Evidence map›Paper›PMID 42142247›Full record

ArticleJournal of cancer survivorship : research and practice2026

Associations of 24-h movement behaviors with depressive symptoms among cancer survivors: findings from the NHANES 2011-2014.

Vagner Deuel de O Tavares, Megan Teychenne, Tiago V Barreira, Felipe Barreto Schuch, Gary Skinner, Nicole Leite Galvão-Coelho, Eduardo Caldas Costa, Rodrigo Alberto Vieira Browne

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Article in Journal of cancer survivorship : research and practice, 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

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8 authors.

Vagner Deuel de O TavaresFaculty of Nursing, University of Calgary, 3395 Hospital Drive NW, Calgary, AB, T2N 5G2, Canada.ORCID http://orcid.org/0000-0003-3005-247X
Megan TeychenneInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
Tiago V BarreiraFalk College of Sport, Syracuse University, Syracuse, NY, USA.
Felipe Barreto SchuchDepartment of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, RS, Brazil.
Gary SkinnerInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
Nicole Leite Galvão-CoelhoLaboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande Do Norte, Natal, RN, Brazil.
Eduardo Caldas CostaDepartment of Physical Education, Federal University of Rio Grande Do Norte, Natal, RN, Brazil.
Rodrigo Alberto Vieira BrowneGraduate Program in Physical Education, Catholic University of Brasília, Brasília, DF, Brazil, QS 07, Lote 01, EPCT, Taguatinga Sul - Taguatinga, 71966-700. rodrigo.browne@p.ucb.br.

Funding

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6 · The paper itself

Abstract

backgroundCancer survivors have a high prevalence of depressive symptoms. Moderate-to-vigorous physical activity (MVPA), sedentary time, and sleep are key modifiable behaviors associated with depressive symptoms. This study examines the associations between accelerometer-measured 24-h movement behaviors and self-reported depressive symptoms in cancer survivors.

methodsThis is a cross-sectional analysis using data from the NHANES 2011-2012 and 2013-2014 cycles. The 24-h movement behaviors were measured by wrist accelerometers, including MVPA, sedentary time, and nightly sleep time. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9). Robust Poisson regression was used to estimate the prevalence ratio (PR) with their respective 95% confidence intervals (CI) for the categorical depression outcomes, considering independent and combined analyses of the exposures.

resultsData from 683 adults (aged 65.0 ± 13.1 years, females 55.5%) were analyzed. In mutually adjusted analyses, compared with inactive cancer survivors (< 150 min/week), those who were active (≥ 150 min/week of MVPA) had lower depressive symptoms (PR = 0.70; p = 0.026). Sedentary and sleep time were not independently associated with depressive symptoms. Meeting the combined recommendations for both MVPA and sedentary time (PR = 0.77; p = 0.044) and for MVPA and sleep time (PR = 0.76; p = 0.041) was associated with fewer depressive symptoms. Similarly, meeting the combined recommendations for sedentary and sleep time (PR = 0.64; p = 0.009), as well as all three behavior recommendations simultaneously (PR = 0.64; p = 0.009), were associated with lower symptoms.

conclusionMVPA was consistently associated with fewer depressive symptoms among cancer survivors, whereas sedentary and sleep time alone showed no independent association. Combined movement behaviors patterns, particularly were also associated with a lower prevalence of depressive symptoms, reinforcing the potential relevance of an integrated 24-hour movement behavior approach for mental health in this population. IMPLICATIONS FOR CANCER SURVIVORS: Strategies that promote physically active lifestyles and other healthy (non)movement behaviors, including reduced sedentary time and adequate sleep time, may help support mental health among cancer survivors.

Indexed as

24-h movement behaviorDepressive symptomsModerate-to-vigorous physical activityPhysical behaviorsSedentary behaviorSleep

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