Evidence map›Paper›PMID 29636539›Full record

Trial reportScientific reports2018

Dietary and Physical Activity Interventions for Colorectal Cancer Survivors: A Randomized Controlled Trial.

C F Lee, Judy W C Ho, Daniel Y T Fong, Duncan J Macfarlane, Ester Cerin, Antoinette M Lee, Sharron Leung, Wynnie Y Y Chan, Ivy P F Leung, Sharon H S Lam and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Pooled it
  7. Dietary interventions for adult cancer survivors.The Cochrane database of systematic reviews · 2019
    Pooled it
  8. Systematic review and meta-analysis of maintenance of physical activity behaviour change in cancer survivors.The international journal of behavioral nutrition and physical activity · 2019
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Review
  13. Article
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  15. Article
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  17. Review
  18. Social determinants of health, diet, and symptom experiences in colorectal cancer survivors: A scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  19. Review
  20. Review
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

13 authors.

C F LeeSchool of Public Health, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Judy W C HoDepartment of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Daniel Y T FongSchool of Nursing, The University of Hong Kong, Pok Fu Lam, Hong Kong. dytfong@hku.hk.
Duncan J MacfarlaneSchool of Public Health, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Ester CerinSchool of Public Health, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Antoinette M LeeDepartment of Psychology, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Sharron LeungSchool of Nursing, Hong Kong Baptist Hospital, Beacon Hill, Hong Kong.
Wynnie Y Y ChanSchool of Professional and Continuing Education, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Ivy P F LeungDepartment of Dietetics, Queen Elizabeth Hospital, Yau Ma Tei, Hong Kong.
Sharon H S LamDepartment of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Natural ChuDepartment of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Aliki J TaylorInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.
Kar-Keung ChengInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-1516-1857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been evidence on the protective effects of diets high in fiber and low in red and processed meat (RPM), and physical activity (PA) against colorectal cancer (CRC) development, but that against CRC recurrence has been limited. This study evaluated the efficacy of a behavioral program comprising dietary and PA interventions in improving Chinese CRC survivors' lifestyle. A 2 × 2 factorial randomized controlled trial of 223 CRC patients (82 females, mean age 65), randomly assigned to receive dietary, PA or both interventions, or usual care for 12 months, and assessed every 6 months for 24 months. Primary outcomes included two dietary and two PA targets. Secondary outcomes included changes in dietary consumptions and PA levels. Dietary interventions significantly increased the odds of achieving the targets of consuming less RPM at all time-points (OR 3.22-4.57, all p < 0.01) and refined grain (RG) at months 6 (OR 3.13, p = 0.002) and 24 (OR 2.19, p = 0.039), and reduced RPM (2.49-3.48 servings/week, all p < 0.01) and RG (0.31-0.5 servings/day, all p < 0.01) consumptions. Patients receiving PA interventions potentially spent more time on moderate-to-vigorous PA. This study demonstrated the efficacy of a behavioral program in improving dietary habits of Chinese CRC survivors.

Indexed as

Cancer SurvivorsDietExerciseQuality of LifeAdultAgedAged, 80 and overColorectal NeoplasmsFemaleHealth BehaviorHumansLife StyleMaleMiddle AgedOdds RatioPublic Health Surveillance

Identifiers

PMID29636539
PMCPMC5893594

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.