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Moderate-to-vigorous physical activity (MVPA), sedentary time, and sleep are key modifiable behaviors associated with depressive symptoms. This study examines the associations between accelerometer-measured 24-h movement behaviors and self-reported depressive symptoms in cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a cross-sectional analysis using data from the NHANES 2011\u20132012 and 2013\u20132014 cycles. The 24-h movement behaviors were measured by wrist accelerometers, including MVPA, sedentary time, and nightly sleep time. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9). Robust Poisson regression was used to estimate the prevalence ratio (PR) with their respective 95% confidence intervals (CI) for the categorical depression outcomes, considering independent and combined analyses of the exposures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data from 683 adults (aged 65.0\u2009\u00b1\u200913.1\u00a0years, females 55.5%) were analyzed. In mutually adjusted analyses, compared with inactive cancer survivors (&lt;\u2009150\u00a0min\/week), those who were active (\u2265\u2009150\u00a0min\/week of MVPA) had lower depressive symptoms (PR\u2009=\u20090.70; p\u2009=\u20090.026). Sedentary and sleep time were not independently associated with depressive symptoms. Meeting the combined recommendations for both MVPA and sedentary time (PR\u2009=\u20090.77; p\u2009=\u20090.044) and for MVPA and sleep time (PR\u2009=\u20090.76; p\u2009=\u20090.041) was associated with fewer depressive symptoms. Similarly, meeting the combined recommendations for sedentary and sleep time (PR\u2009=\u20090.64; p\u2009=\u20090.009), as well as all three behavior recommendations simultaneously (PR\u2009=\u20090.64; p\u2009=\u20090.009), were\u00a0associated with lower symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MVPA was consistently associated with fewer depressive symptoms among cancer survivors, whereas sedentary and sleep time alone showed no independent association. Combined movement behaviors\u00a0patterns, particularly were also associated with a lower prevalence of depressive symptoms, reinforcing the potential relevance of an\u00a0integrated 24-hour\u00a0movement behavior approach for\u00a0mental health in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>Strategies that promote physically active lifestyles and other healthy (non)movement behaviors, including reduced sedentary time and adequate sleep time, may help support mental health among cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-026-02034-0","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:58:22Z","timestamp":1778903902000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of 24-h movement behaviors with depressive symptoms among cancer survivors: findings from the NHANES 2011\u20132014"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3005-247X","authenticated-orcid":false,"given":"Vagner Deuel","family":"de O. 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