ArticleFrontiers in public health2014
Race, age, and obesity disparities in adult physical activity levels in breast cancer patients and controls.
Article in Frontiers in public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Body weight management in overweight and obese breast cancer survivors.The Cochrane database of systematic reviews · 2020Pooled it
- Physical activity barriers and resources among black women with a history of breast and endometrial cancer: a systematic review.Journal of cancer survivorship : research and practice · 2020Pooled it
- Older breast cancer survivors' exercise and support group program experiences and recommendations from the IMPROVE trial: a qualitative study.BMC cancer · 2026Trial
- Patterns of Fitbit Use and Activity Levels Among African American Breast Cancer Survivors During an eHealth Weight Loss Randomized Controlled Trial.American journal of health promotion : AJHP · 2022Trial
- Physical Functioning in Older Patients With Breast Cancer: A Prospective Cohort Study in the TEAM Trial.The oncologist · 2016Trial
- TeleHealth Resistance exercise Intervention to preserve dose intensity and Vitality in Elder Breast Cancer Patients (THRIVE 65).Contemporary clinical trials · 2025Article
- Exercise and cardiovascular health among breast cancer survivors: a scoping review of current observational evidence.Cardio-oncology (London, England) · 2025Review
- The role of breast cancer-related arm lymphedema in physical functioning and physical activity participation among long-term African American breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Patterns of Physical Activity and the Role of Obesity and Comorbidities Among Long-term African American Breast Cancer Survivors.Journal of racial and ethnic health disparities · 2023Article
- Disparities in physical activity in adolescent and young adult cancer survivors.Journal of cancer survivorship : research and practice · 2023Article
- Physical activity in association with mortality among Black women diagnosed with breast cancer in the Southern Community Cohort Study.Cancer causes & control : CCC · 2023Article
- Sarcopenia in aging, obesity, and cancer.Translational cancer research · 2020Article
- BMI, physical activity, and breast cancer subtype in white, black, and Sea Island breast cancer survivors.Advances in cancer research · 2020Review
- Health and Racial Disparity in Breast Cancer.Advances in experimental medicine and biology · 2019Review
- Assessing the Racial and Ethnic Disparities in Breast Cancer Mortality in the United States.International journal of environmental research and public health · 2017Review
- Construct Validity of the Late-Life Function and Disability Instrument in African American Breast Cancer Survivors.Healthcare (Basel, Switzerland) · 2016Article
- A time to stop, a time to start: high-dose chemotherapy in overweight and obese patients.Bone marrow transplantation · 2015Article
- A Community-Based Exercise and Support Group Program Improves Quality of Life in African-American Breast Cancer Survivors: A Quantitative and Qualitative Analysis.International journal of sports and exercise medicineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Physical activity has been shown to be inversely associated with breast cancer recurrence and survival. Although physical activity is known to decline with age, rates of change in physical activity have not been well characterized in breast cancer patients and subgroups with known disparities in breast cancer survival, especially in minorities, the elderly, and the obese. We evaluated moderate and strenuous physical activity from high school through diagnosis in 1,220 breast cancer patients, and from high school to recruitment in 935 controls. We compared the proportion of patients and controls meeting the American Cancer Society (ACS) guidelines for physical activity and differences in declines in level of physical activity by race, age, and obesity. At diagnosis, only 33.2% of breast cancer patients met the ACS physical activity guidelines. Only 13.2, 24.7, and 30.5% of African-American (AA), obese, and older (≥65 years) patients met the guidelines, respectively. Controls showed slightly higher rates, with 36.4% overall, 23.7% of AA, 29.0% of obese, and 32.4% of older women meeting the guidelines. AA patients were less likely to meet guidelines compared to White patients (p < 0.0001). Obese patients were less likely to meet guidelines compared to non-obese (p < 0.0001). We found that both moderate and strenuous physical activity declined after high school in patients and controls. AA patients reported steeper declines in strenuous (p = 0.0027), and total (p = 0.0009) physical activity compared to Whites. Obese patients reported steeper declines in total physical activity compared to non-obese (p = 0.022). Differences in average slopes of declines in physical activity were not observed by age. Our results suggest that strategies and programs to encourage women to maintain recommended levels of physical activity after high school are needed. Furthermore, breast cancer patients, particularly AA and obese patients, should be targeted to help reduce disparities.
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