Evidence map›Paper›PMID 36367769›Full record

ArticleJMIR research protocols2022

Effects of High and Low-To-Moderate Intensity Exercise During (Neo-) Adjuvant Chemotherapy on Muscle Cells, Cardiorespiratory Fitness, and Muscle Function in Women With Breast Cancer: Protocol for a Randomized Controlled Trial.

Olav Vikmoen, Tor Helge Wiestad, Inger Thormodsen, Karin Nordin, Sveinung Berntsen, Ingrid Demmelmaier, Emelie Strandberg, Truls Raastad

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05218876 (Effects of Moderate and High-Intensity Exercise During), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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.

NCT05218876 nacompletednot on this map

Effects of Moderate and High-Intensity Exercise During (Neo-)Adjuvant Chemotherapy on Muscle Cellular Outcomes in Women With Breast Cancer: a Randomized Controlled Trial

TypeinterventionalSponsorNorwegian School of Sport SciencesRan2016 to 2022Enrolled80ConditionsBreast Cancer FemaleArmsLow- to moderate intensity strength and endurance training, High intensity strength and endurance training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 4 institutions in 2 countries.

Olav VikmoenDepartment of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.ORCID https://orcid.org/0000-0003-1661-9476
Tor Helge WiestadThe Cancer Center for Education and Rehabilitation, Department of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0001-5897-6987
Inger ThormodsenThe Cancer Center for Education and Rehabilitation, Department of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0002-3051-0672
Karin NordinDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-8685-3722
Sveinung BerntsenDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-8250-4768
Ingrid DemmelmaierDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-2068-4708
Emelie StrandbergDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-5549-8326
Truls RaastadDepartment of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.ORCID https://orcid.org/0000-0002-2567-3004
Uppsala University · SEHaukeland University Hospital · NONorwegian School of Sport Sciences · NOUniversity of Agder · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background(Neo-)adjuvant chemotherapy for breast cancer is effective but has deleterious side effects on muscle tissue, resulting in reduced skeletal muscle mass, muscle function, and cardiorespiratory fitness. Various exercise regimens during cancer treatment have been shown to counteract some of these side effects. However, no study has compared the effect of high-intensity training versus low-to-moderate intensity training on muscle tissue cellular outcomes and physical function in patients with breast cancer during chemotherapy.

objectiveThe aim of this substudy within the Physical Training in Cancer (Phys-Can) consortium is to evaluate and compare the effects of high and low-to-moderate intensity exercise on muscle cellular outcomes, muscle function, and cardiorespiratory fitness in women with breast cancer undergoing (neo-)adjuvant chemotherapy. We further aim to investigate if the effects of chemotherapy including taxanes on muscles will be different from those of taxane-free chemotherapy.

methodsEighty women recently diagnosed with breast cancer scheduled to start (neo-)adjuvant chemotherapy will be randomized to a combination of strength and endurance training, either at high intensity or at low-to-moderate intensity. Testing of muscle function and cardiorespiratory fitness and collection of muscle biopsies from the vastus lateralis muscle will be performed before the first cycle of chemotherapy (or after 1 week, when not possible) (T0), halfway through chemotherapy (T1), and after completion of chemotherapy (T2). It is estimated that approximately 50% of the participants will be willing to undergo muscle biopsies. To separate the effect of the treatment itself, a usual care group with no supervised training will also be included, and in this group, testing and collection of muscle biopsies will be performed at T0 and T2 only.

resultsThis study is funded by Active Against Cancer (Aktiv mot kreft) (May 2013) and the Norwegian Cancer Society (December 2018). Inclusion started in December 2016 and the last participant is expected to be recruited in December 2022. As of June 2022, we enrolled 38 (19 with biopsies) participants to the high-intensity training group, 36 (19 with biopsies) participants to the low-to-moderate intensity training group, and 17 (16 with biopsies) participants to the usual care group. Data analyses will start in fall 2022. The first results are expected to be published in spring 2024.

conclusionsThis study will generate new knowledge about the effects of different training intensities for women with breast cancer during chemotherapy treatment. It will give further insight into how chemotherapy affects the muscle tissue and how physical training at different intensities may counteract the treatment side effects in muscles. The results of this study will inform the development and refinement of exercise programs that are effective and compatible with the multidisciplinary management of breast cancer.

trial registrationClinicalTrials.gov NCT05218876; https://tinyurl.com/ysaj9dhm. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/40811.

Indexed as

anthracyclinesendurance trainingmuscle endurancemuscle strengthresistance trainingtaxanes

Identifiers

PMID36367769
PMCPMC9700233
OpenAlexW4296720483

What OpenQuestion holds

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LicenceCC BY
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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.