Evidence map›Paper›PMID 21732049›Full record

Trial reportCancer causes & control : CCC2011

Mediators and moderators of the effects of a year-long exercise intervention on endogenous sex hormones in postmenopausal women.

Christine M Friedenreich, Heather K Neilson, Christy G Woolcott, Qinggang Wang, Yutaka Yasui, Rollin F Brant, Frank Z Stanczyk, Kristin L Campbell, Kerry S Courneya

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer causes & control : CCC, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Epidemiology, early detection, and management of breast cancer in China: A comprehensive review.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  3. Review
  4. Linking Physical Activity to Breast Cancer via Sex Hormones, Part 1: The Effect of Physical Activity on Sex Steroid Hormones.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Review
  5. Review
  6. Article
  7. Review
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

9 authors.

Christine M FriedenreichDepartment of Population Health Research, Alberta Health Services-Cancer Care, Calgary, AB, T2N 4N2, Canada, christine.friedenreich@albertahealthservices.ca
Heather K Neilson
Christy G Woolcott
Qinggang Wang
Yutaka Yasui
Rollin F Brant
Frank Z Stanczyk
Kristin L Campbell
Kerry S Courneya

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveTo identify factors that mediate or moderate the effects of exercise on postmenopausal sex hormone concentrations.

methodsPostmenopausal women were randomized to 12 months of aerobic exercise for 200 min/week (n = 160) or to a control group (n = 160). Intention-to-treat analyses were performed using general linear models with sex hormone concentrations at 6 and 12 months as the outcome. Mediation by adiposity and insulin was investigated by examining changes in effect estimates after adjustment for changes in these factors over 12 months. Moderation was studied as the interaction between group assignment and eight baseline characteristics.

resultsIntervention effects on sex hormone-binding globulin (SHBG) and estradiol changes were attenuated with adjustment for change in overall body fat, while there was less attenuation adjusting for intra-abdominal fat change. Intervention effects on SHBG levels were unaffected by adjustment for insulin change. Significant interactions were identified between treatment and physical fitness (for SHBG and testosterone) and age (for testosterone), implying subgroup differences in intervention effect.

conclusionsOur data suggest that overall fat loss partially mediated exercise-induced changes in estradiol and SHBG concentrations. No previous RCT in postmenopausal women has studied moderators of exercise-induced sex hormone changes; therefore, future studies are needed to corroborate our results.

Indexed as

Adipose TissueAdiposityBreast NeoplasmsEstradiolExerciseFemaleGonadal Steroid HormonesHumansInsulinIntention to Treat AnalysisIntra-Abdominal FatMiddle AgedPostmenopauseRisk FactorsSex Hormone-Binding GlobulinTestosteroneEstradiolGonadal Steroid HormonesInsulinSex Hormone-Binding GlobulinTestosterone

Identifiers

PMID21732049
PMCPMC3176403

What OpenQuestion holds

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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.