Evidence map›Paper›PMID 41826625›Full record

ArticleCommunications medicine2026

Proteomics signature of moderate-to-vigorous physical activity and risk of multimorbidity of cancer and cardiometabolic diseases.

Michael J Stein, Hansjörg Baurecht, Patricia Bohmann, Reynalda Cordova, Pietro Ferrari, Béatrice Fervers, Christine M Friedenreich, Marc J Gunter, Laia Peruchet-Noray, Diana Wu and 6 more

Abstract read
In one paragraph

Article in Communications medicine, 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. 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

16 authors.

Michael J SteinDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, Germany. michael.stein@helmholtz-munich.de.ORCID http://orcid.org/0000-0002-1120-1751
Hansjörg BaurechtDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, Germany.ORCID http://orcid.org/0000-0002-9265-5594
Patricia BohmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, Germany.
Reynalda CordovaFaculty of Life Sciences, Department of Nutritional Sciences, University of Vienna, Vienna, Austria.
Pietro FerrariInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, 25 Avenue Tony Garnier, CS90627, Lyon, France.
Béatrice FerversDepartment of Prevention Cancer Environment, Centre Léon Bérard, Lyon, France.
Christine M FriedenreichDepartment of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB, Canada.ORCID http://orcid.org/0000-0002-4783-1966
Marc J GunterCancer Epidemiology and Prevention Research Unit, School of Public Health, Imperial College, London, UK.
Laia Peruchet-NorayInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, 25 Avenue Tony Garnier, CS90627, Lyon, France.ORCID http://orcid.org/0000-0001-8742-8920
Diana WuInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, 25 Avenue Tony Garnier, CS90627, Lyon, France.ORCID http://orcid.org/0000-0001-7760-2809
Charlotte Onland-MoretJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-2360-913X
Maria-José SánchezEscuela Andaluza de Salud Pública, Granada, Spain.
María-Dolores ChirlaqueCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Madrid, Spain.
Michael F LeitzmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, Germany.
Vivian ViallonInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, 25 Avenue Tony Garnier, CS90627, Lyon, France.
Heinz FreislingInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, 25 Avenue Tony Garnier, CS90627, Lyon, France.ORCID http://orcid.org/0000-0001-8648-4998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModerate-to-vigorous physical activity (MVPA) is inversely associated with risks of cancer, cardiovascular diseases (CVD), type 2 diabetes (T2D), and their co-occurrence, defined as multimorbidity; however, the underlying biological pathways remain unclear.

methodsIn 33,806 UK Biobank participants with 2911 measured blood proteins, a proteomic signature of MVPA was derived with linear and LASSO regressions. Multivariable Cox models, adjusted for MVPA, estimated prospective associations with cancer, CVD, T2D, and multimorbidity.

resultsWe show that after multiple testing corrections, 220 proteins are retained in the MVPA signature. Proteins related to food intake, metabolism, and cell growth (e.g., LEP, MSTN) are inversely associated, while those involved in immune cell migration and musculoskeletal integrity (e.g., integrins, COMP) are positively associated with MVPA. Several proteins positively associated with MVPA are inversely associated with disease risk (e.g., integrins, CLEC4A for cancer; LPL, LEP for T2D), while proteins negatively associated with MVPA are positively associated with disease risk (e.g., CD38, TGFA for CVD). The proteomic signature score is inversely associated with cancer risk (hazard ratio per interquartile range: 0.87; 95% confidence interval: 0.78, 0.96) and T2D (0.66; 0.60, 0.72). For multimorbidity, proteins inversely related to MVPA align with expected risk patterns (e.g., GGT1, HR: 1.32; 95% CI: 1.12, 1.57), but the proteomic signature score is not associated.

conclusionsThis study identifies several proteins associated with MVPA that are also associated with cancer, CVD, T2D, and the multimorbidity of these conditions. Further studies investigating the causal nature of these associations are welcome.

Identifiers

PMID41826625
PMCPMC13009281

What Socratic 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 Socratic graph.