Evidence map›Paper›PMID 41411628›Full record

ArticleJournal of the National Cancer Institute2026

Walking dose associated with lower cancer-related fatigue among patients with breast cancer.

Lindsey J Mattick, Chin-Shang Li, Po-Ju Lin, Luke J Peppone, Allison Magnuson, Marianne Melnik, Howard Gross, Adedayo A Onitilo, Amber S Kleckner, Karen M Mustian and 1 more

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Lindsey J MattickDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0002-2119-9309
Chin-Shang LiDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0002-0054-4476
Po-Ju LinDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0003-0362-1120
Luke J PepponeDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0002-0346-5191
Allison MagnusonDivision of Hematology/Oncology, Department of Medicine, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0002-0968-8265
Marianne MelnikCancer Research Consortium of West Michigan (CRCWM), NCI Community Oncology Research Program, Grand Rapids, MI, United States.
Howard GrossDayton Clinical Oncology Program, NCI Community Oncology Research Program, Dayton, OH, United States.
Adedayo A OnitiloWisconsin WiNCORP, NCI Community Oncology Research Program, Marshfield, WI, United States.ORCID 0000-0001-9185-0606
Amber S KlecknerDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD, United States.ORCID 0000-0002-5088-1139
Karen M MustianDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.
Michelle C JanelsinsDivision of Supportive Care in Cancer, Department of Surgery, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States.ORCID 0000-0003-2258-7247

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Wisconsin NCI Community Oncology Research Program (WiNCORP)UG1CA189956 · NCI · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI ADEDAYO A ONITILO, Kurt Oettel · 2014 to 2026
$32.3M
Cancer Research Consortium of West Michigan (CRCWM)UG1CA189860 · NCI · COREWELL HEALTH · PI KATHLEEN YOST BUTLER · 2014 to 2026
$29.1M
Dayton Clinical Oncology ProgramUG1CA189957 · NCI · DAYTON CLINICAL ONCOLOGY PROGRAM · PI Howard M Gross · 2014 to 2026
$10.7M
Translational Neuroscience Approaches to Cancer-Related Cognitive Impairment: Measurement, Mechanisms, and FunctionR01CA231014 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C · 2019 to 2024
$3.1M
Clinical and Translational Cancer Control Research Training ProgramT32CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, Gary R Morrow · 2019 to 2026
$2.7M
Maryland Department of Health's Cigarette Restitution Fund Program CH-649-CRFNCI NIH HHS L30 CA294444NCI NIH HHS R01 CA231014NCI NIH HHS T32 CA102618NCI NIH HHS UG1 CA189860NCI NIH HHS UG1 CA189956NCI NIH HHS UG1 CA189957NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

backgroundCancer-related fatigue is a debilitating side effect among patients with cancer. Exercise is recommended to manage cancer-related fatigue; however, clinical guidelines lack specificity on modality, intensity, and duration. This study aimed to determine the optimal doses of walking to mitigate cancer-related fatigue.

methodsIn a nationwide, prospective cohort study of patients with stage I-IIIC breast cancer, we assessed walking volume (metabolic equivalent task [MET] hours per week) via Aerobics Center Longitudinal Study Physical Activity measure and cancer-related fatigue via Multidimensional Fatigue Symptom Inventory at prechemotherapy (T1), 1 month postchemotherapy (T2), and 6 months postchemotherapy (T3). A receiver operating characteristic curve analysis identified a cut point for walking volume needed for a clinically meaningful cancer-related fatigue reduction from T1 to T2 (-4.5 points Multidimensional Fatigue Symptom Inventory score). Linear mixed models controlling for age, body mass index, and other modes of moderate-vigorous intensity exercise characterized cancer-related fatigue at each time point.

resultsAmong 577 participants (mean age = 53.4 years; 76% stage I-II), higher walking volume was associated with lower general, emotional, physical, overall cancer-related fatigue, and higher vigor postchemotherapy (T2; all P < .05). Those who walked at least 4.3 MET hours per week, equivalent to walking 88-172 minutes at a low-intensity pace (<2.5 mph) or 43-83 minutes at a moderate-intensity pace (2.6-4.5 mph) at pre, during, and postchemotherapy demonstrated statistically significantly lower cancer-related fatigue at postchemotherapy (T2) compared with those who walked less than 4.3 MET hours per week (P < .05).

conclusionsOur data indicate that higher walking volume was associated with lower cancer-related fatigue, and a minimum walking volume of 88-172 minutes at a low-intensity pace or 43-83 minutes of moderate-intensity pace may attenuate cancer-related fatigue following chemotherapy.

Indexed as

Breast NeoplasmsFatigueWalkingAdultAgedFemaleHumansLongitudinal StudiesMiddle AgedProspective Studies

Identifiers

PMID41411628
PMCPMC13012195

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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.