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@ARTICLE{Markozannes:289938,
      author       = {G. Markozannes and N. Becerra-Tomás and M. Cariolou and K.
                      Balducci and R. Vieira and S. Kiss and D. Aune and D. C.
                      Greenwood and M. J. Gunter and E. Copson and A. G. Renehan
                      and M. Bours and W. Demark-Wahnefried and M. M. Hudson and
                      A. M. May and F. T. Odedina and R. Skinner and K.
                      Steindorf$^*$ and A. Tjønneland and G. Velikova and M. L.
                      Baskin and R. Chowdhury and L. Hill and S. J. Lewis and J.
                      Seidell and M. P. Weijenberg and J. Krebs and A. J. Cross
                      and K. K. Tsilidis and D. S. M. Chan},
      title        = {{P}ost-diagnosis physical activity and sedentary behaviour
                      and colorectal cancer prognosis: {A} {G}lobal {C}ancer
                      {U}pdate {P}rogramme ({CUP} {G}lobal) systematic literature
                      review and meta-analysis.},
      journal      = {International journal of cancer},
      volume       = {155},
      number       = {3},
      issn         = {0020-7136},
      address      = {Bognor Regis},
      publisher    = {Wiley-Liss},
      reportid     = {DKFZ-2024-00921},
      pages        = {426-444},
      year         = {2024},
      note         = {2024 Aug 1;155(3):426-444},
      abstract     = {Low physical activity and high sedentary behaviour have
                      been clearly linked with colorectal cancer development, yet
                      data on their potential role in colorectal cancer survival
                      is limited. Better characterisation of these relationships
                      is needed for the development of post-diagnosis physical
                      activity and sedentary behaviour guidance for colorectal
                      cancer survivors. We searched PubMed and Embase through 28
                      February 2022 for studies assessing post-diagnosis physical
                      activity, and/or sedentary behaviour in relation to
                      all-cause and cause-specific mortality and recurrence after
                      colorectal cancer diagnosis. Total and recreational physical
                      activity were assessed overall and by frequency, duration,
                      intensity, and volume using categorical, linear, and
                      non-linear dose-response random-effects meta-analyses. The
                      Global Cancer Update Programme (CUP Global) independent
                      Expert Committee on Cancer Survivorship and Expert Panel
                      interpreted and graded the likelihood of causality. We
                      identified 16 observational studies on 82,220
                      non-overlapping patients from six countries. Physical
                      activity was consistently inversely associated with
                      colorectal cancer morbidity and mortality outcomes, with
                      $13\%-60\%$ estimated reductions in risk. Sedentary
                      behaviour was positively associated with all-cause
                      mortality. The evidence had methodological limitations
                      including potential confounding, selection bias and reverse
                      causation, coupled with a limited number of studies for most
                      associations. The CUP Global Expert panel concluded
                      limited-suggestive evidence for recreational physical
                      activity with all-cause mortality and cancer recurrence.
                      Total physical activity and its specific domains and
                      dimensions, and sedentary behaviour were all graded as
                      limited-no conclusion for all outcomes. Future research
                      should focus on randomised trials, while observational
                      studies should obtain objective and repeated physical
                      activity measures and better adjustment for confounders.},
      keywords     = {colorectal cancer survival (Other) / evidence grading
                      (Other) / meta‐analysis (Other) / physical activity
                      (Other) / systematic review (Other)},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38692650},
      doi          = {10.1002/ijc.34903},
      url          = {https://inrepo02.dkfz.de/record/289938},
}