Evidence map›Paper›PMID 26362355›Full record

Trial reportJournal of geriatric oncology2015

Symptoms, weight loss, and physical function in a lifestyle intervention study of older cancer survivors.

Kelly M Kenzik, Miriam C Morey, Harvey J Cohen, Richard Sloane, Wendy Demark-Wahnefried

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of geriatric oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  6. Observational
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  12. Predictors of the 6-min walk test in patients with ovarian cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

5 authors at 4 institutions in 1 country.

Kelly M KenzikUniversity of Alabama at Birmingham, School of Medicine, Birmingham, AL, USA. Electronic address: kkenzik@uab.edu.
Miriam C MoreyClaude D. Pepper Older Americans Independence Center, Duke University Medical Center, Durham, NC, USA; Durham Veterans Affairs Medical Center, Geriatric Research, Education, and Clinical Center, Durham, NC, USA.
Harvey J CohenClaude D. Pepper Older Americans Independence Center, Duke University Medical Center, Durham, NC, USA; Durham Veterans Affairs Medical Center, Geriatric Research, Education, and Clinical Center, Durham, NC, USA; Duke University School of Nursing, Durham, NC, USA.
Richard SloaneDurham Veterans Affairs Medical Center, Geriatric Research, Education, and Clinical Center, Durham, NC, USA; Duke University School of Nursing, Durham, NC, USA.
Wendy Demark-WahnefriedUniversity of Alabama at Birmingham, School of Medicine, Birmingham, AL, USA; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL, USA; University of Alabama at Birmingham Center for Aging, Birmingham, AL, USA.
University of Alabama at Birmingham · USDuke Medical Center · USDurham VA Medical Center · USGeriatric Research Education and Clinical Center · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
RENEW Research-out to ENhancE Wellness Older SurvivorsR01CA106919 · NCI · DUKE UNIVERSITY · PI DEMARK-WAHNEFRIED, WENDY · 2004 to 2007
$2.1M
AHRQ HHS 2 T32 HS013852AHRQ HHS HS013852-07AHRQ HHS K12 HS023009AHRQ HHS T32 HS013852NCI NIH HHS CA106919NCI NIH HHS P30 CA013148NCI NIH HHS P30 CA13148-40NCI NIH HHS R01 CA106919NIA NIH HHS P30 AG028716NIA NIH HHS P30AG028716NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

objectivesMany older cancer survivors are overweight or obese, with additional illness burden increasing functional decline, which may affect their ability to engage in lifestyle interventions. This study examined how overweight long-term survivors' symptom severity associated with comorbidity prior to a diet and exercise intervention was associated with post-intervention function and examined symptoms' effects on function through change in physical activity, diet quality, and weight status. MATERIALS AND

methodsThis is a secondary data analysis of 514 breast, prostate, and colorectal cancer survivors who participated in the one-year home-based diet and exercise intervention Reach-Out to Enhance Wellness trial. Measures included symptoms, weight, physical activity, diet quality, overall physical function (PF), and basic and advanced lower extremity function (BLEF and ALEF). Simple and serial mediation analyses were conducted to examine direct effects of symptom severity on PF, BLEF, and ALEF and indirect effects of symptom severity through changes in diet quality, physical activity, and weight.

resultsSymptom severity was directly associated with lower functioning scores for PF (b=-0.63 p<0.001), BLEF (b=-0.33, p<0.001), and ALEF (b=-0.22, p<0.001). Indirect effects of symptom severity through weight loss, physical activity, and diet were not significant. Weight loss and physical activity were associated with higher PF and ALEF and diet quality was associated with higher BLEF.

conclusionSymptom severity of older, overweight cancer survivors negatively affects physical function. However, greater weight loss and more physical activity were associated with higher functioning scores, regardless of symptom severity.

Indexed as

ExerciseSurvivorsWeight LossAgedAged, 80 and overBody Mass IndexBreast NeoplasmsColorectal NeoplasmsComorbidityDietFemaleHumansLife StyleMaleObesityProstatic NeoplasmsBreastFunctioningPhysical activityProstateSurvivorsSymptomsWeight loss

Identifiers

PMID26362355
PMCPMC4662250
OpenAlexW3010629539

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.