Evidence map›Paper›PMID 36474321›Full record

SynthesisJNCI cancer spectrum2022

Physical Activity and Health-Related Quality of Life in Women With Breast Cancer: A Meta-Analysis.

Dagfinn Aune, Georgios Markozannes, Leila Abar, Katia Balducci, Margarita Cariolou, Neesha Nanu, Rita Vieira, Yusuf O Anifowoshe, Darren C Greenwood, Steven K Clinton and 19 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in JNCI cancer spectrum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 8 pooled it
–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

49 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Recreational physical activity and health-related quality of life among breast cancer survivors: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  5. Pooled it
  6. Prehabilitation for patients undergoing neoadjuvant therapy prior to cancer resection: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Weight Loss Responses to Pharmacotherapy in Breast Cancer Survivors: Results from the Adaptive Nutrition and Exercise Weight Loss (A-NEW) Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  10. Trial
  11. Muscle quality during cancer treatment and associations with health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Trial
  12. Trial
  13. Trial
  14. Effect of low- and moderate-intensity endurance exercise on physical functioning among breast cancer survivors: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  15. Trial
  16. Article
  17. Article
  18. Article
  19. Article
  20. Breast cancer survivors' perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

29 authors.

Dagfinn AuneDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-4533-1722
Georgios MarkozannesDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Leila AbarDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Katia BalducciDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Margarita CariolouDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Neesha NanuDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Rita VieiraDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Yusuf O AnifowosheDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Darren C GreenwoodLeeds Institute for Data Analytics, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Steven K ClintonThe Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-2840-5865
Edward L GiovannucciDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-6123-0219
Marc J GunterSection of Nutrition and Metabolism, International Agency for Research on Cancer-World Health Organization, Lyon, France.
Alan JacksonNational Institute for Health Research, Southampton Biomedical Research Centre, Southampton, UK.
Ellen KampmanDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands.ORCID 0000-0002-8606-7075
Vivien LundWorld Cancer Research Fund International, London, UK.
Anne McTiernanDivision of Public Health Sciences, Program in Epidemiology, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID 0000-0001-6795-6080
Kate AllenWorld Cancer Research Fund International, London, UK.
Nigel T BrocktonAmerican Institute for Cancer Research, Arlington, VA, USA.ORCID 0000-0002-5434-2490
Helen CrokerWorld Cancer Research Fund International, London, UK.
Daphne KatsikiotiWorld Cancer Research Fund International, London, UK.
Deirdre McGinley-GieserWorld Cancer Research Fund International, London, UK.
Panagiota MitrouWorld Cancer Research Fund International, London, UK.ORCID 0000-0002-8662-3051
Martin WisemanWorld Cancer Research Fund International, London, UK.
Galina VelikovaSchool of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK.ORCID 0000-0003-1899-5942
Wendy Demark-WahnefriedO'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, AL, USA.ORCID 0000-0001-5241-932X
Teresa NoratDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Doris S M ChanDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundPhysical activity (PA) is associated with improved health-related quality of life (HRQoL) among women with breast cancer; however, uncertainty remains regarding PA types and dose (frequency, duration, intensity) and various HRQoL measures. A systematic review and meta-analysis of randomized controlled trials was conducted to clarify whether specific types and doses of physical activity was related to global and specific domains of HRQoL, as part of the Global Cancer Update Programme, formerly known as the World Cancer Research Fund-American Institute for Cancer Research Continuous Update Project.

methodsPubMed and CENTRAL databases were searched up to August 31, 2019. Weighted mean differences (WMDs) in HRQoL scores were estimated using random effects models. An independent expert panel graded the evidence.

resultsA total of 79 randomized controlled trials (14 554 breast cancer patients) were included. PA interventions resulted in higher global HRQoL as measured by the Functional Assessment of Cancer Therapy-Breast (WMD = 5.94, 95% confidence intervals [CI] = 2.64 to 9.24; I2 = 59%, n = 12), Functional Assessment of Cancer Therapy-General (WMD = 4.53, 95% CI = 1.94 to 7.13; I2 = 72%, n = 18), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (WMD = 6.78, 95% CI = 2.61 to 10.95; I2 = 76.3%, n = 17). The likelihood of causality was considered probable that PA improves HRQoL in breast cancer survivors. Effects were weaker for physical function and mental and emotional health. Evidence regarding dose and type of PA remains insufficient for firm conclusions.

conclusionPA results in improved global HRQoL in breast cancer survivors with weaker effects observed for physical function and mental and emotional health. Additional research is needed to define the impact of types and doses of activity on various domains of HRQoL.

Indexed as

Breast NeoplasmsQuality of LifeExerciseFemaleHumans

Identifiers

PMID36474321
PMCPMC9727071

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.