Evidence map›Paper›PMID 37306887›Full record

ArticleJournal of neuro-oncology2023

Conceptual development of an intensive exercise program for glioma patients (ActiNO): summary of clinical experience.

Johanna Jost, Michael Müther, Ralf Brandt, Ugur Altuner, Lars Lemcke, Walter Stummer, Klaus Völker, Rainer Wiewrodt, Dorothee Wiewrodt

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07628647 (Pilot Study of the Living Well With Brain Cancer Intervention), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

NCT07628647 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pilot Study of the Living Well With Brain Cancer Intervention

TypeinterventionalSponsorUniversity of Colorado, DenverRan2026 to 2027Enrolled64ConditionsBrain CancerArmsGroup Self-Management Sessions, Educational Materials Only
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Johanna JostDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany. johanna.jost@ukmuenster.de.ORCID http://orcid.org/0009-0004-1306-4852
Michael MütherDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
Ralf BrandtDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
Ugur AltunerDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
Lars LemckeDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
Walter StummerDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
Klaus VölkerInstitute of Sports Science, University Hospital, University Münster, Münster, Germany.
Rainer WiewrodtPulmonary Research Division, Department of Medicine A, University Hospital, University, Münster, Germany.
Dorothee WiewrodtDepartment of Neurosurgery, University Hospital, University Münster, Münster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeExercise proved to reduce cancer-related symptoms and prolong survival in some cancer types. However, brain tumor patients are often advised against strenuous exercise. Here, we summarize our experience with a submaximal exercise program for glioma patients: ActiNO (Active in Neuro-Oncology).

methodsGlioma patients were invited to participate in the program. Since 2011, a sports scientist individualized two one-hour sessions per week adapted to the patients' symptoms. One session consisted of bicycle ergometry (average workload: 75% of maximum heart rate), the other of whole-body resistance training. Both sessions were further complimented by coordinative elements. Cardiorespiratory fitness was assessed using the "Physical Work Capacity" procedure. Patients were followed up regularly to assess adherence to the program and disease activity.

resultsUntil December 2019, 45 glioma patients, median-aged 49 years (IQR 42-59), were included in the analysis. Most patients suffered from glioblastoma (58%), followed by diffuse lower-grade astrocytoma (29%). In overall 1828 training sessions, two minor epileptic events occurred (1 speech arrest; 1 focal seizure). During fitness assessment, all patients achieved at least 75% of their age-adjusted maximum heart rate. Peak workload averaged 172 W (95% CI 156-187). Median survival of participating glioblastoma patients was 24.1 months (95% CI 8.6-39.5).

conclusionThis supervised training program with submaximal exertion was feasible and safe in glioma regardless of WHO grading. Based on these experiences, we initiated a prospective multicenter study to objectify improvements in physical performance and quality of life in patients with glioblastoma.

Indexed as

GlioblastomaGliomaExercise TherapyHumansProspective StudiesQuality of LifeBrain tumorErgometryExerciseGlioblastomaHigh-intensity training

Identifiers

PMID37306887
PMCPMC10322750
OpenAlexW4380290841

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.