Interaction between sleep duration and physical activity on mortality among cancer survivors
Findings from National Health and Nutrition Examination Surveys 2007–2018
Bibliographic Data
| ID | 22089436 |
|---|---|
| Authors | Ruyan Chen (0000-0003-0018-405X, Wuhan University), Jianglong Han (0000-0002-4281-5254, Wuhan University), Si Li (0000-0002-9783-6685, Wuhan University), Haiyu Deng (0000-0002-2643-4603, Wuhan University), Tingting Jian (Wuhan University), Zheyu Huang, Zhe‐Yu Huang (0000-0001-5638-7337, Wuhan University), Yuxuan Wei (0000-0003-3336-951X, Wuhan University), Zhenming Fu (0000-0003-2416-9591, Wuhan University, corresponding author) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1532320-1532320 |
| Publication date | 2025-01-17 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1532320 |
| PMID | 39896788 |
| OpenAlex | W4406543824 |
| Language | EN |
| Citations received | 1 |
| References cited | 59 |
Background: Sleep duration and physical activity (PA) are critical factors influencing mortality risk. However, the interaction between sleep duration and PA with mortality risk among cancer survivors has not been well explored. Methods: This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) spanning 2007-2018. Multivariable Cox regression analysis and restricted cubic splines were employed to evaluate the hazard ratios (HRs) and 95% confidence intervals (CIs) of the association of sleep duration and PA with mortality risk in cancer survivors. Multiplicative and additive interaction terms were constructed to assess interaction effects. Results: The study included a total of 2,528 adult cancer survivors (aged≥20 years). Sleep duration exhibited a U-shaped association with all-cause and cancer-specific mortality, while demonstrating an inverted L-shaped association with cardiovascular disease (CVD) mortality. Compared to physically inactive participants, those with adequate PA had lower risks of all-cause mortality (HR = 0.542, 95% CI: 0.540-0.543), cancer mortality (HR = 0.486, 95% CI: 0.484-0.488), and CVD mortality (HR = 0.759, 95% CI: 0.755-0.763) among cancer survivors. A significant additive interaction was found between extreme sleep duration and PA on all-cause mortality risk among cancer survivors (long sleep duration: relative excess risk due to interaction (RERI) = 1.514, 95% CI: 1.504-1.525; short sleep duration: RERI = 0.725, 95% CI: 0.713-0.737). Conclusion: Extreme sleep duration and lack of PA were associated with mortality risk in cancer survivors independently and jointly. Maintain appropriate sleep duration and doing regular PA may synergistically improve cancer survival among cancer survivors
Cancer · Environmental health · National Health and Nutrition Examination Survey · National Health Interview Survey · Physical activity · Physical therapy · Population · Cancer survivorship and care · Cancer-related cognitive impairment studies · Computer Science · Demography · Medicine · Sleep and related disorders · Gerontology · Internal Medicine
Regression Modeling Strategies
Exercise Guidelines for Cancer Survivors
Sleep Disturbance, Sleep Duration, and Inflammation
The Sleep-Immune Crosstalk in Health and Disease
Sleep and exercise
The Physical Activity Guidelines for Americans
Recommendations for presenting analyses of effect modification and interaction
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
Global Cancer Statistics 2020
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |