Cochrane · systematic review · CD012110

Body weight management in overweight and obese breast cancer survivors

Shaikh, H, Bradhurst, P, Ma, LX, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Breast CancerAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
9
No studies
7
Included studies
NR
No studies 7 · 43.8%Ungraded 0 · 0%Very low 0 · 0%Low 8 · 50%Moderate 0 · 0%High 1 · 6.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

All weight loss interventions for overweight and obese breast cancer survivors

Population: overweight and obese breast cancer survivors
8 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
no estimate extractedNRNo studies
Breast cancer recurrence
RR 1.95 [0.68, 5.6]4 studies · 281 participantsLow
Downgraded: imprecision
Change in body weight
no estimate extracted21 studies · 1751 participantsLow
Downgraded: risk of bias, inconsistency
Change in BMI
no estimate extracted17 studies · 1353 participantsLow
Downgraded: risk of bias, inconsistency
Change in waist circumference
no estimate extracted13 studies · 1193 participantsLow
Downgraded: risk of bias, inconsistency
Disease‐free survival
no estimate extractedNRNo studies
Adverse events
RR 0.94 [0.76, 1.17]4 studies · 394 participantsHigh
Change in quality of life ‐ overall scales
no estimate extracted10 studies · 867 participantsLow
Downgraded: risk of bias, inconsistency

Weight loss interventions involving diet, exercise and psychosocial support for overweight and obese breast cancer survivors

Population: overweight and obese breast cancer survivors
8 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
no estimate extractedNRNo studies
Breast cancer recurrence
no estimate extractedNRNo studies
Change in body weight
no estimate extracted13 studies · 1526 participantsLow
Downgraded: risk of bias, inconsistency
Change in BMI
no estimate extracted11 studies · 1187 participantsLow
Downgraded: risk of bias, inconsistency
Change in waist circumference
no estimate extracted8 studies · 1021 participantsLow
Downgraded: risk of bias, inconsistency
Disease‐free survival ‐ not reported
no estimate extractedNRNo studies
Adverse events
no estimate extractedNRNo studies
Change in quality of life ‐ overall scales
no estimate extractedNRNo studies