Randomized controlled trial of increasing physical activity on objectively measured and self‐reported cognitive functioning among breast cancer survivors: The memory & motion study
Open accessAbstract
BACKGROUND: Increasing physical activity can improve cognition in healthy and cognitively impaired adults; however, the benefits for cancer survivors are unknown. The current study examined a 12‐week physical activity intervention, compared with a control condition, on objective and self‐reported cognition among breast cancer survivors. METHODS: Sedentary breast cancer survivors were randomized to an exercise arm (n = 43) or a control arm (n = 44). At baseline and at 12 weeks, objective cognition was measured with the National Institutes of Health Cognitive Toolbox, and self‐reported cognition using the Patient‐Reported Outcomes Measurement Information System scales. Linear mixed‐effects regression models tested intervention effects for changes in cognition scores. RESULTS: On average, participants (n = 87) were aged 57 years (standard deviation, 10.4 years) and were 2.5 years (standard deviation, 1.3 years) post surgery. Scores on the Oral Symbol Digit subscale (a measure of processing speed) evidenced differential improvement in the exercise arm versus the control arm (b = 2.01; P < .05). The between‐group differences in improvement on self‐reported cognition were not statistically significant but were suggestive of potential group differences. Time since surgery moderated the correlation, and participants who were ≤2 years post surgery had a significantly greater improvement in Oral Symbol Digit score (exercise vs control (b = 4.00; P < .01), but no significant improvement was observed in patients who were >2 years postsurgery (b = −1.19; P = .40). A significant dose response was observed with greater increased physical activity associated with objective and self‐reported cognition in the exercise arm. CONCLUSIONS: The exercise intervention significantly improved processing speed, but only among those who had been diagnosed with breast cancer within the past 2 years. Slowed processing speed can have substantial implications for independent functioning, supporting the potential importance of early implementation of an exercise intervention among patients with breast cancer. Cancer 2018;124:192‐202 . © 2017 American Cancer Society .
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Two of the included studies reported a significant increase in daily steps, four reported a significant increase in MVPA, and two reported a significant increase in energy expenditure for the intervention group compared with control.
“Two of the included studies [34,44] reported a significant increase in daily steps, 4 studies [30,34,36,53] reported a significant increase in MVPA, and 2 studies [45,47] reported a significant increase in energy expenditure for the intervention group compared with control.”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [36]
The Results (page not available) report a significantly greater increase in MVPA in the Exercise arm than in the Control arm. This paper is also cited for increased daily steps, but our copy reports activity in minutes rather than a significant between-group increase in steps. The energy-expenditure finding is attributed to other references, not this paper. (LLM, conf=0.87)
Experimental — accuracy not yet measured3 studies [36,48,54] were assessed as high risk for selective outcome reporting.
“In addition, 3 studies [36,48,54] were assessed as high risk for selective outcome reporting”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [36]
A total of 26 studies were included across all meta-analyses.
“A total of 26 studies were included across all meta-analyses [21,22,29-48,50-53].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [36]
17 studies specified that participants must have regular access to the internet, a computer, tablet, and/or smartphone.
“Furthermore, 17 studies specified that the participant must have regular access to the internet, a computer, tablet, and/or smartphone [21,30,33,35-37,39,41-47,51-53]”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [36]
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- Authors
- Hartman, S. J., Nelson, S. H., Myers, E., Natarajan, L., Sears, D. D., Palmer, B. W., Weiner, L. S., Parker, B. A., & Patterson, R. E.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Hartman, Sheri J.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2017-09-19
- Volume
- 124
- Issue
- 1
- Pages
- 192-202
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC5735009
- OpenAlex
- W2756172936
- Cited by
- 188
- References
- 76
- Citations by year
- 2026: 17 · 2025: 23 · 2024: 24 · 2023: 25 · 2022: 24 · 2021: 25 · 2020: 18 · 2019: 20 · 2018: 10 · 2017: 1 · 2016: 1
- FWCI
- 11.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- NIH (K07CA181323)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Keywords
- breast cancer survivors, physical activity interventions, physical activity, cognitive function, processing speed, memory, sedentary behavior, time since surgery, dose-response relationship, objective cognition, self-reported cognition, NIH Toolbox, PROMIS
- MeSH terms
- Cancer Survivors, Aged, Breast Neoplasms, Cognition, Exercise Therapy, Female, Humans, Memory, Middle Aged, Neuropsychological Tests, Exercise, Sedentary Behavior, Self Report, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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