Evidence map›Paper›PMID 31366999›Full record

Trial reportBritish journal of cancer2019

The effectiveness of home versus community-based weight control programmes initiated soon after breast cancer diagnosis: a randomised controlled trial.

Michelle Harvie, Mary Pegington, Debbie McMullan, Nigel Bundred, Karen Livingstone, Anna Campbell, Jane Wolstenholme, Eleanora Lovato, Helen Campbell, Judith Adams and 4 more

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 12 pooled it
1.5field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 12 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  10. Community-based interventions designed to optimize health behaviors among cancer survivors: an integrative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  11. Benefits of weight loss programs for breast cancer survivors: a systematic reviews and meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  12. Community-based exercise programs and cancer-related fatigue: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
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  14. Effects of a 12-week exercise-based intervention on weight management in overweight or obese breast cancer survivors: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
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  18. Multidisciplinary Therapy to Target Obesity and Its Complications in Adult Population: A Narrative Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  19. Ovarian Suppression: Early Menopause and Late Effects.Current treatment options in oncology · 2024
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Michelle HarviePrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester, UK. michelle.harvie@manchester.ac.uk.ORCID http://orcid.org/0000-0001-9761-3089
Mary PegingtonPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0002-5656-1486
Debbie McMullanPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Nigel BundredManchester Breast Centre, Manchester Cancer Research Centre, University of Manchester, Manchester, UK.
Karen LivingstoneThe Nightingale Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Anna CampbellSchool of Applied Sciences, Edinburgh Napier University, Edinburgh, UK.
Jane WolstenholmeNuffield Department of Population Health, Health Economics Research Centre, University of Oxford, Oxford, UK.
Eleanora LovatoNuffield Department of Population Health, Health Economics Research Centre, University of Oxford, Oxford, UK.
Helen CampbellNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
Judith AdamsClinical Radiology, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK.
Sean SpeedThe School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Julie MorrisDepartment of Medical Statistics, Manchester University NHS Foundation Trust, Manchester, UK.
Sacha HowellManchester Breast Centre, Manchester Cancer Research Centre, University of Manchester, Manchester, UK.
Anthony HowellPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester, UK.
University of Manchester · GBManchester University NHS Foundation Trust · GBUniversity of Oxford · GBEdinburgh Napier University · GBManchester Academic Health Science Centre · GB

Funding

Department of Health IS-BRC-1215-20007Department of Health PB-PG-0407-12313
6 · The paper itself

Abstract

backgroundBreast cancer diagnosis may be a teachable moment for lifestyle behaviour change and to prevent adjuvant therapy associated weight gain. We assessed the acceptability and effectiveness of two weight control programmes initiated soon after breast cancer diagnosis to reduce weight amongst overweight or obese women and prevent gains in normal-weight women.

methodsOverweight or obese (n = 243) and normal weight (n = 166) women were randomised to a three-month unsupervised home (home), a supervised community weight control programme (community) or to standard written advice (control). Primary end points were change in weight and body fat at 12 months. Secondary end points included change in insulin, cardiovascular risk markers, quality of life and cost-effectiveness of the programmes.

resultsForty-three percent of eligible women were recruited. Both programmes reduced weight and body fat: home vs. control mean (95% CI); weight -2.3 (-3.5, -1.0) kg, body fat -1.6 (-2.6, -0.7) kg, community vs. control; weight -2.4 (-3.6, -1.1) kg, body fat -1.4 (-2.4, -0.5) kg (all p < 0.001). The community group increased physical activity, reduced insulin, cardiovascular disease risk markers, increased QOL and was cost-effective.

conclusionsThe programmes were equally effective for weight control, but the community programme had additional benefits. CLINICAL

trial registrationISRCTN68576140.

Indexed as

Weight GainWeight LossBreast NeoplasmsCommunity Health ServicesExercise TherapyFemaleFollow-Up StudiesHome Care ServicesHumansLife StyleMiddle AgedObesityOverweightPatient Education as TopicPrognosisQuality of Life

Identifiers

PMID31366999
PMCPMC6738088
OpenAlexW2964632111

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.