Evidence map›Paper›PMID 27838922›Full record

ArticleEthnicity & health2018

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: implications for an intervention approach.

Selina A Smith, Benjamin E Ansa, Wonsuk Yoo, Mary S Whitehead, Steven S Coughlin

Open access · greenAbstract read
In one paragraph

Article in Ethnicity & health, 2018. 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.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Breast cancer survivors' perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Racial, Ethnic, and Socioeconomic Disparities in Meeting Physical Activity Guidelines among Female Breast Cancer Survivors in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  7. Review
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  9. Application of the theory of planned behavior to understand physical activity intentions and behavior among Korean breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
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  13. Review
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  17. The Augusta, Georgia Breast Cancer Survivor Study.Journal of cancer treatment & diagnosis · 2018
    Article
  18. 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

5 authors at 2 institutions in 1 country.

Selina A Smitha Institute of Public & Preventive Health, Augusta University , Augusta , GA , USA.
Benjamin E Ansaa Institute of Public & Preventive Health, Augusta University , Augusta , GA , USA.
Wonsuk Yooa Institute of Public & Preventive Health, Augusta University , Augusta , GA , USA.
Mary S Whiteheadd Florida Resources for Empowering Sustainable Health , Miami , FL , USA.
Steven S Coughlinf Department of Clinical and Digital Health Sciences , College of Allied Health Sciences, Augusta University , Augusta , GA , USA.
Augusta University · USAugusta University Health · US

Funding

Women's Health Intervention StudyP20MD006881 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI MAYBERRY, ROBERT M · 2012 to 2016
$6.0M
Efficacy-to-Effectiveness Transition of an Educational Program to Increase Colorectal Cancer ScreeningR01CA166785 · NCI · MOREHOUSE SCHOOL OF MEDICINE · PI HOBBS, JOSEPH · 2012 to 2016
$2.2M
NCI NIH HHS R01 CA166785NIMHD NIH HHS P20 MD006881
6 · The paper itself

Abstract

objectivePublic health agencies encourage breast cancer survivors (BCSs) to follow their physical activity guidelines (PAGs). However, adherence to these guidelines is low. African American (AA) BCSs are more often overweight or obese and less likely than women of other races to report adherence to physical activity recommendations. This study examined socioeconomic, clinical, and psychosocial correlates with meeting PAGs.

designAA women diagnosed and treated for breast cancer and participating in a breast cancer support group (N = 193) completed a lifestyle assessment tool capturing demographic characteristics; breast cancer diagnosis and treatment history; health-related quality of life; weight history, including body mass index and post-diagnosis weight gain; and physical activity. Logistic regressions were used to determine if these covariates were associated with meeting [>8.3 metabolic equivalent task (MET) hr/wk]; partially meeting (4.15-8.3 MET hr/wk); or not meeting (<4.15 MET hr/wk) PAGs.

resultsOnly 54% of AA BCSs reported meeting current PAGs. Participants reporting weight gain of ≤5 lbs post-diagnosis, and those who received surgical treatment for breast cancer were more likely to complete at least 8.3 MET hr/wk. Better physical functioning and lesser pain intensity were associated with meeting PAGs.

conclusionSeveral factors influence physical activity behaviors and are likely to be important in developing effective interventions to assist AA survivors manage their weight. It is essential that providers and breast cancer support groups that assist survivors to remain physically active and to manage their weight should be aware of these factors. These findings may help generate hypotheses for future research to undergird efforts to increase physical activity among African American BCSs.

Indexed as

Breast NeoplasmsGuideline AdherenceBlack or African AmericanBody Mass IndexCancer SurvivorsExerciseFemaleHumansLife StyleMiddle AgedObesityadherenceAfrican Americansbody mass indexbreast cancer survivorshealth-related quality of lifePhysical activity guidelines

Identifiers

PMID27838922
PMCPMC5429994
OpenAlexW2512704824

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.