Evidence mapPaperPMID 40347455Full record

Trial reportJournal of the National Cancer Institute2025

Reduced adipose tissue with limited loss of lean mass after weight loss: results from the Prostate Cancer Active Lifestyle Study.

Jeannette M Schenk, Roman Gulati, Sarah J Beatty, Steven Plymate, Daniel W Lin, Atreya Dash, Michael P Porter, Matt VanDoren, Jonathan L Wright, Marian L Neuhouser

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Jeannette M SchenkPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.ORCID 0000-0003-4865-7813
Roman GulatiPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.ORCID 0000-0002-7592-6567
Sarah J BeattyPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Steven PlymateGeriatric Research Education and Clinical Center, VA Puget Sound Healthcare System, Seattle, WA, United States.ORCID 0000-0002-7597-6943
Daniel W LinPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Atreya DashDivision of Urology, Department of Surgery, VA Puget Sound Healthcare System, Seattle, WA, United States.ORCID 0000-0002-2634-5539
Michael P PorterDivision of Urology, Department of Surgery, VA Puget Sound Healthcare System, Seattle, WA, United States.
Matt VanDorenPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Jonathan L WrightPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Marian L NeuhouserPublic Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.ORCID 0000-0002-3876-0000

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · 1985 to 2025
$104.6M
TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · FRED HUTCHINSON CANCER RESEARCH CENTER · 2002 to 2025
$12.1M
Statistical modeling to support population and translational cancer researchR50CA221836 · FRED HUTCHINSON CANCER CENTER · 2025 to 2025
$245k
Edmonds MOB Mother-Son Superhero DanceNCI NIH HHS P30 CA015704NCI NIH HHS P50 CA097186NCI NIH HHS R01 CA184075NCI NIH HHS R50 CA221836Veterans Affairs Merit Award I01BX003324
6 · The paper itself

Abstract

Adiposity reduction has cancer-specific and overall health benefits for patients with overweight or obesity. The indiscriminate loss of lean mass accompanying weight loss, however, remains a concern for older patients with cancer. Body composition was evaluated in the Prostate Cancer Active Lifestyle Study, a randomized controlled weight loss trial targeting caloric restriction and increased physical activity among patients with prostate cancer and overweight or obesity on active surveillance. Compared with control individuals, the intervention statistically significantly decreased total fat (‒3.4%, 95% CI = ‒5.3% to ‒1.5%), android fat (‒2.0%, 95% CI = ‒3.6% to ‒0.4%), and visceral adipose tissue mass (‒613 g, 95% CI = ‒894 to ‒331 g) (all 2-sided P < .001), with no difference in lean mass (P = .70) and a statistically significant increase in lean mass to fat ratio (0.40, 95% CI = 0.06 to 0.73; 2-sided P = .02). Weight loss interventions incorporating diet and physical activity among patients with prostate cancer and overweight or obesity can yield statistically significant reductions in adiposity while limiting lean mass loss.

Indexed as

Adipose TissueObesityProstatic NeoplasmsWeight LossAdiposityAgedBody CompositionBody Mass IndexCaloric RestrictionExerciseHumansLife StyleMaleMiddle AgedOverweight

Identifiers

PMID40347455
PMCPMC12682368

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.