Evidence map›Paper›PMID 41396674›Full record

ArticleJNCI cancer spectrum2026

Physical activity patterns after diagnosis and survival of prognostic colorectal cancer subgroups.

Karel C Smit, Jeroen W G Derksen, Anne-Sophie van Lanen, Evertine Wesselink, Eric J Th Belt, Maaike Berbée, Marissa Cloos-van Balen, Jan Willem T Dekker, Joyce M van Dodewaard, Joeri Douma and 20 more

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

30 authors.

Karel C SmitDepartment of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0002-6056-2561
Jeroen W G DerksenDepartment of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0002-2973-5583
Anne-Sophie van LanenDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0002-4033-4975
Evertine WesselinkDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0001-9347-7913
Eric J Th BeltDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands.
Maaike BerbéeDepartment of Radiation Oncology (Maastro), GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, the Netherlands.
Marissa Cloos-van BalenDepartment of Medical Oncology, Groene Hart Hospital, Gouda, the Netherlands.ORCID 0009-0002-3050-9839
Jan Willem T DekkerDepartment of Surgery, Reinier de Graaf Hospital, Delft, the Netherlands.
Joyce M van DodewaardDepartment of Medical Oncology, Meander Medical Center, Amersfoort, the Netherlands.
Joeri DoumaDepartment of Medical Oncology, Medical Center Leeuwarden, Leeuwarden, the Netherlands.ORCID 0000-0003-4433-0370
Jan Willem de GrootDepartment of Medical Oncology, Isala Hospital, Zwolle, the Netherlands.ORCID 0000-0002-1043-5011
Henk K Van HalterenDepartment of Medical Oncology, Admiraal de Ruyter Hospital, Goes, the Netherlands.ORCID 0000-0001-6096-0271
Mathijs P HendriksDepartment of Medical Oncology, Northwest Clinics, Alkmaar, the Netherlands.ORCID 0000-0001-6687-5393
Ignace H J T De HinghDepartment of Surgery, Catharina Hospital, Eindhoven, the Netherlands.
Danny HoutsmaDepartment of Medical Oncology, Haga Hospital, Den Haag, the Netherlands.
Johan J B JanssenDepartment of Medical Oncology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.
Joop L M KonstenDepartment of Surgery, Viecuri Hospital, Venlo, the Netherlands.ORCID 0000-0002-8803-1914
Maartje LosDepartment of Medical Oncology, St Antonius Hospital, Nieuwegein, the Netherlands.
Mark P S SieDepartment of Medical Oncology, ZorgSaam Hospital, Terneuzen, the Netherlands.
Dirkje SommeijerDepartment of Internal Medicine, Flevohospital, Almere, the Netherlands.
Pieter J TanisDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-3146-3310
Ankie van der VeldenDepartment of Medical Oncology, Tergooi Hospital, Hilversum, the Netherlands.
Liselot Valkenburg-van IerselMaastricht University Medical Center, Department of Internal Medicine, Division of Medical Oncology, GROW, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0003-2925-9908
Wouter J VlesDepartment of Surgery, Ikazia Hospital, Rotterdam, the Netherlands.
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Center, University of Nijmegen, Nijmegen, the Netherlands.
Dieuwertje E KokDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0001-7154-8207
Ellen KampmanDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0002-8606-7075
Fränzel J B van DuijnhovenDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0001-8367-2352
Miriam KoopmanDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-1550-1978
Anne M MayDepartment of Epidemiology and Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-0643-3790

Funding

Regio Deal Foodvalley 162135
6 · The paper itself

Abstract

backgroundPhysical activity (PA) is associated with improved overall survival (OS) among colorectal cancer (CRC) patients, but research on PA changes after diagnosis remains limited. This study examines associations between OS and changes in PA from CRC diagnosis onward, across stage- and treatment-related subgroups.

methodsData were analyzed from patients in two large CRC cohorts (PLCRC and COLON) enrolled between August 2010 and December 2022 (follow-up until February 1st, 2024). This included 3395 stage I-IIA patients who underwent surgery only, 2406 stage IIB/C-III patients who received (neo-)adjuvant therapy, and 669 metastatic CRC (mCRC) patients. PA was assessed via the validated SQUASH questionnaire at diagnosis (T0), and at 6, 12, and 24 months post-diagnosis (T6 to T24). Moderate-to-vigorous-intensity recreational activity was quantified by calculating Metabolic Equivalent of Task (MET) hours per week. Associations with OS were examined for change (active [tertile 2 and 3] vs inactive [tertile 1]) between timepoints using multivariable Cox proportional hazards models.

resultsAmong surgery-only patients, change from inactivity to activity between T0 and T6 was significantly associated with OS (HR = 0.58, 95% CI = 0.35 to 0.96). For (neo-)adjuvantly treated patients, significant associations were observed between T6 and T12 (HR = 0.53, 95% CI = 0.31 to 0.90). Among mCRC patients, a significant association was observed between T6 and T12 (HR = 0.53, 95% CI = 0.29 to 0.99).

conclusionChanging from inactivity to activity is significantly associated with prolonged survival during the early months post-diagnosis for surgery-only CRC patients, and later for those undergoing (neo-)adjuvant therapy or with metastatic disease. Validation is warranted in interventional studies.

Indexed as

Colorectal NeoplasmsExerciseAgedFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingPrognosisProportional Hazards ModelsSedentary BehaviorSurveys and Questionnaires

Identifiers

PMID41396674
PMCPMC12783896

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.