{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:27:19Z","timestamp":1786706839824,"version":"build-2736575974"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U01 CA199240"],"award-info":[{"award-number":["U01 CA199240"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep disturbances are common among cancer survivors and negatively impact quality of life. Regular moderate\u2010 to high\u2010intensity physical activity may provide a cost\u2010effective, low\u2010risk alternative strategy to improve sleep.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data collected as part of two distinct studies, the Detroit Research On Cancer Survivors (ROCS) cohort and the CrossFit And Physical Activity: A Better Life Experience (CAPABLE) High\u2010Intensity Interval Training (HIIT) trial, were analyzed to evaluate the association between participation in moderate\u2010 to high\u2010intensity physical activity and sleep health. Sleep health was assessed using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among Detroit ROCS cohort members who completed the supplemental sleep survey at baseline and\/or follow\u2010up (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093022), those meeting 2012 American Cancer Society (ACS) physical activity guidelines reported sleep outcomes compared with inactive participants, including lower ISI scores (4.5 vs. 5.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), lower ESS scores (5.6 vs. 6.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and lower PSQI (6.3 vs. 7.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the CAPABLE trial (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973), ISI scores improved from 4.5 at baseline to 3.4 at exit (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while PSQI scores showed more modest improvement (6.1 to 5.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.063). ESS scores remained unchanged (5.4 to 5.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.708).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings support the role of moderate\u2010 to high\u2010intensity physical activity in improving sleep health in a diverse cancer survivor population. Future research should further refine current methodologies to maximize benefit to survivors and implementation science to increase uptake and promote adherence to evidence\u2010based guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71546","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:44:14Z","timestamp":1769993054000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Moderate to High Intensity Physical Activity on Sleep Health in Cancer Survivors"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6114-6203","authenticated-orcid":false,"given":"Grace E.","family":"Markey","sequence":"first","affiliation":[{"name":"Department of Oncology Wayne State University School of Medicine  Detroit Michigan USA"},{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie J.","family":"Ruterbusch","sequence":"additional","affiliation":[{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara E.","family":"Baird","sequence":"additional","affiliation":[{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles  Los Angeles California USA"},{"name":"Geriatric Research, Education and Clinical Center VA Greater Los Angeles Healthcare System  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann G.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Oncology Wayne State University School of Medicine  Detroit Michigan USA"},{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Finlay","sequence":"additional","affiliation":[{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trey","family":"Timban","sequence":"additional","affiliation":[{"name":"Department of Oncology Wayne State University School of Medicine  Detroit Michigan USA"},{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew R.","family":"Trendowski","sequence":"additional","affiliation":[{"name":"Department of Oncology Wayne State University School of Medicine  Detroit Michigan USA"},{"name":"Barbara Ann Karmanos Cancer Institute  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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