Evidence map›Paper›PMID 34670800›Full record

ReviewCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2022

Linking Physical Activity to Breast Cancer via Sex Hormones, Part 1: The Effect of Physical Activity on Sex Steroid Hormones.

Christopher T V Swain, Ann E Drummond, Leonessa Boing, Roger L Milne, Dallas R English, Kristy A Brown, Eline H van Roekel, Suzanne C Dixon-Suen, Michael J Lynch, Melissa M Moore and 4 more

Open access · greenAbstract readReview
In one paragraph

Review in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Exercise and pathologic complete response to cancer treatment: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Linking Physical Activity to Breast Cancer Risk via the Insulin/Insulin-like Growth Factor Signaling System, Part 2: The Effect of Insulin/Insulin-like Growth Factor Signaling on Breast Cancer Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Pooled it
  3. Linking Physical Activity to Breast Cancer via Sex Steroid Hormones, Part 2: The Effect of Sex Steroid Hormones on Breast Cancer Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Pooled it
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  13. International Pooled Analysis of Leisure-Time Physical Activity and Premenopausal Breast Cancer in Women From 19 Cohorts.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  14. Physical Activity and Mammographic Density in Japanese Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  15. Article
  16. Review
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  18. Article
  19. Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Observational
  20. Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 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

14 authors at 9 institutions in 4 countries.

Christopher T V SwainCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0002-0158-2511
Ann E DrummondCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.
Leonessa BoingLaboratory of Research in Leisure and Physical Activity, Santa Catarina State University, Florianópolis, Brazil.ORCID 0000-0003-4978-9703
Roger L MilneCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0001-5764-7268
Dallas R EnglishCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0001-7828-8188
Kristy A BrownDepartment of Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-3382-5546
Eline H van RoekelDepartment of Epidemiology, GROW School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands.
Suzanne C Dixon-SuenCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0003-3714-8386
Michael J LynchNambour Heights Family Medical, Nambour, Queensland, Australia.
Melissa M MooreMedical Oncology, St Vincent's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0002-3869-1949
Tom R GauntBristol Medical School, University of Bristol, Bristol, United Kingdom.
Richard M MartinBristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-7992-7719
Sarah J LewisBristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-4311-6890
Brigid M LynchCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia. brigid.lynch@cancervic.org.au.ORCID 0000-0001-8060-547X
Cancer Council Victoria · AUUniversity of Bristol · GBDeakin University · AUMaastricht University · NLMonash Health · AUSt Vincent's Hospital · AUUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Melbourne · AUWeill Cornell Medicine · US

Funding

Obesity Increases Breast Cancer Penetrance in BRCA Mutation Carriers: A Role for Local and Systemic FactorsR01CA215797 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI BROWN, KRISTY A. · 2017 to 2021
$2.6M
Cancer Research UK 19169Cancer Research UK 29019Cancer Research UK A29019Cancer Research UK C18281/A29019Medical Research Council MC_UU_00011/4NCI NIH HHS R01 CA215797
6 · The paper itself

Abstract

The effect of physical activity on breast cancer risk may be partly mediated by sex steroid hormones. This review synthesized and appraised the evidence for an effect of physical activity on sex steroid hormones. Systematic searches were performed using MEDLINE (Ovid), EMBASE (Ovid), and SPORTDiscus to identify experimental studies and prospective cohort studies that examined physical activity and estrogens, progestins, and/or androgens, as well as sex hormone binding globulin (SHBG) and glucocorticoids in pre- and postmenopausal women. Meta-analyses were performed to generate effect estimates. Risk of bias was assessed, and the GRADE system was used to appraise quality of the evidence. Twenty-eight randomized controlled trials (RCT), 81 nonrandomized interventions, and six observational studies were included. Estrogens, progesterone, and androgens mostly decreased, and SHBG increased, in response to physical activity. Effect sizes were small, and evidence quality was graded moderate or high for each outcome. Reductions in select sex steroid hormones following exercise supports the biological plausibility of the first part of the physical activity-sex hormone-breast cancer pathway. The confirmed effect of physical activity on decreasing circulating sex steroid hormones supports its causal role in preventing breast cancer.

Indexed as

ExerciseBreast NeoplasmsCausalityFemaleGonadal Steroid HormonesHumansRisk FactorsGonadal Steroid Hormones

Identifiers

PMID34670800
PMCPMC7612605
OpenAlexW3207075910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.