Evidence map›Paper›PMID 33977342›Full record

Trial reportJournal of cancer survivorship : research and practice2022

The association of stressful life events on weight loss efforts among African American breast cancer survivors.

Jamila L Kwarteng, L Matthews, A Banerjee, L K Sharp, B S Gerber, M R Stolley

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Jamila L KwartengDivision of Community Health, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, USA. jkwarteng@mcw.edu.ORCID 0000-0001-7050-4931
L MatthewsCancer Center and Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
A BanerjeeDivision of Biostatistics, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, USA.
L K SharpPharmacy Systems, Outcomes and Policy, University of Illinois at Chicago, Chicago, IL, USA.
B S GerberDivision of Academic Internal Medicine and Geriatrics, University of Illinois at Chicago, Chicago, IL, USA.
M R StolleyCancer Center and Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USUniversity of Illinois Chicago · US

Funding

Moving Forward: A weight loss program for African-American breast cancer survivorsR01CA154406 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GERBER, BEN STEVEN, STOLLEY, MELINDA R · 2011 to 2015
$3.1M
HRSA HHS T32HP10030NCI NIH HHS R01 CA154406NCI NIH HHS R01CA155406Transdisciplinary Research in Energetics and Cancer Center, Yale University (US) R25CA203650
6 · The paper itself

Abstract

objectiveThis study examined whether stressful life events were associated with weight loss, central adiposity, and health behavior changes of African American breast cancer survivors (AABCS) participating in a weight loss intervention.

methodsWe conducted a secondary-data analyses of Moving Forward, a weight loss efficacy trial for AABCS conducted in 2011-2014. Two-hundred forty-six eligible women were randomized to a 6-month interventionist-guided (IG) or self-guided (SG) weight loss intervention. Data was collected on height, weight, self-reported diet, and self-reported physical activity. Stress (e.g., financial, legal, employment, relationships, safety, prejudice) was measured using an abbreviated version of the Crisis in Family Systems (CRISYS) urban life stress measure. Generalized linear models stratified by group examined the degree to which stress was associated with weight loss or changes in central adiposity, physical activity, and diet during the intervention (Months 1-6) or maintenance (Months 7 to 12) phases.

resultsParticipants reported a median of 3.0 life stressors (range 0 to 22) mostly relating to relationships, safety concerns, and financial problems. In the IG group during the intervention phase, exposure to life stressors was not associated with weight loss (p = 0.15) or change in central adiposity (p = 0.69), physical activity (p = 0.15), or diet (p = 0.26). We found similar associations for the maintenance phase and in the SG group. CONCLUSION/IMPLICATIONS: Despite facing stress across a myriad of domains (e.g., relationships, safety, finances), AABCS were successful at initiating and maintaining behaviors to achieve weight loss, reductions in central adiposity, and behavioral changes. Future randomized controlled trials are warranted that include more strategies to address the challenges that AABCS face, to determine whether AABCS in particular might benefit from interventions that address barriers (e.g., stress management) to weight loss. Such strategies are critical for improving quality of life and lowering the risk of cancer recurrence.

Indexed as

Breast NeoplasmsCancer SurvivorsBlack or African AmericanFemaleHumansNeoplasm Recurrence, LocalObesityQuality of LifeWeight LossAfrican American breast cancer survivorsStressful life eventsWeight loss

Identifiers

PMID33977342
PMCPMC11322957
OpenAlexW3163628541

What OpenQuestion holds

Textmetadata
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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.