Evidence map›Paper›PMID 41023950›Full record

Trial reportBMC cancer2025

Combined effects of slow movement training with tonic force generation and aerobic exercise prior to cancer therapy in patients with lung cancer (START-lung): a pilot feasibility trial.

Utae Katsushima, Takuya Fukushima, Jiro Nakano, Kazuki Fujii, Yutaro Nagata, Keisuke Kamisako, Yukiko Okuno, Kiyori Yoshida, Tatsuki Ikoma, Yuki Takeyasu and 4 more

Abstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Should supportive care be started before initiating cancer treatment?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

14 authors.

Utae KatsushimaDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Takuya FukushimaFaculty of Rehabilitation, Kansai Medical University, Hirakata, Osaka, 573-1136, Japan.
Jiro NakanoFaculty of Rehabilitation, Kansai Medical University, Hirakata, Osaka, 573-1136, Japan.
Kazuki FujiiDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Yutaro NagataDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Keisuke KamisakoDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Yukiko OkunoDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Kiyori YoshidaDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Tatsuki IkomaDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Yuki TakeyasuDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Yuta YamanakaDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Hiroshige YoshiokaDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Takayasu KurataDepartment of Thoracic Oncology, Kansai Medical University, Hirakata, Osaka, 573-1191, Japan.
Eisuke OchiGraduate School of Sports and Health Studies, Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, 102-8160, Japan. ochi@hosei.ac.jp.ORCID http://orcid.org/0000-0002-2497-0250

Funding

Japan Society for the Promotion of Science Grant-in-Aid for Scientific Research, Tokyo, Japan (C) 23K10572
6 · The paper itself

Abstract

backgroundExercise is known to improve physical fitness, functional performance, muscle strength, quality of life (QoL), and treatment outcomes in patients with cancer. However, the feasibility and impact of implementing an exercise program from the first visit for suspected advanced lung cancer to treatment initiation remain unclear. This study aimed to evaluate the feasibility of a structured exercise program during this period.

methodsThis prospective, single-center study included patients with suspected advanced lung cancer who were instructed to perform a pre-treatment 4-week exercise program consisting of slow movement training with tonic force generation and aerobic exercise. Attendance rates and adverse events were assessed, and changes in functional performance, exercise capacity, balance function, muscle strength and mass, physical activity levels, nutritional status, and QoL were evaluated. Patient feedback on the exercise program was collected.

resultsA total of 17 patients were analyzed, with a mean age of 70 years. The overall exercise attendance rate was 159.7 ± 54.4%. A high attendance rate (≥70.8%) was achieved by 15 patients without any adverse events. Significant improvements from baseline to after-exercise intervention were observed in the five-time sit-to-stand test and 30-second chair stand test. No significant changes in 6-minute walk distance, one-leg standing time, isometric handgrip and knee extensor strengths, skeletal muscle mass or self-reported measures were observed. Patient feedback indicated that exercise was beneficial in alleviating anxiety and maintaining physical condition during the waiting period before treatment.

conclusionsA structured exercise program initiated from the first visit to treatment initiation was feasible and safe in patients with advanced lung cancer. Notably, improvements in the five-time sit-to-stand test and 30-second chair stand test were observed, suggesting potential benefits for enhancing lower-limb functional performance during this period. Further studies, including randomized controlled trials, are warranted to assess its impact on clinical outcomes and long-term patient wellbeing.

trial registrationUniversity Hospital Medical Information Network, UMIN000055155. Date of registration: August 5, 2024

Indexed as

ExerciseExercise TherapyLung NeoplasmsAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedMuscle StrengthPilot ProjectsProspective StudiesQuality of LifeTreatment OutcomeAdvanced lung cancerAerobic exerciseFeasibilityFunctional performanceMuscle weaknessPhysical functionSlow training

Identifiers

PMID41023950
PMCPMC12481832

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.