AronsenResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK. silje.aronsen.19@alumni.ucl.ac.uk.ORCID 0000-0002-9346-5805
Rana ConwayResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Phillippa LallyResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Anna RobertsResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Helen CrokerResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Rebecca J BeekenResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
Abigail FisherResearch Department of Behavioural Science and Health, University College London, Gower Street, London, WC1E 6BT, UK.
University College London · GB

Funding

Cancer Research UK 14133Cancer Research UK 27498Cancer Research UK C1418/A14133Cancer Research UK C43975/A27498
6 · The paper itself

Abstract

purposeThe present study aimed to quantify the level of sleep problems in 5835 breast, prostate, and colorectal cancer survivors, and explore a number of potential determinants of poor sleep quality in the present sample. BMI, diet, and physical activity were of particular interest as potential determinants.

methodsParticipants who completed the 'Health and Lifestyle after Cancer' survey were adults who had been diagnosed with breast, prostate, or colorectal cancer (mean time since cancer diagnosis was 35.5 months, SD=13.56). Sleep quality was assessed using the Pittsburgh Sleep Quality Index. BMI was calculated from self-reported height and weight. Participants were categorised as meeting/not meeting the World Cancer Research Fund (WCRF) recommendations for fibre, fruit and vegetables, added sugar, red meat, processed meat, fat, alcohol, and physical activity. Analyses accounted for demographic and clinical factors.

resultsFifty-seven percent of those with sleep data were classified as poor sleepers (response rate 79%). Being female, having a higher number of cancer treatments, more comorbid conditions, and being more anxious/depressed increased the odds of being a poor sleeper. After adjustment for these factors, there were no associations between diet/alcohol/physical activity and sleep. However, BMI was associated with sleep. Individuals in the overweight and obese categories had 22% and 79% higher odds of being poor sleepers than individuals in the underweight/healthy weight category, respectively.

conclusionsThe findings suggest that there may be a need to develop sleep quality interventions for cancer survivors with obesity. Even after adjustment for multiple clinical and demographic factors, BMI (particularly obesity) was associated with poor sleep. Thus, researchers and health professionals should find ways to support individuals with overweight and obesity to improve their sleep quality. IMPLICATIONS FOR CANCER SURVIVORS: The present findings highlight that poor sleep is a common issue in cancer survivors. Interventions seeking to improve outcomes for cancer survivors over the longer term should consider sleep quality.

Indexed as

Colorectal NeoplasmsOverweightAdultBody Mass IndexCross-Sectional StudiesFemaleHumansMaleObesityProstateSleepSleep QualityCancerDietObesityPhysical activitySleep quality

Identifiers

PMID34750779
OpenAlexW3213131053

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.