Evidence map›Paper›PMID 19629060›Full record

Trial reportObesity (Silver Spring, Md.)2009

Exercise improves body fat, lean mass, and bone mass in breast cancer survivors.

Melinda L Irwin, Marty Alvarez-Reeves, Lisa Cadmus, Eileen Mierzejewski, Susan T Mayne, Herbert Yu, Gina G Chung, Beth Jones, M Tish Knobf, Loretta DiPietro

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 19 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 19 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effect of exercise on bone-related outcomes in patients with cancer affected by bone metastases or bone loss: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. The effects of exercise on the bone health of people with cancer: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  7. Exercise for cancer cachexia in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  8. Pooled it
  9. Body weight management in overweight and obese breast cancer survivors.The Cochrane database of systematic reviews · 2020
    Pooled it
  10. Pooled it
  11. Pooled it
  12. The effect of exercise on bone mineral density in adult cancer survivors: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Pooled it
  13. Physical activity for women with breast cancer after adjuvant therapy.The Cochrane database of systematic reviews · 2018
    Pooled it
  14. Pooled it
  15. Exercise for women receiving adjuvant therapy for breast cancer.The Cochrane database of systematic reviews · 2016
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Pooled it
  19. Pooled it
  20. Effect of exercise on body composition among women with ovarian cancer.Journal of cancer survivorship : research and practice · 2023
    Trial

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Melinda L IrwinYale School of Medicine, New Haven, Connecticut, USA. melinda.irwin@yale.edu
Marty Alvarez-Reeves
Lisa Cadmus
Eileen Mierzejewski
Susan T Mayne
Herbert Yu
Gina G Chung
Beth Jones
M Tish Knobf
Loretta DiPietro
Yale University · USDana-Farber Cancer Institute · USJohn B. Pierce Laboratory · US

Funding

ZIPRASIDONE IN TOURETTES SYNDROME, OBSESSIVE COMPULSIVE &PERVASIVE DEV. DISORDERM01RR000125 · NCRR · YALE UNIVERSITY · PI ALPERN, ROBERT J · 1985 to 2006
$24.1M
Impact of exercise on ovarian cancer prognosisR01CA138556 · NCI · YALE UNIVERSITY · PI IRWIN, MELINDA L · 2009 to 2013
$3.1M
RCT of exercise on aromatase inhibitor side effects in breast cancer survivorsR01CA132931 · NCI · YALE UNIVERSITY · PI IRWIN, MELINDA L · 2009 to 2012
$2.4M
NCI NIH HHS R01 CA132931NCI NIH HHS R01 CA138556NCRR NIH HHS M01 RR000125NCRR NIH HHS M01-RR00125
6 · The paper itself

Abstract

Given the negative effects of a breast cancer diagnosis and its treatments on body weight and bone mass, we investigated the effects of a 6-month randomized controlled aerobic exercise intervention vs. usual care on body composition in breast cancer survivors. Secondary aims were to examine the effects stratified by important prognostic and physiologic variables. Seventy-five physically inactive postmenopausal breast cancer survivors were recruited through the Yale-New Haven Hospital Tumor Registry and randomly assigned to an exercise (n = 37) or usual care (n = 38) group. The exercise group participated in 150 min/week of supervised gym- and home-based moderate-intensity aerobic exercise. The usual care group was instructed to maintain their current physical activity level. Body composition was assessed at baseline and 6-months through dual-energy X-ray absorptiometry (DXA) by one radiologist blinded to the intervention group of the participants. On an average, exercisers increased moderate-intensity aerobic exercise by 129 min/week over and above baseline levels compared with 45 min/week among usual care participants (P < 0.001). Exercisers experienced decreases in percent body fat (P = 0.0022) and increases in lean mass (P = 0.047) compared with increases in body fat and decreases in lean mass in usual care participants. Bone mineral density (BMD) was also maintained among exercisers compared with a loss among usual care participants (P = 0.043). In summary, moderate-intensity aerobic exercise, such as brisk walking, produces favorable changes in body composition that may improve breast cancer prognosis.

Indexed as

Adipose TissueAbsorptiometry, PhotonAdultAgedAnthropometryBody CompositionBody Mass IndexBone DensityBreast NeoplasmsDensitometryExerciseFemaleHumansMiddle AgedPostmenopause

Identifiers

PMID19629060
PMCPMC2841468
OpenAlexW2049965626

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.