Evidence map›Paper›PMID 31034591›Full record

Trial reportJournal of the American Geriatrics Society2019

Effects of a Home-based Exercise Program on Anxiety and Mood Disturbances in Older Adults with Cancer Receiving Chemotherapy.

Kah Poh Loh, Ian R Kleckner, Po-Ju Lin, Supriya G Mohile, Beverly E Canin, Marie A Flannery, Chunkit Fung, Richard F Dunne, Javier Bautista, Eva Culakova and 10 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04035499 (A Mobile Health Exercise Intervention for Older Patients With Myeloid Neoplasms), which is not on this map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 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.

NCT04035499 nacompletednot on this mapstarted 2020, after this paper: background citation

A Mobile Health Exercise Intervention for Older Patients With Myeloid Neoplasms

TypeinterventionalSponsorUniversity of RochesterRan2020 to 2021Enrolled25ConditionsInterventionArmsGO-EXCAP Mobile App
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  5. Effects of resistance training on quality of life, fatigue, physical function, and muscular strength during chemotherapy treatment: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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  8. Trial
  9. Trial
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  13. Review
  14. Review
  15. Article
  16. Development of a Leg And Walking Self-exercise (LAWS) program for older adults during cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  17. Article
  18. Cardio-oncology rehabilitation: are we ready?European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  19. Review
  20. Chemotherapy-related symptoms and exercise adherence in older patients with myeloid neoplasms.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    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

20 authors.

Kah Poh LohJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-6978-0418
Ian R KlecknerJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Po-Ju LinJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Supriya G MohileJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Beverly E CaninJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Marie A FlanneryJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Chunkit FungJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Richard F DunneJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Javier BautistaJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Eva CulakovaJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Amber S KlecknerJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Luke J PepponeJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Michelle JanelsinsJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Colin McHughJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Alison ConlinPacific Cancer Research Consortium National Cancer Institute Community Oncology Research Program (NCORP), Seattle, Washington.
Jonathan K ChoHawaii Minority Underserved National Cancer Institute Community Oncology Research Program (NCORP), Honolulu, Hawaii.
Sameer KasbariSoutheast Clinical Oncology Research Consortium, Winston-Salem, North Carolina.
Benjamin T EsparazHeartland National Cancer Institute Community Oncology Research Program (NCORP), Decatur, Illinois.
J Philip KueblerColumbus National Cancer Institute Community Oncology Research Program (NCORP), Columbus, Ohio.
Karen M MustianJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
The Pacific Cancer Research Consortium (PCRC), an NCORP Community SiteUG1CA189953 · NCI · SWEDISH MEDICAL CENTER, FIRST HILL · PI Alison Katherine Conlin, Charles Drescher · 2014 to 2026
$27.4M
UNIVERSITY OF ROCHESTER--CCOP RESEARCH BASEU10CA037420 · NCI · UNIVERSITY OF ROCHESTER · PI MORROW, GARY R · 1985 to 2014
$21.1M
Cancer Control Research Training Curriculum (R25T)R25CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C, MORROW, GARY R · 2004 to 2018
$6.7M
A Patient-Oriented Research Program in Geriatric OncologyK24AG056589 · NIA · UNIVERSITY OF ROCHESTER · PI Supriya G. Mohile · 2018 to 2026
$1.5M
The Effects of Exercise on Chemotherapy-Induced Peripheral Neuropathy, Inflammation, and Interoceptive Brain CircuitryK07CA221931 · NCI · UNIVERSITY OF ROCHESTER · PI KLECKNER, IAN ROBERT · 2018 to 2022
$795k
Interventions Targeting Inflammation for Chemotherapy-Related Cognitive ProblemsK07CA168886 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C · 2013 to 2017
$724k
Management of Cancer-Treatment-Induced Bone LossK07CA168911 · NCI · UNIVERSITY OF ROCHESTER · PI PEPPONE, LUKE JOSEPH · 2013 to 2017
$724k
NCI Community Oncology Research Program (NCORP) NCT00924651NCI NIH HHS K07 CA168886NCI NIH HHS K07 CA168911NCI NIH HHS K07 CA221931NCI NIH HHS R25 CA102618NCI NIH HHS U10 CA037420NCI NIH HHS UG1 CA189953NCI NIH HHS UG1 CA189961NIA NIH HHS K24 AG056589
6 · The paper itself

Abstract

BACKGROUND/

objectiveExercise interventions improve anxiety and mood disturbances in patients with cancer. However, studies are limited in older adults with cancer. We assessed the effects of exercise on anxiety, mood, and social and emotional well-being in older patients with cancer during their first 6 weeks of chemotherapy.

designExploratory secondary analysis of a randomized controlled trial (RCT).

settingCommunity oncology practices.

participantsOlder patients (aged 60 years or older) undergoing chemotherapy (N = 252).

interventionPatients were randomized to Exercise for Cancer Patients (EXCAP) or usual care (control) for the first 6 weeks of chemotherapy. EXCAP is a home-based, low- to moderate-intensity progressive walking and resistance training program. MEASUREMENTS: Analysis of covariance, with study arm as the factor, baseline value as the covariate, and study arm × baseline interaction, was used to evaluate arm effects on postintervention anxiety (State Trait Anxiety Inventory [STAI]), mood (Profile of Mood States [POMS]), and social and emotional well-being (Functional Assessment of Cancer Therapy-General subscales) after 6 weeks.

resultsMedian age was 67 years; 77% had breast cancer. Statistically significant group differences were observed in the STAI score (P = .001), POMS score (P = .022), social well-being (P = .002), and emotional well-being (P = .048). For each outcome, EXCAP patients with worse baseline scores had larger improvements at 6 weeks; these improvements were clinically significant for STAI score and social well-being.

conclusionsAmong older cancer patients receiving chemotherapy, a 6-week structured exercise program improved anxiety and mood, especially among those participants with worse baseline symptoms. Additional RCTs are needed to confirm these findings and evaluate the appropriate exercise prescription for managing anxiety, mood, and well-being in this patient population. J Am Geriatr Soc 67:1005-1011, 2019.

Indexed as

Quality of LifeAgedAged, 80 and overAntineoplastic AgentsAnxietyExerciseFemaleFollow-Up StudiesHumansMaleMental HealthMiddle AgedMood DisordersNeoplasmsPrognosisResistance TrainingAntineoplastic Agentsanxietyexercisemoodolder adults with cancersocial and emotional well-being

Identifiers

PMID31034591
PMCPMC6544022

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Registered trials

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.