ArticleJournal of geriatric oncology2021
Body image, physical activity and psychological health in older female cancer survivors.
Article in Journal of geriatric oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Survivorship Issues in Older Adults with Breast Cancer.Current breast cancer reports · 2025Article
- Observational
- Quality of life in breast cancer survivors: An ambiguous loss perspective.Journal of family theory & review · 2025Article
- State of the science of sexual health among older cancer survivors: an integrative review.Journal of cancer survivorship : research and practice · 2025Review
- Body image of patients in follow-up for pediatric bone sarcoma: implications of tumor location and local therapy.Journal of cancer survivorship : research and practice · 2025Article
- Screening for psychological distress in cancer care: prevalence and predictive factors among Italian patients using the Concerns and Help Identifier for Medical Patients Checklist.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- We will be different forever: A qualitative study of changes of body image in women with breast cancer.BMC public health · 2024Article
- The relationship among body image, psychological distress, and quality of life in young breast cancer patients: a cross-sectional study.Frontiers in psychology · 2024Article
- Body image alteration in women with breast cancer: A concept analysis using an evolutionary method.Asia-Pacific journal of oncology nursing · 2023Article
- Challenges of Survivorship for Older Adults Diagnosed with Cancer.Current oncology reports · 2022Review
- Reasons for Perceived Everyday Discrimination, Quality of Life, and Psychosocial Health of Breast Cancer Survivors: A Cross-Sectional Cluster Analysis.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo determine the association of physical activity and body image with psychological health outcomes and whether body image mediates the association of physical activity with psychological health among older female cancer survivors. MATERIALS AND
methodsData from the Women's Health Initiative (WHI) Life and Longevity after Cancer (LILAC) Study were used. Surveys assessed body image (appearance, attractiveness, scars), moderate-strenuous physical activity (min/week), and psychological health (depression, anxiety, distress). A mediation analysis was conducted to estimate the percentage of the total effect of physical activity on psychological health mediated by body image concerns.
resultsAmong 4567 female cancer survivors aged 66-98 years, the average time since cancer diagnosis was 9.2 years. Approximately 50% reported no moderate-strenuous physical activity; 15% reported depressive symptoms, 6% reported anxiety, and 5% reported psychological distress; 3% had concerns with appearance, 20% had concerns with attractiveness, and 21% had concerns with scars. When unadjusted for body image concerns, every 30 min/week increase in physical activity was associated with lower risk of depressive symptoms (RR = 0.93, 95%CI: 0.90-0.96), anxiety (RR = 0.92, 95%CI: 0.87-0.97), and distress (RR = 0.92, 95%CI: 0.87-0.98). Body image concerns with appearance mediated 7%, 8.8%, and 14.5% of the association between physical activity and depressive symptoms, anxiety, and distress, respectively.
conclusionOlder female cancer survivors reported body image concerns, which were associated with both physical activity and psychological health. Our findings suggest that interventions designed to address body image concerns in older female cancer survivors could serve to improve the benefit of physical activity on psychological health.
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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.