Evidence map›Paper›PMID 39107910›Full record

ArticleJournal of the National Cancer Institute2024

Physical activity and cognition: longitudinal findings from the Thinking and Living with Cancer Study.

Ashley L Artese, Xingtao Zhou, Danielle B Tometich, Brent J Small, Tim A Ahles, Jaeil Ahn, Traci N Bethea, Elizabeth C Breen, Harvey J Cohen, Martine Extermann and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07587957 (Exploring the Feasibility of an Exercise and Noninvasive Brain Stimulation Intervention in Breast Cancer Survivors), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT07587957 narecruitingnot on this mapstarted 2026, after this paper: background citation

Exploring the Feasibility of an Exercise and Noninvasive Brain Stimulation Intervention in Breast Cancer Survivors

TypeinterventionalSponsorFlorida Atlantic UniversityRan2026 to 2027Enrolled40ConditionsBreast CancerArmsExercise + transcranial alternating current stimulation (Ex+tACS), Control
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. p16GeroScience · 2026
    Article
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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

23 authors.

Ashley L ArteseDepartment of Exercise Science and Health Promotion, Charles E. Schmidt College of Science, Florida Atlantic University, Boca Raton, FL, USA.ORCID 0000-0001-8811-566X
Xingtao ZhouDepartment of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University, Washington, DC, USA.ORCID 0000-0002-5164-125X
Danielle B TometichDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Brent J SmallSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Tim A AhlesDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-7936-2818
Jaeil AhnDepartment of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University, Washington, DC, USA.ORCID 0000-0001-7998-4759
Traci N BetheaLombardi Comprehensive Cancer Center, Department of Oncology, Georgetown University, Washington, DC, USA.
Elizabeth C BreenSemel Institute for Neuroscience and Human Behavior, Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Harvey J CohenCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA.
Martine ExtermannSenior Adult Oncology Program, Department of Oncology Sciences, Moffitt Cancer Center, University of South Florida, Tampa, FL, USA.ORCID 0000-0003-4381-1199
Deena GrahamJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, USA.
Claudine IsaacsLombardi Comprehensive Cancer Center, Department of Oncology, Georgetown University, Washington, DC, USA.ORCID 0000-0002-9646-1260
Heather S L JimDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Brenna C McDonaldDepartment of Radiology and Imaging Sciences, Melvin and Bren Simon Comprehensive Cancer Center, and Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis, IN, USA.
Zev M NakamuraDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sunita K PatelDepartment of Population Sciences and Department of Supportive Care Medicine, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Kelly E RentscherDepartment of Psychiatry and Behavioral Medicine, MCW Cancer Center, Medical College of Wisconsin, Milwaukee, WI, USA.
James C RootDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andrew J SaykinDepartment of Radiology and Imaging Sciences, Melvin and Bren Simon Comprehensive Cancer Center, and Indiana Alzheimer's Disease Research Center, Indiana University School of Medicine, Indianapolis, IN, USA.
Kathleen Van DykSemel Institute for Neuroscience and Human Behavior, Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-1500-930X
Wanting ZhaiDepartment of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University, Washington, DC, USA.
Judith E CarrollSemel Institute for Neuroscience and Human Behavior, Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Jeanne MandelblattGeorgetown Lombardi Institute for Cancer and Aging Research, Lombardi Comprehensive Cancer Center, Department of Oncology, Georgetown University, Washington, DC, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI FRANCESCA M GANY · 1985 to 2026
$347.4M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Habtom W Ressom · 1990 to 2026
$71.5M
Research Education ComponentP30AG010133 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SAYKIN, ANDREW J · 1991 to 2020
$37.3M
Training and Career Development CoreU54CA132378 · NCI · CITY COLLEGE OF NEW YORK · PI Kevin H Gardner · 2008 to 2026
$28.9M
Training and Career Development and Education CoreU54CA137788 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Jennifer CF Leng · 2008 to 2026
$28.1M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Research Education ComponentP30AG072976 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI ANDREW J SAYKIN · 2021 to 2026
$24.1M
BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
OLDER BREAST CANCER PATIENTS: RISK FOR COGNITIVE DECLINER01CA129769 · NCI · GEORGETOWN UNIVERSITY · PI AHLES, TIM ALAN, MANDELBLATT, JEANNE · 2009 to 2020
$7.3M
Bio-behavioral Research At The Intersection of Cancer and AgingR35CA197289 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2015 to 2021
$6.2M
Social Determinants of Health as Transducers of Cellular Aging: A New Multi-level Paradigm to Reduce Survivorship Disparities at the Intersection of Cancer and AgingR35CA283926 · NCI · GEORGETOWN UNIVERSITY · PI Jeanne Mandelblatt · 2023 to 2026
$3.7M
Cognition In Older Breast Cancer Survivors: Treatment Exposure, APOE, & SmokingR01CA172119 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AHLES, TIM ALAN, HURRIA, ARTI · 2013 to 2017
$3.5M
Biostatistics and Bioinformatics ResourceDuke Aging Center Postdoctoral Research Training NIA T32 AG000029Georgetown Lombardi Comprehensive Cancer CenterNCI NIH HHS K01 CA212056NCI NIH HHS K08 CA241337NCI NIH HHS K99 CA270294NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA051008NCI NIH HHS P30CA51008NCI NIH HHS R00 CA270294NCI NIH HHS R01 CA129769NCI NIH HHS R01 CA172119NCI NIH HHS R01 CA237535NCI NIH HHS R01 CA244673NCI NIH HHS R35 CA197289NCI NIH HHS R35 CA283926NCI NIH HHS U54 CA132378NCI NIH HHS U54 CA137788NIA NIH HHS K01 AG065485NIA NIH HHS K01 AG081542NIA NIH HHS K23 AG086604NIA NIH HHS P30 AG010133NIA NIH HHS P30 AG028716NIA NIH HHS P30 AG072976NIA NIH HHS R01 AG068193NIA NIH HHS R01 AG082348NIA NIH HHS R21 AG075008NIA NIH HHS R33 AG075008NIA NIH HHS R56 AG068086NIA NIH HHS T32 AG000029NIH HHSNIH HHS R01AG068193NIH HHS R01CA129769Non-Therapeutic Shared Resource R01CA237535UCLA Cousins Center for Psychoneuroimmunology
6 · The paper itself

Abstract

backgroundPhysical activity can improve cognition; however, little is known regarding the relationships between longitudinal objectively measured physical activity, cognition, and inflammation in older breast cancer survivors.

methodsOlder (aged 60 years and older) breast cancer survivors (n = 216) and frequency-matched noncancer control participants (n = 216) were assessed at baseline (presystemic therapy for survivors) and annually for up to 5 years. Assessments included hip-worn actigraphs worn for 7 days, neuropsychological tests, the Functional Assessment of Cancer Therapy-Cognitive Function perceived cognitive impairment subscale, and circulating levels of C-reactive protein and interleukin-6. Data were analyzed using linear mixed-effect, random-effect contemporaneous fluctuation, and multilevel mediation models, considering covariates; a P value less than .05 (2-sided) was considered statistically significant.

resultsSurvivors had fewer minutes of moderate-to-vigorous physical activity than controls at 36-, 48-, and 60-month time points (P < .03). Fewer survivors met aerobic physical activity guidelines at 36 months than control participants (17.7% vs 33.0%, P = .030). When guidelines were met (vs not), Functional Assessment of Cancer Therapy-Cognitive Function perceived cognitive impairment scores were 2.1 (1.0) (P = .034) points higher. Higher moderate-to-vigorous physical activity and meeting aerobic guidelines were not related to objective neuropsychological performance. Moderate-to-vigorous physical activity was inversely associated with C-reactive protein and interleukin-6 (P < .001), but inflammation did not mediate physical activity effects on perceived cognition.

conclusionsOlder breast cancer survivors were less physically active than older noncancer controls, especially farther from baseline. Meeting aerobic guidelines was associated with better perceived cognition in survivors. Survivorship care should consider physical activity monitoring and referral to rehabilitation and supervised exercise programs to promote physical activity and improve recovery in older survivors.

Indexed as

Breast NeoplasmsCancer SurvivorsCognitionExerciseAgedCase-Control StudiesCognitive DysfunctionC-Reactive ProteinFemaleHumansInflammationInterleukin-6Longitudinal StudiesMiddle AgedNeuropsychological TestsC-Reactive ProteinInterleukin-6

Identifiers

PMID39107910
PMCPMC11630529

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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.