IntroductionA number of risk factors have been identified in the pathogenesis of breast tumors. Among these, a great number of factors are attributed to the lifestyle (1). Reduced physical activity during cancer treatment can decrease the capacity for physical conditioning. The late effects of cancer and its treatment may consequently reduce physical activity in survivors. Breast cancer survivors with sedentary lifestyle have a higher risk for early mortality (2).About 20%-70% of breast cancer survivors may have sleep disturbance, which is twice of the general population. Sleep disturbance is more prevalent in women with breast cancer as compared to those with other cancers. They report new or worsening sleep disturbances with frequent nocturnal awakening. These problems are attributed to chemotherapy or endocrine treatments induced by early menopause (3, 4).Obesity and severe or extreme obesity is becoming a complex health problem that healthcare providers must begin to address within the oncology community (5). Studies have shown that obese women constitute a high-risk population for developing post-menopause breast cancer, and it is estimated that up to half of breast cancers that develop after menopause are attributed to obesity (6).One third of breast cancer patients report that Cancer-Related Fatigue (CRF) has an adverse impact on their daily living activities (7).Quality of Life is a concept that receives a lot of interest from healthcare providers. QoL measures have been used to help identify problems associated with cancer, medical management, and effectiveness of rehabilitative interventions, and to set healthcare policy (8). Breast Health 2017; 13: 94-99 DOI: 10.5152/tjbh.2017.3342 94 ABSTRACT Objective: Many breast cancer survivors have unmet physical and psychological needs. Therefore, current study aimed to evaluate the impact of a lifestyle interventions program on fatigue, quality of sleep, quality of life (QoL), and body mass index (BMI) in women with breast cancer.
Materials and Methods:This randomized controlled trial study (RCT) was carried between 2012 and 2015, and included 80 women with breast cancer. They were divided into two groups via a random allocation process: 40 women were allocated to the lifestyle interventions group, and 40 to the control group. Women in the lifestyle group received dietary energy-restriction training and practiced supervised aerobic exercises for 45-60 minutes three times per week throughout 24 weeks and the control group continued their routine life.Results: Differences between the two groups were significantly high for those who participated in the intervention group; this group reported significantly less fatigue, less BMI, improved QoL and better quality of sleep as compared to the control group (p<0.05).
Conclusion:Breast cancer survivors may physically and psychologically benefit from participating in a healthy lifestyle interventions program. This program can help relieve fatigue, maintain healthy BMI, improve QoL and enhance the quality of sleep in...
Many breast cancer survivors want to know what proactive steps they can take in addition to conventional therapies to positively impact their prognosis. This study was planned to compare the effects of a lifestyle interventions program, to usual care on; quality of life (QOL) in breast cancer survivors. This randomized controlled trial study was carried between 2012 and 2015 and included 80 women with stage I, II, or III breast cancer. They were divided into two groups randomly; 40 women were randomized to the lifestyle interventions group, and 40 to the usual care group. Those in the lifestyle interventions group were instructed to practice supervised aerobic exercises with dietary energy restriction training for 24 weeks. Those in the usual care group were instructed to continue their normal life. The patient characteristics form and EORTC QLQ-C30 were used for data collection. Controlling for baseline scores, change over time between two groups was significantly different for the women who practiced in lifestyle interventions; this group reported significantly improved QOL as compared to control group (p< 0.001). Breast cancer patients may benefit from participating in lifestyle interventions program for improving their quality of life. Additional research in lifestyle interventions along with cognitive behavioral therapy also may be beneficial.
Effect of lifestyle interventions on diabetic peripheral neuropathy in patients with type 2 diabetes, result of a randomized clinical trialTip 2 diyabetli hastalarda yaşam tarzı müdahalelerinin diyabetik periferik nöropati şiddeti üzerine etkisi, randomize klinik çalışmanın sonucu Haleh GHAVAMI, Moloud RADFAR, Soraya SOHEILY, Shams Aldin SHAMSI, Hamid Reza KHALKHALI
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