Evidence map›Paper›PMID 42215482›Full record

ArticleNature communications2026

Potential for risk reduction of chronic health conditions through lifestyle in childhood cancer survivors.

Aron Onerup, Qi Liu, Shizue Izumi, Stephanie B Dixon, Rebecca M Howell, Matthew J Ehrhardt, Lenat Joffe, Lucie M Turcotte, Deo Kumar Srivastava, Tara M Brinkman and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Aron OnerupDepartment of Epidemiology and Cancer Control, St Jude Children´s Research Hospital, Memphis, TN, USA. Aron.onerup@gu.se.ORCID 0000-0002-1946-3529
Qi LiuSchool of Public Health, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-7208-515X
Shizue IzumiFaculty of Data Science, Shiga University, Hikone, Japan.
Stephanie B DixonDepartment of Epidemiology and Cancer Control, St Jude Children´s Research Hospital, Memphis, TN, USA.ORCID 0000-0003-3901-3274
Rebecca M HowellRadiation Physics Department, The University of Texas at MD Anderson Cancer Center, Houston, TX, USA.
Matthew J EhrhardtDepartment of Epidemiology and Cancer Control, St Jude Children´s Research Hospital, Memphis, TN, USA.ORCID 0000-0003-2781-9983
Lenat JoffeDepartment of Pediatrics, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY, USA.ORCID 0000-0001-6094-9697
Lucie M TurcotteDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0003-4106-6172
Deo Kumar SrivastavaDepartment of Biostatistics, St Jude Children´s Research Hospital, Memphis, TN, USA.ORCID 0000-0001-6693-8120
Tara M BrinkmanDepartment of Psychology and Biobehavioral Sciences, St Jude Children´s Research Hospital, Memphis, TN, USA.
Kevin C OeffingerDuke University Medical Center, Department of Medicine, Durham, NC, USA.ORCID 0000-0003-0806-7894
Claire SnyderDepartments of Medicine, Oncology, and Health Policy and Management, Johns Hopkins Schools of Medicine and Public Health, Baltimore, MD, USA.
Paul C NathanDivision of Hematology and Oncology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Yutaka YasuiDepartment of Biostatistics, St Jude Children´s Research Hospital, Memphis, TN, USA.ORCID 0000-0002-7717-8638
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St Jude Children´s Research Hospital, Memphis, TN, USA.
Kirsten K NessDepartment of Epidemiology and Cancer Control, St Jude Children´s Research Hospital, Memphis, TN, USA.ORCID 0000-0002-2084-1507

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
Barncancerfonden (Swedish Childhood Cancer Foundation) PD2023-0003NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA21765U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA55727Vetenskapsrådet (Swedish Research Council) 2022-00166Vetenskapsrådet (Swedish Research Council) 2024-02859
6 · The paper itself

Abstract

Childhood cancer survivors are at high risk for treatment-related chronic health conditions. How much of this risk can be attributed to lifestyle is not known. In this study, we assess associations between lifestyle and a range of chronic health conditions and estimate lifestyle-specific population attributable fractions for chronic health conditions in survivors and compare them to those of radiotherapy and chemotherapy. Here we show that unhealthy lifestyle is associated with higher risk for subsequent hypertension, dyslipidemia, diabetes, heart attack, heart failure, valvular disease, joint replacement, anxiety, depression, and impaired physical and mental quality of life. Disease proportions attributed to unhealthy lifestyle exceed those of chemotherapy and radiotherapy for hypertension, diabetes, joint replacement, anxiety, depression, and impaired physical and mental quality of life. Unlike previous cancer treatment exposures, lifestyle can be modified. We need to further develop and implement effective lifestyle interventions in childhood cancer survivors, promoting healthy weight and physical activity.

Indexed as

Cancer SurvivorsLife StyleNeoplasmsRisk Reduction BehaviorAdolescentAdultChildChronic DiseaseFemaleHumansMaleQuality of LifeRisk FactorsYoung Adult

Identifiers

PMID42215482
PMCPMC13221451

What OpenQuestion holds

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LicenceCC BY
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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.