Evidence mapPaperPMID 31442303Full record

Trial reportInternational journal of cancer2020

Randomized trial of weight loss in primary breast cancer: Impact on body composition, circulating biomarkers and tumor characteristics.

Wendy Demark-Wahnefried, Laura Q Rogers, Justin T Gibson, Shuko Harada, Andrew D Frugé, Robert A Oster, William E Grizzle, Lyse A Norian, Eddy S Yang, Deborah Della Manna and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05882578 (Effects of Exercise Oncology Intervention in Fitness Capacity and Body Composition in Breast Cancer Survivals), which is not on this map. Cited by 33 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 7 pooled it
2.9field-weighted citation impact, top 7% of its field
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.

NCT05882578 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Exercise Oncology Intervention in Fitness Capacity and Body Composition in Breast Cancer Survivals

TypeinterventionalSponsorTigers Running ClubRan2023 to 2023Enrolled74ConditionsBreast Cancer, Cancer SurvivorsArmsOncological physical exercise intervention, Active Physical Activities intervention
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 7 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Impact of exercise-based prehabilitation on cardiometabolic health in surgical patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effects of physical exercise on body fat and laboratory biomarkers in cancer patients: a meta-analysis of 35 randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  7. Pooled it
  8. Trial
  9. Effects of a 12-week exercise-based intervention on weight management in overweight or obese breast cancer survivors: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Obesity and leptin in breast cancer angiogenesis.Frontiers in endocrinology · 2024
    Review
  15. Exploring the multifaceted role of obesity in breast cancer progression.Frontiers in cell and developmental biology · 2024
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

13 authors at 6 institutions in 2 countries.

Wendy Demark-WahnefriedDepartment of Nutrition Sciences, University of Alabama at Birmingham (UAB) 1675 University Blvd, Birmingham, AL.ORCID 0000-0001-5241-932X
Laura Q RogersO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL.
Justin T GibsonDepartment of Nutrition Sciences, University of Alabama at Birmingham (UAB) 1675 University Blvd, Birmingham, AL.
Shuko HaradaO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL.
Andrew D FrugéAuburn University, Auburn, AL.
Robert A OsterDepartment of Nutrition Sciences, University of Alabama at Birmingham (UAB) 1675 University Blvd, Birmingham, AL.
William E GrizzleO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL.
Lyse A NorianDepartment of Nutrition Sciences, University of Alabama at Birmingham (UAB) 1675 University Blvd, Birmingham, AL.
Eddy S YangO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL.
Deborah Della MannaDepartment of Radiation Oncology, UAB, Birmingham, AL.
Lee W JonesMemorial Sloan Kettering Cancer Center and Weill Cornell Medical Center, New York, NY.
Maria AzradDepartment of Human Nutrition, Tuscaloosa, AL.
Helen KrontirasO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL.
University of Alabama at Birmingham · USUniversity of Alabama at Birmingham Hospital · USSt. Vincent's Birmingham · USAuburn University · USMemorial Sloan Kettering Cancer Center · USUniversity of Alabama · US

Funding

The Patient-Reported Outcomes, Community-Engagement and Language (PRO-CEL) CoreP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$88.4M
XRAY CRYSTALLOGRAPHYP30CA013148 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 1985 to 2025
$36.9M
UAB Nutrition Obesity Research Center (NORC)P30DK056336 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2000 to 2025
$6.0M
CANCER PREVENTION AND CONTROL TRAINING PROGRAMR25CA047888 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 1988 to 2005
$3.8M
UAB Diabetes Research CenterP30DK079626 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2025 to 2025
$1.3M
PREDOCTORAL TRAINING IN CELL &MOLECULAR BIOLOGYT32GM008111 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 1985 to 2005
$634k
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA013148NCI NIH HHS P30 CA13148NCI NIH HHS R21 CA178359NCI NIH HHS R25 CA047888NIDDK NIH HHS P30 DK056336NIDDK NIH HHS P30 DK079626NIDDK NIH HHS P30 DK56336NIGMS NIH HHS T32 GM008111
6 · The paper itself

Abstract

Obesity adversely impacts overall and cancer-specific survival among breast cancer patients. Preclinical studies demonstrate negative energy balance inhibits cancer progression; however, feasibility and effects in patients are unknown. A two-arm, single-blinded, randomized controlled weight-loss trial was undertaken presurgery among 32 overweight/obese, Stage 0-II breast cancer patients. The attention control arm (AC) received basic nutritional counseling and upper-body progressive resistance training whereas the weight loss intervention (WLI) arm received identical guidance, plus counseling on caloric restriction and aerobic exercise to promote 0.68-0.92 kg/week weight loss. Anthropometrics, body composition, blood and survey data were collected at baseline and presurgery ∼30 days later. Tumor markers (e.g., Ki67) and gene expression were assessed on biopsy and surgical specimens; sera were analyzed for cytokines, growth and metabolic factors. Significant WLI vs. AC differences were seen in baseline-to-follow-up changes in weight (-3.62 vs. -0.52 kg), %body fat (-1.3 vs. 0%), moderate-to-vigorous physical activity (+224 vs. +115 min/week), caloric density (-0.3 vs. 0 kcal/g), serum leptin (-12.3 vs. -4.0 ng/dl) and upregulation of tumor PI3Kinase signaling and cell cycle-apoptosis related genes (CC-ARG; all p-values <0.05). Cytolytic CD56

Indexed as

BiomarkersBody CompositionBreast NeoplasmsCaloric RestrictionCounselingExercise TherapyFemaleHumansObesityOverweightWeight LossBiomarkersbreast cancerclinical trialdietexerciseKi67

Identifiers

PMID31442303
PMCPMC7155016
OpenAlexW2969478687

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.