Cardio-oncology & other

Impact of Exercise on Clonal Hematopoiesis

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Exercise was not associated with CH burden but does reduce excess ACM of CH in patients with cancer.

Study context

Population
Patients with cancer: solid tumors (MSK-IMPACT) and primary breast cancer (CANTO)3,539 MSK-IMPACT
Exposure
Exercisers vs nonexercisers
Outcome
CH prevalence and excess all-cause mortality (ACM) risk of CH
Methodological details2 retrospective cohorts (MSK-IMPACT, CANTO), multivariable analysis, prospective remotely-supervised structured exercise therapy study
  • 2 retrospective cohorts (MSK-IMPACT, CANTO)
  • Multivariable analysis
  • Prospective remotely-supervised structured exercise therapy study

Main finding

As reported in the abstract

Estimate (95% CI)
Exercisersvs NonexercisersCH prevalence, MSK-IMPACT; adjusted Firth's logistic regression
OR 0.95(0.8–1.13)
Exercisersvs NonexercisersCH prevalence, CANTO; adjusted Firth's logistic regression
OR 1.28(0.89–1.84)
CH-exercisersvs Non-CH nonexercisersACM, adjusted
HR 0.69(0.55–0.87)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
ACM, CHvs no CHUnadjusted1.41 (1.23–1.62)

Prospective exercise study (n = 4, cancer and clonal hematopoiesis (CH))

CV risk factors improved
No changes in peripheral blood somatic variant allele frequency

Original publication

Impact of Exercise on Clonal Hematopoiesis. JACC Adv. Published 21 October 2025. doi:10.1016/j.jacadv.2025.102260

Composed by AI from the published abstract and checked against it. How Briefs are made →

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