Effect of Post-diagnosis Physical Activity on Breast Cancer Recurrence: a Systematic Review and Meta-analysis

Miyamoto, Toshiaki; Nagao, Akiko; Okumura, Nami; Hosaka, Miyu

doi:10.1007/s11912-022-01287-z

Cited by 8 publications

(4 citation statements)

References 39 publications

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“…However, there are relatively few that consider the relationship with lifestyle choices. Those that do include some focus on smoking [6,16], some on physical activity [3], and some on alcohol consumption [6]. To the best of our knowledge, ours is the first paper to examine changes in behavior while controlling for persistence in lifestyle choices.…”

Section: Discussionmentioning

confidence: 99%

“…There are many genetic and demographic factors linked to breast cancer risk. In addition, several lifestyle habits are associated with incidence, including weight gain, fat intake, and level of physical activity, whereas others have been inconsistently linked with the disease, including alcohol consumption and cigarette smoking [2,3]. Whether to engage in physical activity, drink alcohol, or smoke are choices associated with how to live [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle choices among women with breast cancer in the United States

Michel,

Sovinsky,

Stern

2024

Public Health Challenges

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IntroductionBreast cancer is a common form of cancer for women. The goal of this research was to estimate how a breast cancer diagnosis affects a woman's decisions about smoking, alcohol use, and exercise.MethodsUsing data from the Panel Study of Income Dynamics on breast cancer diagnosis and lifestyle choices, we estimated how being diagnosed influences smoking, drinking, and exercising habits for more than 8000 women over the period 1999–2011.ResultsControlling for unobserved heterogeneity, persistence in behaviors, and correlation across behaviors, we found that the impact of a diagnosis had a different effect on smoking, drinking, and exercising behaviors. Furthermore, the impact depended upon the recency of the diagnosis. Recently diagnosed women exercised and smoked less—an average woman in our sample reduced exercise by 19% and smoking by 1%. However, women with breast cancer did not change their drinking habits relative to healthy women.ConclusionsA diagnosis of breast cancer impacts lifestyle choices. Women who were diagnosed with breast cancer in the last 5 years exercised and smoked less but did not change their alcohol consumption after a breast cancer diagnosis regardless of when the diagnosis was made. Our approach provides insight into what extent women who are faced with negative information about life expectancy take this into consideration when deciding to engage in risky behaviors that might further affect their survival. Whether to engage in physical activity, drink alcohol, or smoke are choices associated with how to live.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lifestyle choices among women with breast cancer in the United States

Michel,

Sovinsky,

Stern

2024

Public Health Challenges

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“…This result is positive, especially considering that a recent meta-analysis found that following treatments, achieving more than 7.5 MET/hour/week would reduce the recurrence of breast cancer. 66 Moreover, considering physically active to be a mean of 10,000 steps per week, participants were above this threshold on 55% of the days, with a range of 5.17% to 95.65%.…”

Section: Discussionmentioning

confidence: 99%

Nonlinear, Multicomponent Physical Exercise With Heart Rate Variability-Guided Prescription in Women With Breast Cancer During Treatment: Feasibility and Preliminary Results (ATOPE Study)

et al. 2023

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Objective The purpose of this study was to examine the feasibility, safety, adherence, and preliminary efficacy of the ATOPE program during radiotherapy (RT) or chemotherapy (CT) for women with breast cancer. Methods This single-blind, pretest-posttest feasibility study included 38 women with breast cancer at the beginning of their treatment. The ATOPE program consisted of 12 to 18 sessions of a multimodal physical exercise program, prescribed based on daily heart rate variability (HRV) and clinimetric assessments using the ATOPE+ mHealth system. Overall health was assessed with quality of life, autonomous balance, and body composition, whereas health-related fitness (HRF) was measured through functional capacity, physical activity levels, and upper and lower limb strength. Results The rates of recruitment, retention, and adherence were 52.35%, 73.68%, and 84.37%, respectively, and the satisfaction rating was 9.2 out of a possible 10 points. The perceived health status change score was 3.83 points, scored on a − 5 to 5 point scale. No adverse effects were found. Compliance results showed that the ATOPE+ mHealth system was used on 73.38% of the days, and the Fitbit bracelet (Google, Mountain View, CA, USA) was used on 84.91% of the days. Women stayed physically active 55% of days. Regarding preliminary results, for overall health, the percentage of body fat in the RT group decreased by 1.93%, whereas it increased by 5.03% in the CT group. Lower limb strength increased in the RT group, specifically knee extensor isometric strength (6.07%), isokinetic knee flexors 180°/s (1.53%) and isokinetic knee extensors 300°/s (4.53%), in contrast with the reductions found in the CT group (11.07%, 18.67%, and 14.89%, respectively). Conclusions The ATOPE program, through nonlinear prescription based on daily monitoring with the ATOPE+ mHealth system, is feasible and safe for application during breast cancer treatment. The results suggest that overall health can be maintained or even improved regarding most variables. Impact This study focused on the feasibility, safety, and completion of a physical therapist-led program at early diagnosis for adults with breast cancer. The multimodal, supervised, tailored, nonlinear physical exercise program is feasible and safe, showed a good completion rate, and was able to prevent the quality-of-life deficits that are often triggered by systemic breast cancer treatment. This study highlights the importance of daily morning assessments using the ATOPE+ mHealth system in patients with breast cancer to prescribe nonlinear physical exercise.

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“…The health questions that remain unanswered during the survivorship trajectory hamper complete recovery after cancer experience and, in some cases, represent a threat to the survivor’s chances of cure. In particular, the increased rates of being overweight and sedentary habits in breast cancer survivors have been shown to negatively affect not only their quality of life, but also their disease-free survival, secondary cancers, and cardiovascular disease rates [ 11 , 12 , 13 ].…”

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confidence: 99%