{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:18:43Z","timestamp":1787768323629,"version":"build-2784847793"},"reference-count":51,"publisher":"Human Kinetics","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                    <\/jats:italic>\n                    : Breast cancer survivors often experience physical and mental side effects posttreatment, compromising their quality of life (QoL). The increasing number of survivors coping with long-term side effects creates public health concerns, emphasizing the need for supportive interventions. Although physical activity (PA) benefits cancer survivors, few studies examine the effect that cancer-related factors have on the relationship between PA levels and QoL among breast cancer survivors. Understanding the associations that cancer-related factors may have on the QoL response to PA is crucial for developing effective interventions.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                    <\/jats:italic>\n                    : Baseline data from 341 postprimary treatment breast cancer survivors enrolled in a web-based diet and\/or exercise intervention randomized controlled trial were analyzed. PA measures included accelerometry and self-reported moderate to vigorous PA (MVPA). QoL was assessed using Patient-Reported Outcomes Measurement Information System (PROMIS) global QoL and EuroQOL-5D-5L questionnaires. Pearson correlation coefficient tests and multiple linear regression assessed associations between MVPA and QoL and whether cancer-related factors moderated these associations.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                    <\/jats:italic>\n                    : The EuroQOL-5D-5L QoL index (and 4 out of 5 domains) showed statistically significant associations with self-reported MVPA. PROMIS physical health was correlated with both MVPA measures. Survivors\u2009&gt;\u200924\u00a0months postdiagnosis had stronger associations between accelerometry-measured MVPA levels and EuroQOL-5D-5\u00a0L QoL index (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.0004,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.003). Survivors receiving hormone therapy exhibited stronger associations between self-reported MVPA levels and PROMIS-physical health QoL domain compared with those not (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.0121,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.028).\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                    <\/jats:italic>\n                    : Greater MVPA was modestly associated with better QoL, with stronger associations observed in survivors receiving hormone therapy or &gt;24\u00a0months postdiagnosis. There are potential QoL benefits in implementing interventions immediately postdiagnosis and tailoring to treatment histories.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0583","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T18:53:27Z","timestamp":1776884007000},"page":"1260-1268","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Effects of Cancer-Related Factors on the Association Between Physical Activity and Quality of Life in Breast Cancer Survivors"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-0622","authenticated-orcid":true,"given":"Erica","family":"Schleicher","sequence":"first","affiliation":[{"name":"Division of Hematology Oncology, School of Medicine, UPMC Hillman Cancer Center, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-932X","authenticated-orcid":true,"given":"Wendy","family":"Demark-Wahnefried","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, School of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5750-4021","authenticated-orcid":true,"given":"Gregory","family":"Pavela","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2807-6440","authenticated-orcid":true,"given":"Kevin","family":"Fontaine","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5742-7035","authenticated-orcid":true,"given":"Nataliya","family":"Ivankova","sequence":"additional","affiliation":[{"name":"Department of Health Services Administration, School of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-3268","authenticated-orcid":true,"given":"Maria","family":"Pisu","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Population Science, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0954-3223","authenticated-orcid":true,"given":"Michelle Y.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, College of Medicine-Memphis, The University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7877-7819","authenticated-orcid":true,"given":"Yu-Mei","family":"Schoenberger-Godwin","sequence":"additional","affiliation":[{"name":"Obesity Health Disparities Research Center, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2247-8596","authenticated-orcid":true,"given":"Robert A.","family":"Oster","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Population Science, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6402-8446","authenticated-orcid":true,"given":"Kelly Marie","family":"Kenzik","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4216-8381","authenticated-orcid":true,"given":"Laura Q.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Population Science, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"4","key":"r1","series-title":"CA Cancer J Clin","doi-asserted-by":"publisher","first-page":"308","DOI":"10.3322\/caac.70011","article-title":"Cancer treatment and survivorship statistics, 2025","volume":"75","author":"Wagle NS","year":"2025","unstructured":"Wagle NS, Nogueira L, Devasia TP, et\u00a0al. Cancer treatment and survivorship statistics, 2025. CA Cancer J Clin. 2025;75(4):308\u2013340. doi:10.3322\/caac.70011"},{"issue":"4","key":"r2","series-title":"Sem Oncol","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1053\/j.seminoncol.2020.05.004","article-title":"Breast cancer survivorship","volume":"47","author":"Moore HCF","year":"2020","unstructured":"Moore HCF. Breast cancer survivorship. Sem Oncol. 2020;47(4):222\u2013228. doi:10.1053\/j.seminoncol.2020.05.004"},{"issue":"6","key":"r3","series-title":"Cancer Epidemiol Biomarkers Prev","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1158\/1055-9965.EPI-16-1023","article-title":"Trends in radiation therapy among cancer survivors in the United States, 2000\u20132030","volume":"26","author":"Bryant AK","year":"2017","unstructured":"Bryant AK, Banegas MP, Martinez ME, Mell LK, Murphy JD. Trends in radiation therapy among cancer survivors in the United States, 2000\u20132030. Cancer Epidemiol Biomarkers Prev. 2017;26(6):963\u2013970. doi:10.1158\/1055-9965.EPI-16-1023"},{"issue":"6","key":"r4","series-title":"J Behav Med","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1007\/s10865-017-9855-x","article-title":"Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis","volume":"40","author":"Harris LN","year":"2017","unstructured":"Harris LN, Bauer MR, Wiley JF, et\u00a0al. Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis. J Behav Med. 2017;40(6):875\u2013885. doi:10.1007\/s10865-017-9855-x"},{"issue":"6","key":"r5","series-title":"J Midwifery Womens Health","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1111\/jmwh.13012","article-title":"Long-term effects of breast cancer surgery, treatment, and survivor care","volume":"64","author":"Lovelace DL","year":"2019","unstructured":"Lovelace DL, McDaniel LR, Golden D. Long-term effects of breast cancer surgery, treatment, and survivor care. J Midwifery Womens Health. 2019;64(6):713\u2013724. doi:10.1111\/jmwh.13012"},{"issue":"2","key":"r6","series-title":"Gynecol Oncol","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1016\/j.ygyno.2015.05.026","article-title":"Physical activity and sedentary behavior in breast cancer survivors: new insight into activity patterns and potential intervention targets","volume":"138","author":"Phillips SM","year":"2015","unstructured":"Phillips SM, Dodd KW, Steeves J, McClain J, Alfano CM, McAuley E. Physical activity and sedentary behavior in breast cancer survivors: new insight into activity patterns and potential intervention targets. Gynecol Oncol. 2015;138(2):398\u2013404. doi:10.1016\/j.ygyno.2015.05.026"},{"issue":"1","key":"r7","series-title":"Cancer Nurs","doi-asserted-by":"publisher","first-page":"E29","DOI":"10.1097\/NCC.0000000000000135","article-title":"Symptom burden and quality of life in survivorship: a review of the literature","volume":"38","author":"Wu H-S","year":"2015","unstructured":"Wu H-S, Harden JK. Symptom burden and quality of life in survivorship: a review of the literature. Cancer Nurs. 2015;38(1):E29\u2013E54. doi:10.1097\/NCC.0000000000000135"},{"issue":"3","key":"r8","series-title":"J Cancer Surviv","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1007\/s11764-021-01152-1","article-title":"Current practice patterns and gaps in guideline-concordant breast cancer survivorship care","volume":"17","author":"Brauer ER","year":"2023","unstructured":"Brauer ER, Long EF, Petersen L, Ganz PA. Current practice patterns and gaps in guideline-concordant breast cancer survivorship care. J Cancer Surviv. 2023;17(3):906\u2013915. doi:10.1007\/s11764-021-01152-1"},{"issue":"3","key":"r9","series-title":"Psycho-Oncol","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1002\/pon.5587","article-title":"Variability and stability of coping styles among breast cancer survivors: a prospective study","volume":"30","author":"Schou-Bredal I","year":"2021","unstructured":"Schou-Bredal I, Ekeberg \u00d8, K\u00e5resen R. Variability and stability of coping styles among breast cancer survivors: a prospective study. Psycho-Oncol. 2021;30(3):369\u2013377. doi:10.1002\/pon.5587"},{"issue":"5","key":"r10","series-title":"Support Care Cancer","doi-asserted-by":"publisher","first-page":"2025","DOI":"10.1007\/s00520-015-2994-0","article-title":"Unmet needs mediate the relationship between symptoms and quality of life in breast cancer survivors","volume":"24","author":"Cheng KKF","year":"2016","unstructured":"Cheng KKF, Wong WH, Koh C. Unmet needs mediate the relationship between symptoms and quality of life in breast cancer survivors. Support Care Cancer. 2016;24(5):2025\u20132033. doi:10.1007\/s00520-015-2994-0"},{"issue":"9","key":"r11","series-title":"Qual Life Res","doi-asserted-by":"publisher","first-page":"2639","DOI":"10.1007\/s11136-023-03408-y","article-title":"Longitudinal changes of health-related quality of life over 10\u00a0years in breast cancer patients treated with radiotherapy following breast-conserving surgery","volume":"32","author":"Gao Y","year":"2023","unstructured":"Gao Y, Rosas JC, Fink H, Behrens S, Chang-Claude J, Seibold P. Longitudinal changes of health-related quality of life over 10\u00a0years in breast cancer patients treated with radiotherapy following breast-conserving surgery. Qual Life Res. 2023;32(9):2639\u20132652. doi:10.1007\/s11136-023-03408-y"},{"issue":"1","key":"r12","series-title":"Yonsei Med J","doi-asserted-by":"publisher","first-page":"118","DOI":"10.3349\/ymj.2012.53.1.118","article-title":"Unmet needs of breast cancer patients relative to survival duration","volume":"53","author":"Park BW","year":"2012","unstructured":"Park BW, Hwang SY. Unmet needs of breast cancer patients relative to survival duration. Yonsei Med J. 2012;53(1):118\u2013125. doi:10.3349\/ymj.2012.53.1.118"},{"issue":"1","key":"r13","series-title":"The Breast Journal","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/9921575","article-title":"Associations between physical exercise, quality of life, psychological symptoms and treatment side effects in early breast cancer","volume":"2022","author":"Vehmanen L","year":"2022","unstructured":"Vehmanen L, Mattson J, Karademas E, et\u00a0al. Associations between physical exercise, quality of life, psychological symptoms and treatment side effects in early breast cancer. The Breast Journal. 2022;2022(1):9921575. doi:10.1155\/2022\/9921575"},{"issue":"23","key":"r14","series-title":"J Clin Medi","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11237239","article-title":"Long-term effects of breast cancer therapy and care: calm after the storm?","volume":"11","author":"Tommasi C","year":"2022","unstructured":"Tommasi C, Balsano R, Corian\u00f2 M, et\u00a0al. Long-term effects of breast cancer therapy and care: calm after the storm? J Clin Medi. 2022;11(23):7239. doi:10.3390\/jcm11237239"},{"issue":"8","key":"r15","series-title":"J Natl Cancer Ins","doi-asserted-by":"publisher","first-page":"1689","DOI":"10.1093\/jnci\/djaf112","article-title":"Leisure-time physical activity after diagnosis and survival by cancer type: a pooled analysis","volume":"117","author":"Rees-Punia E","year":"2025","unstructured":"Rees-Punia E, Teras LR, Newton CC, et\u00a0al. Leisure-time physical activity after diagnosis and survival by cancer type: a pooled analysis. J Natl Cancer Ins. 2025;117(8):1689\u20131698. doi:10.1093\/jnci\/djaf112"},{"issue":"8","key":"r16","series-title":"Cancer","doi-asserted-by":"publisher","first-page":"1845","DOI":"10.1002\/cncr.23379","article-title":"Moderators of the effects of exercise training in breast cancer patients receiving chemotherapy: a randomized controlled trial","volume":"112","author":"Courneya KS","year":"2008","unstructured":"Courneya KS, McKenzie DC, Mackey JR, et\u00a0al. Moderators of the effects of exercise training in breast cancer patients receiving chemotherapy: a randomized controlled trial. Cancer. 2008;112(8):1845\u20131853. doi:10.1002\/cncr.23379"},{"issue":"4","key":"r17","series-title":"Psychooncology","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.1002\/pon.4648","article-title":"Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: an individual patient data meta-analysis of 22 RCTs","volume":"27","author":"Kalter J","year":"2018","unstructured":"Kalter J, Verdonck-de Leeuw IM, Sweegers MG, et\u00a0al. Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: an individual patient data meta-analysis of 22 RCTs. Psychooncology. 2018;27(4):1150\u20131161. doi:10.1002\/pon.4648"},{"issue":"9","key":"r18","series-title":"Support Care Cancer","doi-asserted-by":"publisher","first-page":"2623","DOI":"10.1007\/s00520-015-2622-z","article-title":"Moderators of the effects of group-based physical exercise on cancer survivors\u2019 quality of life","volume":"23","author":"Kalter J","year":"2015","unstructured":"Kalter J, Buffart LM, Korstjens I, et\u00a0al. Moderators of the effects of group-based physical exercise on cancer survivors\u2019 quality of life. Support Care Cancer. 2015;23(9):2623\u20132631. doi:10.1007\/s00520-015-2622-z"},{"key":"r19","series-title":"Cancer Treat Rev","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.ctrv.2016.11.010","article-title":"Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs","volume":"52","author":"Buffart LM","year":"2017","unstructured":"Buffart LM, Kalter J, Sweegers MG, et\u00a0al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev. 2017;52:91\u2013104. doi:10.1016\/j.ctrv.2016.11.010"},{"issue":"9","key":"r20","series-title":"Qual Life Res","doi-asserted-by":"publisher","first-page":"2513","DOI":"10.1007\/s11136-025-03992-1","article-title":"Recreational physical activity and health-related quality of life among breast cancer survivors: a systematic review","volume":"34","author":"Tian E","year":"2025","unstructured":"Tian E, Wilson OWA, Wojcik KM, et\u00a0al. Recreational physical activity and health-related quality of life among breast cancer survivors: a systematic review. Qual Life Res. 2025;34(9):2513\u20132529. doi:10.1007\/s11136-025-03992-1"},{"issue":"2","key":"r21","series-title":"Cancer Treat Rev","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.ctrv.2013.06.007","article-title":"Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions","volume":"40","author":"Buffart LM","year":"2014","unstructured":"Buffart LM, Galv\u00e3o DA, Brug J, Chinapaw MJ, Newton RU. Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions. Cancer Treat Rev. 2014;40(2):327\u2013340. doi:10.1016\/j.ctrv.2013.06.007"},{"issue":"1","key":"r22","series-title":"Supportive Care in Cancer","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07477-6","article-title":"Moderators of physical activity and quality of life response to a physical activity intervention for breast cancer survivors","volume":"31","author":"Schleicher E","year":"2022","unstructured":"Schleicher E, McAuley E, Courneya KS, et\u00a0al. Moderators of physical activity and quality of life response to a physical activity intervention for breast cancer survivors. Supportive Care in Cancer. 2022;31(1):53. doi:10.1007\/s00520-022-07477-6"},{"issue":"4","key":"r23","series-title":"J Cancer Surviv","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1007\/s11764-021-01162-z","article-title":"Peer mentoring for physical activity adoption and maintenance among breast cancer survivors: moderators of physical activity outcomes","volume":"17","author":"Pinto BM","year":"2023","unstructured":"Pinto BM, Dunsiger SI, Kindred MM, Mitchell S. Peer mentoring for physical activity adoption and maintenance among breast cancer survivors: moderators of physical activity outcomes. J Cancer Surviv. 2023;17(4):1211\u20131220. doi:10.1007\/s11764-021-01162-z"},{"issue":"10","key":"r24","series-title":"Cancer Epidemiol Biomarkers Prev","doi-asserted-by":"publisher","first-page":"2600","DOI":"10.1158\/1055-9965.EPI-09-0504","article-title":"Moderator effects in a randomized controlled trial of exercise training in lymphoma patients","volume":"18","author":"Courneya KS","year":"2009","unstructured":"Courneya KS, Sellar CM, Stevinson C, et\u00a0al. Moderator effects in a randomized controlled trial of exercise training in lymphoma patients. Cancer Epidemiol Biomarkers Prev. 2009;18(10):2600\u20132607. doi:10.1158\/1055-9965.EPI-09-0504"},{"issue":"16","key":"r25","series-title":"Cancer","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1002\/cncr.29406","article-title":"The effect, moderators, and mediators of resistance and aerobic exercise on health-related quality of life in older long-term survivors of prostate cancer","volume":"121","author":"Buffart LM","year":"2015","unstructured":"Buffart LM, Newton RU, Chinapaw MJ, et\u00a0al. The effect, moderators, and mediators of resistance and aerobic exercise on health-related quality of life in older long-term survivors of prostate cancer. Cancer. 2015;121(16):2821\u20132830. doi:10.1002\/cncr.29406"},{"issue":"1","key":"r26","series-title":"BMC Cancer","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-09519-y","article-title":"Adapting MultiPLe behavior Interventions that eFfectively Improve (AMPLIFI) cancer survivor health: program project protocols for remote lifestyle intervention and assessment in 3 inter-related randomized controlled trials among survivors of obesity-related cancers","volume":"22","author":"Pekmezi D","year":"2022","unstructured":"Pekmezi D, Fontaine K, Rogers LQ, et\u00a0al. Adapting MultiPLe behavior Interventions that eFfectively Improve (AMPLIFI) cancer survivor health: program project protocols for remote lifestyle intervention and assessment in 3 inter-related randomized controlled trials among survivors of obesity-related cancers. BMC Cancer. 2022;22(1):471. doi:10.1186\/s12885-022-09519-y"},{"issue":"11","key":"r27","series-title":"J Clin Epidemiol","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.1016\/j.jclinepi.2010.04.011","article-title":"The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005\u20132008","volume":"63","author":"Cella D","year":"2010","unstructured":"Cella D, Riley W, Stone A, et\u00a0al. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005\u20132008. J Clin Epidemiol. 2010;63(11):1179\u20131194. doi:10.1016\/j.jclinepi.2010.04.011"},{"issue":"7","key":"r28","series-title":"Quality of Life Research","doi-asserted-by":"publisher","first-page":"1717","DOI":"10.1007\/s11136-012-0322-4","article-title":"Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study","volume":"22","author":"Janssen MF","year":"2013","unstructured":"Janssen MF, Pickard AS, Golicki D, et\u00a0al. Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Quality of Life Research. 2013;22(7):1717\u20131727. doi:10.1007\/s11136-012-0322-4"},{"issue":"10","key":"r29","series-title":"Qual Life Res","doi-asserted-by":"publisher","first-page":"1727","DOI":"10.1007\/s11136-011-9903-x","article-title":"Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)","volume":"20","author":"Herdman M","year":"2011","unstructured":"Herdman M, Gudex C, Lloyd A, et\u00a0al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011;20(10):1727\u20131736. doi:10.1007\/s11136-011-9903-x"},{"issue":"5","key":"r30","series-title":"Med Sci Sports Exerc","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1097\/00005768-199805000-00021","article-title":"Calibration of the computer science and applications, Inc. accelerometer","volume":"30","author":"Freedson PS","year":"1998","unstructured":"Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30(5):777\u2013781. doi:10.1097\/00005768-199805000-00021"},{"issue":"3","key":"r31","series-title":"Med Sci Sports Exerc","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1097\/00005768-200003000-00022","article-title":"Field evaluation of the computer science and applications, Inc. physical activity monitor","volume":"32","author":"Sirard JR","year":"2000","unstructured":"Sirard JR, Melanson EL, Li L, Freedson PS. Field evaluation of the computer science and applications, Inc. physical activity monitor. Med Sci Sports Exerc. 2000;32(3):695\u2013700. doi:10.1097\/00005768-200003000-00022"},{"key":"r32","series-title":"Can J Appl Sport Sci","first-page":"141","article-title":"A simple method to assess exercise behavior in the community","volume":"10","author":"Godin G","year":"1985","unstructured":"Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141\u2013146."},{"issue":"2","key":"r33","series-title":"Perceptual Motor Skills","doi-asserted-by":"publisher","first-page":"604","DOI":"10.2466\/03.27.PMS.120v19x7","article-title":"The Godin\u2013Shephard leisure-time physical activity questionnaire: validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories","volume":"120","author":"Amireault S","year":"2015","unstructured":"Amireault S, Godin G. The Godin\u2013Shephard leisure-time physical activity questionnaire: validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories. Perceptual Motor Skills. 2015;120(2):604\u2013622. doi:10.2466\/03.27.PMS.120v19x7"},{"issue":"19","key":"r34","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"2020","DOI":"10.1001\/jama.2018.14854","article-title":"The physical activity guidelines for Americans","volume":"320","author":"Piercy KL","year":"2018","unstructured":"Piercy KL, Troiano RP, Ballard RM, et\u00a0al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020\u20132028. doi:10.1001\/jama.2018.14854"},{"issue":"1","key":"r35","series-title":"Int J Behav Nutr Phys Act","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-5-52","article-title":"Understanding breast cancer patients\u2019 preference for two types of exercise training during chemotherapy in an unblinded randomized controlled trial","volume":"5","author":"Courneya KS","year":"2008","unstructured":"Courneya KS, Reid RD, Friedenreich CM, et\u00a0al. Understanding breast cancer patients\u2019 preference for two types of exercise training during chemotherapy in an unblinded randomized controlled trial. Int J Behav Nutr Phys Act. 2008;5(1):52. doi:10.1186\/1479-5868-5-52"},{"issue":"10","key":"r36","series-title":"Psychooncology","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1002\/pon.3884","article-title":"Peer mentorship to promote physical activity among cancer survivors: effects on quality of life","volume":"24","author":"Pinto B","year":"2015","unstructured":"Pinto B, Stein K, Dunsiger S. Peer mentorship to promote physical activity among cancer survivors: effects on quality of life. Psychooncology. 2015;24(10):1295\u20131302. doi:10.1002\/pon.3884"},{"issue":"6","key":"r37","series-title":"Ann Oncol","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.1093\/annonc\/mdt037","article-title":"Aromatase inhibitor-induced arthralgia: a review","volume":"24","author":"Niravath P","year":"2013","unstructured":"Niravath P. Aromatase inhibitor-induced arthralgia: a review. Ann Oncol. 2013;24(6):1443\u20131449. doi:10.1093\/annonc\/mdt037"},{"issue":"1","key":"r38","series-title":"Breast Cancer Res Treat","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s10549-014-3216-z","article-title":"Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial","volume":"149","author":"Rogers LQ","year":"2015","unstructured":"Rogers LQ, Courneya KS, Anton PM, et\u00a0al. Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial. Breast Cancer Res Treat. 2015;149(1):109\u2013119. doi:10.1007\/s10549-014-3216-z"},{"key":"r39","series-title":"Breast Cancer Treatment (PDQ\u00ae): Patient Version","year":"2024","unstructured":"PDQ Adult Treatment Editorial Board. Breast Cancer Treatment (PDQ\u00ae): Patient Version. PDQ Cancer Information Summaries; 2024."},{"issue":"11","key":"r40","series-title":"Med Sci Sports Exerc","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1249\/MSS.0000000000002116","article-title":"Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable","volume":"51","author":"Campbell KL","year":"2019","unstructured":"Campbell KL, Winters-Stone KM, Wiskemann J, et\u00a0al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375\u20132390. doi:10.1249\/MSS.0000000000002116"},{"issue":"4","key":"r41","series-title":"J Cancer Survivorship","doi-asserted-by":"publisher","first-page":"1385","DOI":"10.1007\/s11764-024-01559-6","article-title":"Psychosocial correlates of physical activity in cancer survivors: a systematic review and meta-analysis","volume":"19","author":"Rodrigues B","year":"2025","unstructured":"Rodrigues B, Encantado J, Franco S, Silva MN, Carra\u00e7a EV. Psychosocial correlates of physical activity in cancer survivors: a systematic review and meta-analysis. J Cancer Survivorship. 2025;19(4):1385\u20131402. doi:10.1007\/s11764-024-01559-6"},{"issue":"11","key":"r42","series-title":"Psycho-Oncol","doi-asserted-by":"publisher","DOI":"10.1002\/pon.70323","article-title":"Understanding the effects of cancer-related factors on the association between physical activity, self-efficacy and exercise barriers among breast cancer survivors","volume":"34","author":"Schleicher E","year":"2025","unstructured":"Schleicher E, Demark-Wahnefried W, Pavela G, et\u00a0al. Understanding the effects of cancer-related factors on the association between physical activity, self-efficacy and exercise barriers among breast cancer survivors. Psycho-Oncol. 2025;34(11):e70323. doi:10.1002\/pon.70323"},{"issue":"2","key":"r43","series-title":"Breast J","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1111\/tbj.12862","article-title":"Management of side effects during and post\u2010treatment in breast cancer survivors","volume":"24","author":"Palesh O","year":"2018","unstructured":"Palesh O, Scheiber C, Kesler S, Mustian K, Koopman C, Schapira L. Management of side effects during and post\u2010treatment in breast cancer survivors. Breast J. 2018;24(2):167\u2013175. doi:10.1111\/tbj.12862"},{"key":"r44","series-title":"Cancer Control","doi-asserted-by":"publisher","DOI":"10.1177\/10732748241249355","article-title":"Comprehensive review of breast cancer consequences for the patients and their coping strategies: a systematic review","volume":"31","author":"Kasgri KA","year":"2024","unstructured":"Kasgri KA, Abazari M, Badeleh SM, Badeleh KM, Peyman N. Comprehensive review of breast cancer consequences for the patients and their coping strategies: a systematic review. Cancer Control. 2024;31:49355. doi:10.1177\/10732748241249355"},{"issue":"1","key":"r45","series-title":"J Cancer Survivor","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1007\/s11764-020-00908-5","article-title":"How patients experience endocrine therapy for breast cancer: an online survey of side effects, adherence, and medical team support","volume":"15","author":"Berkowitz MJ","year":"2021","unstructured":"Berkowitz MJ, Thompson CK, Zibecchi LT, et\u00a0al. How patients experience endocrine therapy for breast cancer: an online survey of side effects, adherence, and medical team support. J Cancer Survivor. 2021;15(1):29\u201339. doi:10.1007\/s11764-020-00908-5"},{"issue":"3","key":"r46","series-title":"Brain Behav Immun","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/j.bbi.2010.10.023","article-title":"Exposure to a social stressor alters the structure of the intestinal microbiota: implications for stressor-induced immunomodulation","volume":"25","author":"Bailey MT","year":"2011","unstructured":"Bailey MT, Dowd SE, Galley JD, Hufnagle AR, Allen RG, Lyte M. Exposure to a social stressor alters the structure of the intestinal microbiota: implications for stressor-induced immunomodulation. Brain Behav Immun. 2011;25(3):397\u2013407. doi:10.1016\/j.bbi.2010.10.023"},{"issue":"3","key":"r47","series-title":"J Cancer Survivorship","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1007\/s11764-015-0430-6","article-title":"Validation of the godin-shephard leisure-time physical activity questionnaire classification coding system using accelerometer assessment among breast cancer survivors","volume":"9","author":"Amireault S","year":"2015","unstructured":"Amireault S, Godin G, Lacombe J, Sabiston CM. Validation of the godin-shephard leisure-time physical activity questionnaire classification coding system using accelerometer assessment among breast cancer survivors. J Cancer Survivorship. 2015;9(3):532\u2013540. doi:10.1007\/s11764-015-0430-6"},{"issue":"1","key":"r48","series-title":"J Community Support Oncol","first-page":"e21","article-title":"Measurement of physical activity and sedentary behavior in breast cancer survivors","volume":"16","author":"Welch WA","year":"2018","unstructured":"Welch WA, Lloyd GR, Awick EA, Siddique J, McAuley E, Phillips SM. Measurement of physical activity and sedentary behavior in breast cancer survivors. J Community Support Oncol. 2018;16(1):e21\u2013e29."},{"issue":"1","key":"r49","series-title":"Int J Behav Nutr Phys Act","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-5-56","article-title":"A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review","volume":"5","author":"Prince SA","year":"2008","unstructured":"Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5(1):56. doi:10.1186\/1479-5868-5-56"},{"issue":"6","key":"r50","series-title":"Cancer","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1002\/cncr.32663","article-title":"Symptom burden among older breast cancer survivors: the Thinking and Living With Cancer (TLC) study","volume":"126","author":"Mandelblatt JS","year":"2020","unstructured":"Mandelblatt JS, Zhai W, Ahn J, et\u00a0al. Symptom burden among older breast cancer survivors: the Thinking and Living With Cancer (TLC) study. Cancer. 2020;126(6):1183\u20131192. doi:10.1002\/cncr.32663"},{"issue":"1","key":"r51","series-title":"Cancer J Clin","first-page":"10","article-title":"Cancer statistics, 2025","volume":"75","author":"Siegel RL","year":"2025","unstructured":"Siegel RL, Kratzer TB, Giaquinto AN, Sung H, Jemal A. Cancer statistics, 2025. Cancer J Clin. 2025;75(1):10\u201345.\u00a0https:\/\/doi.org\/10.3322\/caac.21871"}],"container-title":["Journal of Physical Activity and Health"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/9\/article-p1260.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/9\/article-p1260.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/9\/article-p1260.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:28:43Z","timestamp":1787765323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/9\/article-p1260.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":51,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.1123\/jpah.2025-0583","relation":{},"ISSN":["1543-3080","1543-5474"],"issn-type":[{"value":"1543-3080","type":"print"},{"value":"1543-5474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}