Evidence map›Paper›PMID 37610479›Full record

ArticleJournal of cancer survivorship : research and practice2025

Frailty and comorbidities among young adult cancer survivors enrolled in an mHealth physical activity intervention trial.

Erin M Coffman, Andrew B Smitherman, Erik A Willis, Dianne S Ward, Deborah F Tate, Carmina G Valle

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Erin M CoffmanDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Suite 136, Chapel Hill, NC, 27514, USA. erincoffman@unc.edu.
Andrew B SmithermanLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Erik A WillisDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Suite 136, Chapel Hill, NC, 27514, USA.
Dianne S WardDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Suite 136, Chapel Hill, NC, 27514, USA.
Deborah F TateDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Suite 136, Chapel Hill, NC, 27514, USA.
Carmina G ValleDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Suite 136, Chapel Hill, NC, 27514, USA.
University of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
NUTRITION TRAINING PROGRAMT32DK007686 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECK, MELINDA A., MAYER-DAVIS, ELIZABETH J · 1992 to 2022
$4.3M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback StrategiesR01CA204965 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VALLE, CARMINA G · 2017 to 2020
$2.2M
NCATS NIH HHS UL1 TR002489NCATS NIH HHS UL1TR002489NCATS NIH HHS UM1 TR004406NCI NIH HHS P30 CA016086NCI NIH HHS R01 CA204965NCI NIH HHS R01CA204965NCI NIH HHS T32 CA057726NCI NIH HHS T32CA057726NIDDK NIH HHS P30 DK056350NIDDK NIH HHS P30DK056350NIDDK NIH HHS T32 DK007686NIDDK NIH HHS T32DK007686
6 · The paper itself

Abstract

purposeThe physical frailty phenotype identifies individuals at risk for adverse health outcomes but has rarely been assessed among young adult cancer survivors (YACS). This study describes frailty status among YACS participating in a physical activity (PA) intervention trial.

methodsYACS were categorized at baseline using the 5-item FRAIL scale: fatigue; weight loss; illness; ambulation; resistance. Chi-square tests compared frailty and non-cancer comorbidities by characteristics. Prevalence rates (PRs) for the independent associations between characteristics, frailty, and comorbidities were estimated using modified Poisson regression models.

resultsAmong 280 YACS (82% female; mean (M) age = 33.4 ± 4.8 years, M=3.7 ± 2.4 years post-diagnosis), 11% frail, 17% prefrail; the most frequent criteria were fatigue (41%), resistance (38%), and ambulation (14%). Compared to BMI < 25, higher BMI was associated with increased likelihood of frailty (BMI 25-30, PR: 2.40, 95% CI: 1.38-4.17; BMI > 30, PR: 2.95, 95% CI: 1.71-5.08). Compared to 0, ≥ 30 min/week of moderate-to-vigorous PA was associated with reduced frailty (PR: 0.39, 95% CI: 0.25-0.60). Most YACS (55%) reported ≥ 1 comorbidity, most frequently depression (38%), thyroid condition (19%), and hypertension (10%). Comorbidities were more common for women (59% vs. 37%) and current/former smokers (PR: 1.71, 95% CI: 1.29-2.28).

conclusionPrevalence of frailty and comorbidities in this sample was similar to other YACS cohorts and older adults without cancer and may be an indicator of accelerated aging and increased risk for poor outcomes. IMPLICATIONS FOR CANCER SURVIVORS: Assessment of frailty may help identify YACS at increased risk for adverse health outcomes.

Indexed as

Cancer SurvivorsExerciseFrailtyNeoplasmsAdultComorbidityFemaleHumansMalePrevalenceTelemedicineYoung AdultCancer survivorsComorbiditiesFrailtyYoung adult

Identifiers

PMID37610479
PMCPMC10884352
OpenAlexW4386083802

What OpenQuestion holds

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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.