Evidence map›Paper›PMID 41678067›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Muscle quality during cancer treatment and associations with health-related quality of life.

Jacob L Rodrigues, Nathaniel S O'Connell, Arnethea L Sutton, Kathryn J Ruddy, Kathryn E Weaver, Glenn J Lesser, Bonnie Ky, Ralph B D'Agostino, W Gregory Hundley, Moriah P Bellissimo

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. 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. Muscle quality beyond muscle mass: implications for health-related quality of life in breast cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 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

10 authors.

Jacob L RodriguesDepartment of Internal Medicine, Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Nathaniel S O'ConnellDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Arnethea L SuttonDepartment of Kinesiology and Health Sciences, Virginia Commonwealth University, Richmond, VA, USA.
Kathryn J RuddyDivision of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Kathryn E WeaverDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Glenn J LesserDepartment of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Bonnie KyDepartment of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Ralph B D'AgostinoDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
W Gregory HundleyDepartment of Internal Medicine, Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. greg.hundley@vcuhealth.org.
Moriah P BellissimoDepartment of Internal Medicine, Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. moriah.bellissimomyers@vcuhealth.org.ORCID http://orcid.org/0000-0002-8998-4792

Funding

ECOG-ACRIN NCORP Research Base - TMISTUG1CA189828 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$199.7M
Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
Wake Forest NCORP Research BaseUG1CA189824 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Emily Van Meter Dressler, GLENN J LESSER · 2014 to 2026
$57.9M
Preventing Anthracycline Cardiovascular Toxicity with StatinsR01HL118740 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2013 to 2018
$4.2M
Training Program in Cancer Prevention and Control and Cancer Health Equity (CPC-CHE)T32CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Bernard F Fuemmeler, Oxana G Palesh · 2018 to 2026
$3.0M
Mechanisms and Efficacy of Physical Activity to Reduce Cardiovascular Morbidity in Women with Breast CancerK99HL173554 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Moriah Paige Bellissimo · 2025 to 2026
$267k
American Heart Association 23SFRNPCS1063854NCI NIH HHS T32 CA093423NCI NIH HHS UG1 CA189823NCI NIH HHS UG1 CA189824NCI NIH HHS UG1 CA189828NHLBI NIH HHS K99 HL173554NHLBI NIH HHS R01 HL118740NIH HHS K99HL173554NIH HHS R01HL118740NIH HHS T32CA093423NIH HHS UG1CA189823NIH HHS UG1CA189824NIH HHS UG1CA189828Susan G. Komen for the Cure, Komen Wyoming Affiliate CTA241184399
6 · The paper itself

Abstract

purposeBreast cancer (BC) survivors report declines in health-related quality of life (HRQoL), including worsening physical function and fatigue levels. It is uncertain if these changes are associated with muscle quality. This study estimated changes in muscle quality and HRQoL in BC participants over 24 months of treatment and tested associations with muscle quality and HRQoL.

methodsWomen (n = 149, 50.3 ± 10.7 years) diagnosed with stage I-III BC (PREVENT-WF-98213) reported HRQoL via Patient-Reported Outcomes Measurement Information System (PROMIS) surveys at baseline prior to cancer treatment and at 6-months and 24-months follow up from treatment initiation. Paraspinal intermuscular fat (IMF) and skeletal muscle (SM) were determined by magnetic resonance imaging, and the IMF:SM ratio was calculated to estimate muscle quality. Analyses included linear mixed-effects models adjusting for study group (placebo/statin), age, race, and body mass index.

resultsHRQoL declined from baseline to 6-months but returned to baseline levels by 24-months. Muscle quality worsened from baseline through 24-months manifested by an increase in IMF. Individuals with better muscle quality at baseline reported declines in HRQoL from baseline to 6-months (mean difference [MD] = - 0.12 ± 0.03, p < 0.001), whereas participants with poor baseline muscle quality did not (MD = - 0.06 ± 0.003, p = 0.14). An increase in IMF:SM over 24-months trended towards worse physical function (- 8.76 ± 5.79, p = 0.132).

conclusionMuscle quality worsened over 24-months and trended toward worse physical function at 24-months follow-up. From initial declines during treatment, participants reported recovered HRQoL by 24-months. Further work in a larger cohort is needed to confirm associations with muscle quality and physical function.

Indexed as

Breast NeoplasmsCancer SurvivorsMuscle, SkeletalQuality of LifeAdultFemaleHumansMagnetic Resonance ImagingMiddle AgedPatient Reported Outcome MeasuresBreast cancerFatigueIntermuscular fatSkeletal muscle

Identifiers

PMID41678067
PMCPMC12901223

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Registered trials

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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.