Evidence map›Paper›PMID 29018055›Full record

ArticleEndocrine-related cancer2018

Dose-response effects of exercise on insulin among colon cancer survivors.

Justin C Brown, Michael R Rickels, Andrea B Troxel, Babette S Zemel, Nevena Damjanov, Bonnie Ky, Andrew D Rhim, Anil K Rustgi, Kerry S Courneya, Kathryn H Schmitz

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine-related cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

10 authors at 7 institutions in 2 countries.

Justin C BrownDana-Farber Cancer InstituteBoston, Massachusetts, USA justinc_brown@dfci.harvard.edu.
Michael R RickelsUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA.
Andrea B TroxelNew York UniversityNew York, New York, USA.
Babette S ZemelUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA.
Nevena DamjanovUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA.
Bonnie KyUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA.
Andrew D RhimMD Anderson Cancer CenterHouston, Texas, USA.
Anil K RustgiUniversity of PennsylvaniaPhiladelphia, Pennsylvania, USA.
Kerry S CourneyaUniversity of AlbertaEdmonton, Alberta, Canada.
Kathryn H SchmitzPenn State College of MedicineHershey, Pennsylvania, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USDana-Farber Cancer Institute · USNew York University · USPenn State Milton S. Hershey Medical Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of Alberta · CA

Funding

VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI JOSHUA D RABINOWITZ · 1986 to 2026
$48.3M
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 TROXEL, ANDREA B · 2011 to 2015
$9.1M
The COURAGE Trial: Colon Recurrence and Aerobic Exercise: A Feasibility StudyR21CA182767 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHMITZ, KATHRYN H. · 2014 to 2015
$377k
Inflammation, Physical Activity, and Colon Cancer Recurrence and SurvivalK99CA218603 · NCI · DANA-FARBER CANCER INST · PI BROWN, JUSTIN C · 2017 to 2018
$260k
Effects of Exercise on Visceral Adiposity & Hyperinsulinemia in Colon Cancer SurvivorF31CA192560 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BROWN, JUSTIN C · 2015 to 2016
$69k
NCATS NIH HHS UL1 TR000003NCI NIH HHS F31 CA192560NCI NIH HHS K99 CA218603NCI NIH HHS R21 CA182767NCI NIH HHS U54 CA155850NIDDK NIH HHS P30 DK019525
6 · The paper itself

Abstract

Physical activity is associated with a lower risk of disease recurrence among colon cancer survivors. The pathways through which physical activity may alter disease outcomes are unknown, but may include changes in metabolic growth factors, such as insulin. Between January 2015 and August 2015, 39 stage I-III colon cancer survivors were randomized to one of the three groups: usual care control, 150 min/week of aerobic exercise (low-dose) and 300 min/week of aerobic exercise (high-dose) for six months. The pre-specified key metabolic growth factor outcome was fasting insulin. Insulin resistance was quantified using the homeostatic model assessment. Mean age was 56.5 ± 10.0 years, 51% had stage III disease, 72% were treated with chemotherapy and the mean time since finishing treatment was 10.9 ± 6.1 months. Over six months, the low-dose group completed 141.5 ± 9.9 min/week of aerobic exercise, and the high-dose group completed 247.2 ± 10.7 min/week of aerobic exercise. Fasting insulin concentrations decreased 7.4 ± 9.4 pmol/L in the control group, 28.0 ± 8.3 pmol/L in the low-dose group and 20.7 ± 9.3 pmol/L in the high-dose group (nonlinear

Indexed as

Cancer SurvivorsExerciseAdultAgedAged, 80 and overBody CompositionColonic NeoplasmsFemaleFollow-Up StudiesHumansInsulinInsulin ResistanceMaleMiddle AgedPrognosisInsulinbody compositionmetabolismphysical activitypreventionrandomized trialrecurrence

Identifiers

PMID29018055
PMCPMC5736434
OpenAlexW2763295416

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.