Evidence map›Paper›PMID 42884737›Full record

Trial reportNutrients2026

Associations Between Physical Activity Measurement Modality and Gut Microbiome in Breast Cancer Survivors.

Whitney N Neal, Keri M Kemp, Rebecca B Little, Stephen J Carter, Erica A Schleicher, Robert W Motl, Jin Lu, Elliot J Lefkowitz, Robert A Oster, Lyse A Norian and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 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

14 authors.

Whitney N NealDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Keri M KempDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.ORCID 0000-0003-3538-852X
Rebecca B LittleDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Stephen J CarterDepartment of Kinesiology, Indiana University Bloomington, Bloomington, IN 47405, USA.ORCID 0000-0001-5625-0883
Erica A SchleicherDepartment of Hematology Oncology, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Robert W MotlDepartment of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL 60607, USA.
Jin LuDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Elliot J LefkowitzDepartment of Computer Science, University of Alabama at Birmingham, Birmingham, AL 35294, USA.ORCID 0000-0002-4748-4925
Robert A OsterDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.ORCID 0000-0002-2247-8596
Lyse A NorianMarkey Cancer Center, Department of Microbiology, Immunology, and Molecular Genetics, University of Kentucky, Lexington, KY 40506, USA.
Gary R HunterDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Helen KrontirasDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Bulent TuranDepartment of Psychology, Koç University, Istanbul 34450, Turkey.
Laura Q RogersDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
National Dissemination of I-Corps@NCATS: Accelerating Translation through CommercializationUL1TR003096 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M, KIMBERLY, ROBERT P. · 2019 to 2023
$43.6M
Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI James O Hill · 2000 to 2026
$31.9M
UAB CANCER RESEARCH EXPERIENCES FOR STUDENTS(CARES)R25CA076023 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SMITH, PETER R., WATERBOR, JOHN W · 1999 to 2020
$5.6M
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
Role of gut microbe composition in psychosocial symptom response to exercise training in breast cancer survivorsR01CA235598 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROGERS, LAURA Q · 2019 to 2025
$3.1M
NCATS NIH HHS UL1 TR003096NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA235598NCI NIH HHS R25 CA076023NCI NIH HHS T32 CA047888NIDDK NIH HHS P30 DK056336NIH HHS 5P30DK056336-25NIH HHS 5R01CA235598-06NIH HHS 5R25CA076023-20NIH HHS 5T32CA047888-36NIH HHS 5U01TR003096-05
6 · The paper itself

Abstract

BACKGROUND/

objectivesPhysical activity (PA), physiological fitness, and the gut microbiome have each been linked to health outcomes among breast cancer survivors (BCS); however, these associations have been inconsistent. Few studies have directly compared the associations of self-reported PA, accelerometer-derived PA, and physiological fitness with the gut microbiome within the same population. This study evaluated whether associations with gut microbiome outcomes vary by PA and fitness measurement modality in post-primary treatment BCS.

methodsBaseline data from 69 BCS enrolled in a randomized controlled trial were analyzed. PA was assessed using self-reported moderate-to-vigorous PA (MVPA) and accelerometer-derived light PA (LPA), MVPA, and sedentary behaviors. Physiological fitness was evaluated using peak oxygen uptake (V˙O

resultsAccelerometer-derived PA, particularly MVPA, demonstrated the strongest and most consistent associations with α-diversity and β-diversity, whereas physiological fitness measures showed only weak associations. Sedentary behavior was inversely associated with both diversity metrics, while self-reported MVPA was not associated with diversity indices. Medication burden and comorbidity status attenuated several PA-microbiome associations, and no taxa-level associations remained significant after correction for multiple testing.

conclusionsAssociations between PA, fitness, and gut microbiome outcomes varied according to measurement modality. Accelerometer-derived MVPA demonstrated more consistent associations with microbiome diversity and composition than self-reported MVPA or physiological fitness. Future studies should incorporate multiple complementary measures of PA and fitness when examining PA-microbiome relationships.

Indexed as

Breast NeoplasmsCancer SurvivorsExerciseGastrointestinal MicrobiomeAccelerometryAdultAgedFemaleHumansMiddle AgedPhysical FitnessSedentary BehaviorSelf Reportbreast cancercardiorespiratory fitnessgut microbiomephysical activity

Identifiers

PMID42884737
PMCPMC13667220

What OpenQuestion holds

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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.