Evidence map›Paper›PMID 40387563›Full record

SynthesisCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2025

The Effects of Post-diagnosis Recreational Aerobic Exercise among Breast Cancer Survivors: A Systematic Review/Meta-Analysis.

Oliver W A Wilson, Charles E Matthews, Kaitlyn M Wojcik, Yelena N Tarasenko, Gisela Butera, Jessica Gorzelitz, Clyde Schechter, Jennifer Y Sheng, Jinani Jayasekera

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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
  9. Article
  10. Article
  11. 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

9 authors.

Oliver W A WilsonDivision of Intramural Research at the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-0174-3813
Charles E MatthewsMetabolic Epidemiology Branch at the National Cancer Institute, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-8037-3103
Kaitlyn M WojcikDivision of Intramural Research at the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.ORCID 0009-0004-7290-6343
Yelena N TarasenkoDepartment of Biostatistics, Epidemiology, and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health at Georgia Southern University, Statesbro, Georgia.ORCID 0000-0002-7062-6960
Gisela ButeraOffice of Research Services, National Institutes of Health Library, Bethesda, Maryland.ORCID 0000-0003-3976-0018
Jessica GorzelitzDepartment of Health & Human Physiology, University of Iowa, Iowa City, Iowa.ORCID 0000-0001-9230-0593
Clyde SchechterDepartment of Family & Social Medicine at Albert Einstein College of Medicine, Bronx, New York.ORCID 0000-0003-0010-2827
Jennifer Y ShengDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.ORCID 0000-0002-4513-4235
Jinani JayasekeraDivision of Intramural Research at the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-9212-7225

Funding

Effectiveness and implementation of a health system intervention to improve quality of cancer care for rural, underserved patientsR01CA254628 · NCI · UNIVERSITY OF IOWA · PI CHARLTON, MARY E. · 2021 to 2025
$3.6M
Health Equity and Decision SciencesZIAMD000022 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI JAYASEKERA, JINANI · 2023 to 2025
$962k
William G. Coleman AwardZIJMD000009 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2017 to 2025
$732k
Intramural NIH HHS ZIA MD000022Intramural NIH HHS ZIJ MD000009National Cancer Institute (NCI)National Cancer Institute (NCI) 3R01CA254628-03S1National Institute on Minority Health and Health Disparities (NIMHD) 1 ZIJ MD000009-07NCI NIH HHS R01 CA254628
6 · The paper itself

Abstract

We aimed to estimate the incremental effects of post-diagnosis recreational aerobic exercise and possible variations in effects on recurrence and mortality to support individualized breast cancer survivorship care plans in clinical settings. Seven databases were searched to identify observational studies that examined the effects of exercise on recurrence, breast cancer-specific mortality, and all-cause mortality (ACM) among female breast cancer survivors. Fully adjusted hazard ratios (HR) and 95% confidence intervals were extracted for comparisons reported in relation to no/minimal exercise (reference). Dose-response relationships between exercise and events were examined using restricted cubic splines. Less than half of participants (44.3%, n = 50,689) met aerobic exercise guidelines for health (≥∼2.5 hours/week). Meeting guidelines was associated with a ∼50% reduction in the HR for ACM, with further reductions up to ∼4.5 hours/week. A ∼25% reduction in the HR for ACM was associated with ∼1 hour/week. The 5-year (unadjusted) ACM rates were 11% for no/minimal exercise, 4% for insufficient exercise, and 3% for meeting exercise guidelines (n = 5 studies). There were limited data for subgroups. Similar patterns were observed for recurrence and breast cancer-specific mortality. Exercise may lower the risk of recurrence and mortality among breast cancer survivors. Though meeting guidelines for health offers the greatest benefits, exercise below guideline-recommended exercise levels is also beneficial.

Indexed as

Breast NeoplasmsCancer SurvivorsExerciseFemaleHumansNeoplasm Recurrence, Local

Identifiers

PMID40387563
PMCPMC12314521

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.