Evidence map›Paper›PMID 29746264›Full record

Trial reportCancer nursing

Adherence to American Cancer Society Guidelines on Nutrition and Physical Activity in Female Cancer Survivors: Results From a Randomized Controlled Trial (Yale Fitness Intervention Trial).

So-Hyun Park, M Tish Knobf, Jane Kerstetter, Sangchoon Jeon

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Dietary interventions for adult cancer survivors.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Awareness and attitudes of oncology physicians recommending exercise to patients with cancer.Turkish journal of physical medicine and rehabilitation · 2022
    Article
  11. Article
  12. Article
  13. Physical activity status in relation to quality of life and dietary habits in breast cancer survivors: subset analyses of KROG 14-09 nationwide questionnaire study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  14. Article
  15. Article
  16. Healthy Behaviors: Prevalence of Uptake Among Cancer Survivors.Clinical journal of oncology nursing · 2020
    Review
  17. 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

4 authors.

So-Hyun ParkAuthor Affiliations: Hunter Bellevue School of Nursing, City University of New York (Dr Park), New York; School of Nursing, Yale University (Drs Knobf and Jeon), Orange, Connecticut; and Department of Allied Health Sciences, University of Connecticut (Dr Kerstetter), Storrs.
M Tish Knobf
Jane Kerstetter
Sangchoon Jeon

Funding

Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
An Exercise Intervention to Improve Health in Postmenopausal Cancer SurvivorsR01CA122658 · NCI · YALE UNIVERSITY · PI KNOBF, M. TISH K · 2007 to 2011
$2.1M
NCI NIH HHS R01 CA122658NINR NIH HHS T32 NR008346
6 · The paper itself

Abstract

backgroundThe American Cancer Society (ACS) publishes guidelines on nutrition and physical activity to minimize health risks in cancer patients and survivors. Studies show that high adherence to such guidelines is associated with a decrease in overall cancer incidence and mortality. However, there are sparse data on adherence to the ACS guidelines in cancer survivors.

objectiveThe aim of this study was to describe adherence to the ACS guidelines in female cancer survivors who participated in an exercise intervention trial for 1 year.

methodsPerimenopausal and early postmenopausal female cancer survivors (n = 154) participated in a randomized controlled trial that examined the efficacy of an aerobic-resistance exercise intervention. In addition to body mass index and alcohol, diet and physical activity data were collected with 4-day diet records and the International Physical Activity Questionnaire. A scoring system was used to determine adherence to the ACS guidelines, with scores ranging from 0 (no adherence) to 8 (highest adherence).

resultsMean total adherence scores for ACS guidelines for all intervention and control condition participants, most of whom had breast or gynecological cancers, were 4.2 (baseline), 4.9 (6 months), and 4.8 (12 months), suggesting moderate adherence. Physical activity levels improved in both groups; however, no significant change was observed for adherence to weight, dietary, or alcohol intake guidelines for either group.

conclusionFindings indicate only partial adherence to the ACS guidelines, even for motivated cancer survivors participating in an exercise intervention study. IMPLICATIONS FOR PRACTICE: Further research is needed regarding strategies and interventions to improve adherence to ACS guidelines.

Indexed as

DietExercisePractice Guidelines as TopicAgedAmerican Cancer SocietyCancer SurvivorsFemaleGuideline AdherenceHumansMiddle AgedUnited States

Identifiers

PMID29746264
PMCPMC6226367

What OpenQuestion holds

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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.