Evidence map›Paper›PMID 27873046›Full record

Trial reportJournal of cancer survivorship : research and practice2017

Commercially available lifestyle modification program: randomized controlled trial addressing heart and bone health in BRCA1/2+ breast cancer survivors after risk-reducing salpingo-oophorectomy.

Kathleen M Sturgeon, Lorraine T Dean, Mariane Heroux, Jessica Kane, Toni Bauer, Erica Palmer, Jin Long, Shannon Lynch, Linda Jacobs, David B Sarwer and 2 more

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

Trial report in Journal of cancer survivorship : research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 8 pooled it
1.4field-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.

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

14 citing papers in PubMed, 8 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Effect of combined lifestyle intervention on cardiometabolic risk in cancer survivors: A systematic review and meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  7. The use of eHealth to promote physical activity in cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Pooled it
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  10. Change in Inflammatory Biomarkers and Adipose Tissue inCancer prevention research (Philadelphia, Pa.) · 2018
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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

12 authors at 4 institutions in 1 country.

Kathleen M SturgeonPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
Lorraine T DeanPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
Mariane HerouxPrecision Nutrition, Toronto, ON, Canada.
Jessica KanePerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
Toni BauerPrecision Nutrition, Toronto, ON, Canada.
Erica PalmerPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
Jin LongPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
Shannon LynchFox Chase Cancer Center, Philadelphia, PA, USA.
Linda JacobsPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA.
David B SarwerCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA, USA.
Mary B LeonardStanford University, Stanford, CA, USA.
Kathryn SchmitzPerelman School of Medicine, University of Pennsylvania, 3440 Market St, Suite 440, Office 458, Philadelphia, PA, 19104, USA. kschmitz@phs.psu.edu.
University of Pennsylvania · USFox Chase Cancer Center · USStanford University · USTemple University · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Dietmar J Kappes · 1985 to 2026
$138.8M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
The Women In Steady Exercise Research (WISER) SurwVor TrialU54CA155850 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHMITZ, KATHRYN H. · 2011 to 2015
$9.1M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Social Determinants of Breast Cancer SurvivorshipK01CA184288 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DEAN, LORRAINE TIERA · 2014 to 2018
$767k
NCATS NIH HHS UL1 TR000003NCI NIH HHS K01 CA184288NCI NIH HHS P30 CA006927NCI NIH HHS U54 CA155850NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

purposeThe goal of this RCT was to examine the efficacy and safety of a web-based program to improve cardiovascular and bone health outcomes, among 35 BRCA1/2+ breast cancer survivors who underwent prophylactic oophorectomy and thus experienced premature surgical menopause.

methodsA 12-month commercially available web-based lifestyle modification program (Precision Nutrition Coaching) was utilized. Cardiovascular fitness, dietary intake, leisure time activity, body composition, bone mineral density, bone structure, and muscle strength were assessed.

resultsAverage adherence to all program components was 74.8 %. Women in the intervention group maintained their cardiovascular fitness level over the 12 months (1.1 ± 7.9 %), while the control group significantly decreased fitness capacity (-4.0 ± 7.5 %). There was a significant difference between groups in percent change of whole body bone area (-0.8 ± 2.5 control and 0.5 ± 1.30 intervention). We also observed decreased BMI (-4.7 ± 6.2 %) and fat mass (-8.6 ± 12.7 %) in the intervention group due to significant concomitant decreases in caloric intake and increases in caloric expenditure. The control group demonstrated decreased caloric intake and decreased lean tissue mass.

conclusionsIn this population at high risk for detrimental cardiovascular and bone outcomes, a commercially available lifestyle intervention program mitigated a decline in cardiovascular health, improved bone health, and decreased weight through fat loss. IMPLICATIONS FOR CANCER SURVIVORS: Precision Nutrition Coaching has shown benefit in breast cancer survivors for reduced risk of deleterious cardiovascular and bone outcomes.

Indexed as

Life StyleAdolescentAdultBehavior TherapyBRCA2 ProteinBreast NeoplasmsFemaleHumansMiddle AgedOvariectomyRisk Reduction BehaviorSurvivorsUbiquitin-Protein LigasesYoung AdultBRAP protein, humanBRCA2 ProteinBRCA2 protein, humanUbiquitin-Protein LigasesBoneBRCA1/2ExerciseHeartNeoplasmWeight loss

Identifiers

PMID27873046
PMCPMC5386323
OpenAlexW2552042862

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.