Evidence map›Paper›PMID 26945570›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Impact of a behavioral weight loss intervention on comorbidities in overweight and obese breast cancer survivors.

Rebecca L Sedjo, Shirley W Flatt, Tim Byers, Graham A Colditz, Wendy Demark-Wahnefried, Patricia A Ganz, Kathleen Y Wolin, Anthony Elias, Helen Krontiras, Jingxia Liu and 5 more

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
0.9field-weighted citation impact, top 23% 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

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

  1. Long-term effects of weight-reducing diets in people with hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Weight Loss Randomized Intervention Trials in Female Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Pooled it
  5. Review
  6. Review
  7. Article
  8. Dynamics of Long-Term Patient-Reported Quality of Life and Health Behaviors After Adjuvant Breast Cancer Chemotherapy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  9. Association between weight change and breast cancer prognosis.Breast cancer research and treatment · 2022
    Article
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

15 authors at 6 institutions in 1 country.

Rebecca L SedjoUniversity of Colorado Anschutz Medical Campus, 13001 East 17th Place, MS F519, Aurora, CO, 80045, USA. rebecca.sedjo@ucdenver.edu.
Shirley W FlattUniversity of California, San Diego, 3855 Health Sciences Drive, La Jolla, CA, 92093, USA.
Tim ByersUniversity of Colorado Anschutz Medical Campus, 13001 East 17th Place, MS F519, Aurora, CO, 80045, USA.
Graham A ColditzWashington University School of Medicine, 660 South Euclid Avenue, Campus Box 8100, Saint Louis, MO, 63110, USA.
Wendy Demark-WahnefriedUniversity of Alabama at Birmingham, 1824 6th Avenue, Wallace Tumor Institute, Rm. 310D, Birmingham, AL, 35294, USA.
Patricia A GanzJonsson Comprehensive Cancer Center, and the UCLA Fielding School of Public Health, University of California Los Angeles, 650 Charles Young Drive South, Room A2-125 CHS, Los Angeles, 90095, CA, USA.
Kathleen Y WolinCoeus Health LLC, 222 Merchandise Mart Pl, Suite 1230, Chicago, IL, 60654, USA.
Anthony EliasUniversity of Colorado Anschutz Medical Campus, 13001 East 17th Place, MS F519, Aurora, CO, 80045, USA.
Helen KrontirasUniversity of Alabama at Birmingham, 1824 6th Avenue, Wallace Tumor Institute, Rm. 310D, Birmingham, AL, 35294, USA.
Jingxia LiuWashington University School of Medicine, 660 South Euclid Avenue, Campus Box 8100, Saint Louis, MO, 63110, USA.
Michael NaughtonWashington University School of Medicine, 660 South Euclid Avenue, Campus Box 8100, Saint Louis, MO, 63110, USA.
Bilgé PakizUniversity of California, San Diego, 3855 Health Sciences Drive, La Jolla, CA, 92093, USA.
Barbara A ParkerUniversity of California, San Diego, 3855 Health Sciences Drive, La Jolla, CA, 92093, USA.
Holly WyattUniversity of Colorado Anschutz Medical Campus, 13001 East 17th Place, MS F519, Aurora, CO, 80045, USA.
Cheryl L RockUniversity of California, San Diego, 3855 Health Sciences Drive, La Jolla, CA, 92093, USA.
University of California, San Diego · USUniversity of Colorado Anschutz Medical Campus · USWashington University in St. Louis · USUniversity of Alabama at Birmingham · USMercy Health · USUniversity of California, Los Angeles · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jesse Nodora · 1985 to 2026
$124.9M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Reducing Breast Cancer Recurrence with Weight Loss: A Vanguard TrialR01CA148791 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROCK, CHERYL L · 2010 to 2013
$4.9M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR001082NCI NIH HHS P30 CA023100NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA148791NCRR NIH HHS UL1 RR024992
6 · The paper itself

Abstract

purposeComorbid medical conditions are common among breast cancer survivors, contribute to poorer long-term survival and increased overall mortality, and may be ameliorated by weight loss. This secondary analysis evaluated the impact of a weight loss intervention on comorbid medical conditions immediately following an intervention (12 months) and 1-year postintervention (24 months) using data from the Exercise and Nutrition to Enhance Recovery and Good health for You (ENERGY) trial-a phase III trial which was aimed at and successfully promoted weight loss.

methodsENERGY randomized 692 overweight/obese women who had completed treatment for early stage breast cancer to either a 1-year group-based behavioral intervention designed to achieve and maintain weight loss or to a less intensive control intervention. Minimal support was provided postintervention. New medical conditions, medical conditions in which non-cancer medications were prescribed, hospitalizations, and emergency room visits, were compared at baseline, year 1, and year 2. Changes over time were analyzed using chi-squared tests, Kaplan-Meier, and logistic regression analyses.

resultsAt 12 months, women randomized to the intervention had fewer new medical conditions compared to the control group (19.6 vs. 32.2 %, p < 0.001); however, by 24 months, there was no longer a significant difference. No difference was observed in each of the four conditions for which non-cancer medications were prescribed, hospital visits, or emergency visits at either 12 or 24 months.

conclusionsThese results support a short-term benefit of modest weight loss on the likelihood of comorbid conditions; however, recidivism and weight regain likely explain no benefit at 1-year postintervention follow-up.

Indexed as

AdultAgedBehavior TherapyBreast NeoplasmsComorbidityFemaleHumansMiddle AgedObesityOverweightSurvivorsWeight LossBreast cancer survivorshipComorbid conditionsWeight loss

Identifiers

PMID26945570
PMCPMC5323258
OpenAlexW2291670662

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.