TY  - JOUR
AU  - Frenken, Koen G
AU  - Chong, Marvin Y
AU  - Breukink, Stéphanie O
AU  - Janssen-Heijnen, Maryska
AU  - Keulen, Eric T P
AU  - Konsten, Joop
AU  - Bijnens, Wouter
AU  - Buffart, Laurien M
AU  - Meijer, Kenneth
AU  - Scheer, Frank A J L
AU  - Steindorf, Karen
AU  - de Vos-Geelen, Judith
AU  - Weijenberg, Matty P
AU  - Bours, Martijn J L
AU  - van Roekel, Eline H
TI  - Longitudinal Associations of Sedentary Behavior and Physical Activity With Diurnal Rest-Activity Rhythms in Survivors of Colorectal Cancer Up to 5 Years Post-Treatment.
JO  - Journal of biological rhythms
VL  - 40
IS  - 6
SN  - 0748-7304
CY  - Thousand Oaks, Calif. [u.a.]
PB  - Sage Publications
M1  - DKFZ-2025-02018
SP  - 528-546
PY  - 2025
N1  - 2025 Dec;40(6):528-546
AB  - Disrupted diurnal rest-activity rhythms (RAR), that is, daily 24-h patterns of rest and activity, have been associated with fatigue and decreased quality of life among survivors of colorectal cancer (CRC). To identify potential targets for interventions to improve RAR, we investigated longitudinal associations of time spent in sedentary behavior and physical activity with RAR parameters after CRC treatment. In a prospective cohort study, repeated measurements were performed among 268 survivors of stage I-III CRC at 6 weeks, 6 months, and 1, 2, and 5 years after treatment. Thigh-worn accelerometers were used to determine hours/day spent in sedentary behavior, standing, and total physical activity during waking time, as well as RAR parameters including mesor, amplitude, circadian quotient (CQ), dichotomy index (I < O) and 24 h-autocorrelation (R24). Self-reported light-intensity physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) were determined via the validated SQUASH questionnaire. Longitudinal associations were analyzed using confounder-adjusted linear mixed models. More sedentary time was statistically significantly associated with a lower mesor, amplitude, I < O and R24 over the 5-year post-treatment period. More standing time was associated with a higher mesor, amplitude, CQ, and I < O but not with R24. Higher levels of objectively assessed total physical activity as well as self-reported MVPA were associated with higher values for all RAR parameters. LPA was not associated with any of the RAR parameters. In the years after CRC treatment, less sedentary behavior and more standing and physical activity were generally associated with higher RAR parameters indicating a more robust rhythm. Future studies should provide more insight into causality of these associations as RAR may be a potential new target for interventions to reduce fatigue after CRC.Trial registration: EnCoRe study NL6904 (https://www.Onderzoekmetmensen.nl/).
KW  - 24-h autocorrelation (Other)
KW  - acrophase (Other)
KW  - circadian quotient (Other)
KW  - colorectal cancer survivorship (Other)
KW  - dichotomy index (Other)
KW  - diurnal rest-activity rhythms (Other)
KW  - physical activity (Other)
KW  - sedentary behavior (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:41035201
DO  - DOI:10.1177/07487304251363674
UR  - https://inrepo02.dkfz.de/record/305042
ER  -