Evidence map›Paper›PMID 23225299›Full record

Trial reportArchives of osteoporosis2012

Exercise effects on hip bone mineral density in older, post-menopausal breast cancer survivors are age dependent.

Kerri M Winters-Stone, Michael C Leo, Anna Schwartz

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of osteoporosis, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00591747 (Strength Training for Older Breast Cancer Survivors), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 16% 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.

NCT00591747 nacompletednot on this map

Strength Training for Older Breast Cancer Survivors

TypeinterventionalSponsorOHSU Knight Cancer InstituteRan2005 to 2011Enrolled106ConditionsBreast Neoplasm, Osteoporosis, PostmenopausalArmsResistance Exercise, Flexibility Training
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Physical activity for women with breast cancer after adjuvant therapy.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Review
  12. The Effects of Resistance Exercise on Biomarkers of Breast Cancer Prognosis: A Pooled Analysis of Three Randomized Trials.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Article
  13. Review
  14. Cancer survivorship issues: life after treatment and implications for an aging population.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Review
  15. 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

3 authors at 3 institutions in 1 country.

Kerri M Winters-StoneSchool of Nursing, Oregon Health and Science University, 3455 SW US Veteran's Hospital Rd, Mailcode: SN-ORD, Portland, OR 97239, USA. wintersk@ohsu.edu
Michael C Leo
Anna Schwartz
Idaho State University · USKaiser Permanente Center for Health Research · USOregon Health & Science University · US

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Comparison of Aerobic and Resistance Exercise in Older Breast Cancer SurvivorsR01CA120123 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WINTERS-STONE, KERRI M · 2007 to 2009
$849k
NCATS NIH HHS UL1 TR000128NCI NIH HHS 1R01 CA120123NCI NIH HHS R01 CA120123NCRR NIH HHS UL1 RR024140
6 · The paper itself

Abstract

unlabelledWe evaluated whether age moderated the effect of impact + resistance exercise on hip BMD in older post-menopausal breast cancer survivors (BCS). Exercise was more beneficial among younger than older women within our sample, suggesting that much older BCS may require different training programs to improve hip health. PURPOSE: Previously, we reported that a program of resistance + impact training stopped bone loss at the spine in older, post-menopausal BCS but had no effect on bone mineral density (BMD) at the hip. Aging may blunt the responsiveness of the hip to mechanical loading, so we conducted a secondary data analysis to evaluate whether age moderated the effect of exercise on hip BMD.

methodsWe analyzed data from our randomized, controlled trial in older (≥ 50 years of age at diagnosis), post-menopausal, post-adjuvant treatment BCS (n = 106) comparing women assigned to impact + resistance exercise (POWIR) or to a control program of low-intensity stretching (FLEX). We examined effect modification by age on BMD at three hip sites (greater trochanter, femoral neck, and total hip) using hierarchical linear modeling adjusting for time since diagnosis and use of adjuvant hormone therapy.

resultsAge moderated the effect of exercise on total hip BMD such that younger women in POWIR were more likely to see a positive net benefit than FLEX compared to older women where there was little difference between groups (p = 0.02).

conclusionsThe skeletal response to loading at the hip within post-menopausal BCS diminishes with age. Whether more vigorous exercise programs and/or longer training periods are required to favorably change hip health in older BCS will require future study and careful thought about the risks and benefits of tougher training programs.

Indexed as

AgedAged, 80 and overAge DistributionAgingBone DensityBreast NeoplasmsExerciseFemaleHip FracturesHip JointHumansMiddle AgedNeoplasm StagingOsteoporosisPostmenopausePredictive Value of Tests

Identifiers

PMID23225299
PMCPMC3533253
OpenAlexW1986660696

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.