Evidence map›Paper›PMID 40393661›Full record

ArticleJournal of the National Cancer Institute2025

Leisure-time physical activity after diagnosis and survival by cancer type: a pooled analysis.

Erika Rees-Punia, Lauren R Teras, Christina C Newton, Steven C Moore, I-Min Lee, Lauren Bates-Fraser, Den E Bloodworth, A Heather Eliassen, Lorelei Mucci, Brigid M Lynch and 6 more

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Exercise therapy in cancer prevention and treatment.Nature reviews. Clinical oncology · 2026
    Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Review
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

16 authors.

Erika Rees-PuniaDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.ORCID 0000-0003-1121-1578
Lauren R TerasDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.ORCID 0000-0003-2419-8536
Christina C NewtonDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.ORCID 0000-0003-1471-5608
Steven C MooreDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0002-8169-1661
I-Min LeeHarvard Medical School, Brigham and Women's Hospital, Boston, MA, United States.ORCID 0000-0002-1083-6907
Lauren Bates-FraserDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.ORCID 0000-0003-1582-5593
Den E BloodworthDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.
A Heather EliassenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-3961-6609
Lorelei MucciDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-2551-4927
Brigid M LynchCancer Epidemiology Division, Cancer Council Victoria, Melbourne, VIC, Australia.ORCID 0000-0001-8060-547X
Meir StampferDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0001-8865-935X
Mingyang SongDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-1324-0316
Kristen D BrantleyDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0003-0084-4775
Konrad H StopsackDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-0722-1311
Charles E MatthewsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States.ORCID 0000-0001-8037-3103
Alpa V PatelDepartment of Population Science, American Cancer Society, Atlanta, GA, United States.ORCID 0000-0001-8834-9896

Funding

Coffee and metabolites modulating the gut microbiome for improved colorectal cancer survivalR01CA263776 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Mingyang Song · 2022 to 2026
$3.3M
NCI NIH HHS R01 CA263776
6 · The paper itself

Abstract

backgroundEvidence for potential mortality benefits of leisure-time moderate-to-vigorous intensity physical activity (MVPA) for survivors of cancer types beyond breast and colorectal is limited. The aim of this study was to evaluate relationships between postdiagnosis MVPA and all-cause mortality in participants with a history of 11 cancer types.

methodsData were pooled from 6 United States-based cohort studies. Cohort-specific hazard ratios (HRs) and 95% confidence intervals (CIs) for associations of MVPA assessed ≥1 year after a cancer diagnosis and all-cause mortality were calculated using multivariable Cox proportional hazards models and then pooled using random effects meta-analysis. Models were adjusted for age, sex, race/ethnicity, smoking status, alcohol use, and cancer treatment and stage. The sample included 90 844 cancer survivors (mean [standard deviation] age at diagnosis = 67 [10] years, 55% women), among whom 45 477 died during 10.9 [7.0] years of follow-up.

resultsCompared with no MVPA, engaging in recommended amounts of MVPA (7.5 to <15 MET-hr/wk) was related to better overall survival in participants with a history of 1 of 10 cancer types: oral (HR = 0.44, 95% CI = 0.27 to 0.73), endometrial (0.50, 95% CI = 0.34 to 0.76), lung (0.51, 95% CI = 0.38 to 0.68), rectal (0.51, 95% CI = 0.36 to 0.71), respiratory (0.51, 95% CI = 0.29 to 0.72), bladder (0.53, 95% CI = 0.40 to 0.72), kidney (0.53, 95% CI = 0.37 to 0.77), prostate (0.60,95% CI = 0.49 to 0.74), colon (0.61, 95% CI = 0.50 to 0.76), and breast (0.67, 95% CI = 0.55 to 0.81). Eight of the 10 observed inverse associations remained similar when excluding participants who died within 2 years of follow-up.

conclusionEngaging in leisure-time MVPA after a cancer diagnosis appears to improve survival for people with a history of several cancer types, including bladder, breast, colon, endometrial, kidney, lung, oral, prostate, rectal, and respiratory cancer.

Indexed as

ExerciseLeisure ActivitiesNeoplasmsSurvivorsAgedCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsUnited States

Identifiers

PMID40393661
PMCPMC12756989

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.