{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:04Z","timestamp":1777851964999,"version":"3.51.4"},"reference-count":61,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Physical activity levels among childhood cancer survivors are typically quantified as a total amount using time spent in various intensities. Yet, most analyses do not consider the transitory nature of children\u2019s behaviors and a more detailed approach could provide complimentary information. We aimed to explore various behavior profiles of survivors\u2019 daily and hourly physical activity patterns. We measured 8-18-year-old survivors\u2019 activity levels over 7\u00a0days using wrist accelerometry and cluster analysis. Of the 37 participant datasets, survivors engaged in mean (SD) 36.3 (19.0) min\/day of MVPA and 4.1 (1.9) hrs\/day of sedentary activity. The cluster analysis revealed five daily movement patterns: \u2018most active\u2019 (prevalence 11%), \u2018active\u2019 (22%), \u2018moderately active + moderately sedentary\u2019 (35%), \u2018moderately active + high sedentary\u2019 (5%) and \u2018least active\u2019 (27%). Younger survivors and those with less time since treatment completion were more likely to be in the active clusters. Hourly behaviors were characterized by short bursts of MVPA and moderate bouts of sedentary activity. Our approach provides an insightful analysis into the nature and timing of childhood cancer survivors\u2019 movement behaviours. Our findings may assist in the development of targeted interventions to improve physical activity levels.<\/jats:p>","DOI":"10.1177\/14604582231212525","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T17:01:07Z","timestamp":1698685267000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Patterns of physical activity and sedentary behavior in child and adolescent cancer survivors assessed using wrist accelerometry: A cluster analysis approach"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6494-5861","authenticated-orcid":false,"given":"Lauren","family":"Ha","sequence":"first","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine & Health, UNSW, Sydney, Australia"},{"name":"Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children\u2019s Hospital, Randwick, Australia"}]},{"given":"Claire 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