Evidence map›Paper›PMID 33023529›Full record

SynthesisBMC cancer2020

The relationship between physical activity and lymphoma: a systematic review and meta analysis.

Gwynivere A Davies, Christopher Strader, Richa Chibbar, Stefania Papatheodorou, Adam A Dmytriw

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

5 authors.

Gwynivere A DaviesDepartment of Oncology, Juravinski Cancer Centre- Hamilton Health Sciences, Hamilton, ON, Canada. gwynivere.davies@gmail.com.ORCID http://orcid.org/0000-0003-4472-6535
Christopher StraderDepartment of Surgery, University of Massachusetts Medical Center, Worchester, MA, Canada.
Richa ChibbarDigestive Disease Center, Beth Israel Lahey Health, Harvard Medical School, Boston, MA, USA.
Stefania PapatheodorouDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Adam A DmytriwDepartment of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe literature suggests an increased risk between anthropometrics including higher body mass index and lymphoma incidence; however, the association with physical activity remains unclear. A systematic review/meta-analysis was therefore performed to examine this association with physical activity (total, recreational or occupational).

methodsPubMed, Web of Science and Embase were reviewed from inception to October 2019 identifying relevant observational studies. Non-Hodgkin lymphoma (NHL) including subtypes diffuse large B cell lymphoma, follicular lymphoma and chronic lymphocytic leukemia/small lymphocytic lymphoma, and Hodgkin lymphoma (HL) were analyzed. Included studies reported activity, lymphoma cases, effect size and variability measures, and were restricted to human subjects of any age. Data was pooled generating summary relative risk (RR) estimates with 95% confidence intervals (CI) using random-effects models with primary outcome of histologically confirmed incident lymphoma.

resultsOne thousand four hundred studies were initially identified with 18 studies (nine cohort, nine case-control) included in final analysis. Comparing highest vs. lowest activity categories was protective for all lymphoma (RR 0.89, 95%CI 0.81-0.98). Sensitivity analysis demonstrated effect persistence within case-control studies (RR 0.82, 95% CI 0.71-0.96), but not cohort studies (RR 0.95, 95%CI 0.84-1.07). Borderline protective effect was seen for NHL (RR 0.92, 95%CI 0.84-1.00), but not HL (RR 0.72, 95%CI 0.50-1.04). Analysis by NHL subtype or gender showed no effect. Dose response analysis demonstrated a protective effect (p = 0.034) with a 1% risk reduction per 3 MET hours/week (RR 0.99, 95%CI 0.98-1.00).

conclusionsPhysical activity may have a protective effect against lymphoma development; further studies are required to generate recommendations regarding health policy.

trial registrationThis study was registered prospectively at PROSPERO: CRD42020156242 .

Indexed as

Body Mass IndexCase-Control StudiesCohort StudiesExerciseHumansIncidenceLymphoma, Non-HodgkinObservational Studies as TopicLymphomaMeta-analysisPhysical activity

Identifiers

PMID33023529
PMCPMC7539461

What OpenQuestion holds

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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.