Evidence map›Paper›PMID 38642204›Full record

Trial reportJournal of cancer survivorship : research and practice2024

Can strength training or tai ji quan training reduce frailty in postmenopausal women treated with chemotherapy? A secondary data analysis of the GET FIT trial.

Kerri M Winters-Stone, Sydnee A Stoyles, Nathan F Dieckmann, Elizabeth Eckstrom, Shiuh-Wen Luoh, Fay B Horak, Eric J Roeland, Fuzhong Li

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of cancer survivorship : research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01635413 (Group Exercise Training for Functional Improvement After Treatment), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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.

NCT01635413 nacompletednot on this map

Group Exercise Training for Functional Improvement After Treatment (The GET FIT Trial)

TypeinterventionalSponsorOHSU Knight Cancer InstituteRan2012 to 2016Enrolled444ConditionsMalignant Neoplasm, PostmenopausalArmsExercise Intervention, Questionnaire Administration
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kerri M Winters-StoneDivision of Oncological Sciences, Oregon Health & Science University, Portland, OR, 97239, USA. wintersk@ohsu.edu.
Sydnee A StoylesSchool of Nursing, Oregon Health & Science University, Portland, OR, 97239, USA.
Nathan F DieckmannSchool of Nursing, Oregon Health & Science University, Portland, OR, 97239, USA.
Elizabeth EckstromDivision of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, 97239, USA.
Shiuh-Wen LuohKnight Cancer Institute, Oregon Health & Science University, Portland, OR, 97239, USA.
Fay B HorakDepartment of Neurology, School of Medicine, Oregon Health & Science University, Portland, OR, 97239, USA.
Eric J RoelandKnight Cancer Institute, Oregon Health & Science University, Portland, OR, 97239, USA.
Fuzhong LiOregon Research Institute, Springfield, OR, 97477, USA.
Oregon Health & Science University · USOregon Research Institute · US

Funding

Preventing falls after cancer: Tai chi vs. strength trainingR01CA163474 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WINTERS-STONE, KERRI M · 2012 to 2016
$3.0M
NCI NIH HHS R01 CA163474NIH HHS R01CA163474
6 · The paper itself

Abstract

purposeTo determine whether strength training or tai ji quan can reduce frailty in older, postmenopausal women treated with chemotherapy for cancer.

methodsWe conducted a secondary data analysis from a 3-arm, single-blind, randomized controlled trial where older (50-75 years), postmenopausal women cancer survivors were randomized to supervised group exercise programs: tai ji quan, strength training, or stretching control for 6 months. We assessed frailty using a 4-criteria model consisting of weakness, fatigue, inactivity, and slowness. Using logistic regression, we determined whether the frailty phenotype (pre-frailty or frailty) decreased post-intervention, how many and which frailty criteria decreased, and what characteristics identified women most likely to reduce frailty.

resultsData from 386 women who completed baseline and 6-month testing were used (mean age of 62.0 ± 6.4 years). The odds of reducing overall frailty over 6 months were significantly higher in the strength training group compared to controls (OR [95%CI] 1.86 [1.09, 3.17]) but not for tai ji quan (1.44 [0.84, 2.50]). Both strength training (OR 1.99 [1.10, 3.65]) and tai ji quan (OR 2.10 [1.16, 3.84]) led to significantly higher odds of reducing ≥ 1 frailty criterion compared to controls. Strength training led to a three-fold reduction in inactivity (p < 0.01) and tai ji quan to a two-fold reduction in fatigue (p = 0.08) versus control. Higher baseline BMI, comorbidity score, and frailty status characterized women were more likely to reduce frailty than other women.

conclusionsStrength training appears superior to tai ji quan and stretching with respect to reducing overall frailty phenotype among postmenopausal women treated with chemotherapy for cancer, but tai ji quan favorably reduced the number of frailty criteria.

trial registrationClinicalTrials.gov identifier: GET FIT was registered as a clinical trial in clinicaltrials.gov: NCT01635413. IMPLICATIONS FOR CANCER SURVIVORS: Supervised, group exercise training that emphasizes strength training and/or tai ji quan may help combat accelerated aging and reduce frailty after cancer treatment.

Indexed as

FrailtyPostmenopauseResistance TrainingTai JiAgedAntineoplastic AgentsCancer SurvivorsData AnalysisFemaleHumansMiddle AgedSecondary Data AnalysisSingle-Blind MethodAntineoplastic AgentsAgingExerciseNeoplasmPhysical activityPhysical functioning

Identifiers

PMID38642204
OpenAlexW4394988487

What Socratic holds

Textmetadata
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.