{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:06:27Z","timestamp":1785323187984,"version":"3.55.0"},"reference-count":57,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the effects of exercise modalities on sleep quality in individuals with breast cancer, and to examine dose\u2013response associations between exercise dose and sleep improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Web of Science, Embase, the Cochrane Library, and EBSCO were searched from inception to March 2026. Risk of bias was assessed using RoB 2. Bayesian multilevel network meta\u2010analysis compared exercise modalities against active controls. Meta\u2010regression and nonlinear dose\u2013response analyses explored effect modifiers and dose\u2013response patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010nine randomized controlled trials involving 4066 participants were included. Compared with active controls, Tai Chi\/Qigong showed the largest sleep benefit (Hedges'\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.45, 95% CrI: \u22120.86 to \u22120.04), followed by yoga and combined exercise (COM; both\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a0\u22120.30). Aerobic exercise suggested possible benefit but with uncertainty, whereas resistance training, dance, and stretching showed no clear advantage. Dose\u2013response analyses suggested greater benefits around potentially beneficial moderate\u2010dose ranges, with exploratory estimated values of approximately 4.5 METs, 281.3 MET\u00b7min\/session, and 910 MET\u00b7min\/week. Higher baseline Pittsburgh Sleep Quality Index scores were associated with greater sleep improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tai Chi\/Qigong, yoga, and COM may be promising exercise modalities for improving sleep quality in this population. Exercise\u2010related sleep benefits may occur within a moderate dose window. Given the very low certainty of evidence and limited head\u2010to\u2010head comparisons, these findings should be interpreted cautiously and confirmed by high\u2010quality randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70553","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:03:32Z","timestamp":1784214212000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative and Dose\u2013Response Effects of Exercise Modalities on Sleep Quality in Individuals With Breast Cancer: A Bayesian Network Meta\u2010Analysis"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4634-0222","authenticated-orcid":false,"given":"Yongqing","family":"Guo","sequence":"first","affiliation":[{"name":"Capital University of Physical Education and Sports  Beijing 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