Effectiveness of three exercise programs and intensive follow-up in improving quality of life, pain, and lymphedema among breast cancer survivors: a randomized, controlled 6-month trial

Lin, Yawei; Wu, Chao; He, Chunyan; Yan, Jiaran; Chen, Yi; Gao, Li; Liu, Rongrong; Cao, Bin

doi:10.1007/s00520-022-07494-5

Cited by 7 publications

(7 citation statements)

References 46 publications

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“…Six systematic reviews 93 , 94 , 95 , 96 , 97 and 19 new RCTs 59 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 were newly identified in addition to the 2 prior RCTs in the 2019 ACSM Roundtable Guidelines. 116 , 117 Across the 21 RCTs, 12 studies targeted patients with breast cancer, 2 hematologic, 4 were conducted in mixed populations, and one study each focusing on head/neck/thyroid, esophageal, and prostate.…”

Section: Resultsmentioning

confidence: 99%

Updated systematic review of the effects of exercise on understudied health outcomes in cancer survivors

Sturgeon,

Kok,

Kleckner

et al. 2023

Cancer Medicine

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IntroductionThe American College of Sports Medicine provided guidelines for exercise prescriptions in cancer survivors for specific cancer‐ and treatment‐related health outcomes. However, there was insufficient evidence to generate exercise prescriptions for 10 health outcomes of cancer treatment. We sought to update the state of evidence.MethodsWe conducted a systematic review of these 10 understudied health outcomes (bone health, sleep, cardiovascular function, chemotherapy‐induced peripheral neuropathy (CIPN), cognitive function, falls and balance, nausea, pain, sexual function, and treatment tolerance) and provided an update of evidence.ResultsWhile the evidence base for each outcome has increased, there remains insufficient evidence to generate exercise prescriptions. Common limitations observed across outcomes included: variability in type and quality of outcome measurement tools, variability in definitions of the health outcomes, a lack of phase III trials, and a majority of trials investigating breast or prostate cancer survivors only.ConclusionWe identified progress in the field of exercise oncology for several understudied cancer‐ and treatment‐related health outcomes. However, we were not able to generate exercise prescriptions due to continued insufficient evidence base. More work is needed to prescribe exercise as medicine for these understudied health outcomes, and our review highlights several strategies to aid in research acceleration within these areas of exercise oncology.

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Section: Resultsmentioning

confidence: 99%

Updated systematic review of the effects of exercise on understudied health outcomes in cancer survivors

Sturgeon,

Kok,

Kleckner

et al. 2023

Cancer Medicine

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“…In the study by Bu et al (2022), fatigue and pain were reported in 40.7% and 37.2% of the subjects respectively [ 55 ]. Studies have shown that the use of exercise-based interventions plays an effective role in reducing the pain and fatigue of breast cancer survivors [ 56 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Breast cancer survivorship needs: a qualitative study

Khajoei,

Azadeh,

ZohariAnboohi

et al. 2024

BMC Cancer

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Background Breast cancer rates and the number of breast cancer survivors have been increasing among women in Iran. Effective responses from healthcare depend on appropriately identifying survivors’ needs. This study investigated the experience and needs of breast cancer survivors in different dimensions. Methods In this qualitative content analysis, semi-structured in-depth interviews were conducted from April 2023 to July 2023. Data saturation was achieved after interviewing 16 breast cancer survivors (BCSs) and four oncologists using purposive sampling. Survivors were asked to narrate their experiences about their needs during the survivorship. Data were analyzed with an inductive approach in order to extract the themes. Results Twenty interviews were conducted. The analysis focused on four central themes: (1) financial toxicity (healthcare costs, unplanned retirement, and insurance coverage of services); (2) family support (emotional support, Physical support); (3) informational needs (management of side effects, management of uncertainty, and balanced diet); and (4) psychological and physical issues (pain, fatigue, hot flashes, and fear of cancer recurrence). Conclusions This study provides valuable information for designing survivorship care plans. Identifying the survivorship needs of breast cancer survivors is the first and most important step, leading to optimal healthcare delivery and improving quality of life. It is recommended to check the financial capability of patients and take necessary measures for patients with financial problems. Additionally, support sources should be assessed and appropriate. Psychological interventions should be considered for patients without a support source. Consultation groups can be used to meet the information needs of patients. For patients with physical problems, self-care recommendations may also be useful in addition to doctors’ orders.

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“…Symptom relief could have been perceived as a type of success story that might have increased motivation for physical activity. The ameliorative effects of physical activity on fatigue, (44) joint pain, (45) and endocrine-related quality of life (46) have been detailed extensively. However, a few survivors did feel that physical activity increased their distress due to symptoms, suggesting the importance of providing information on appropriate exercise approaches.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and exercise behavior of Japanese breast cancer survivors: A nationwide cross-sectional survey

Shimizu

Tsuji

Narisawa

et al. 2023

Preprint

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Purpose Physical activity after breast cancer diagnosis has been associated with lower mortality rates. However, the physical activity levels of breast cancer survivors in Japan remain unclear. Methods A population-based sampling method was used to select 52 facilities throughout Japan. Thereafter, self-reported questionnaires were distributed to 30 consecutive breast cancer survivors without recurrence or metastasis at each facility. We then determined their background information, physical activity levels using the Global Physical Activity Questionnaire, and potential factors affecting physical activity. Results We ultimately analyzed 791 (77.5%) patients from 34 (65.4%) facilities. Among them, 50.5% satisfied the physical activity recommendations by the American Society of Clinical Oncology/American Cancer Society guidelines, whereas 61.8% were not physically active at all during their leisure time. Moreover, 37.7% engaged in regular exercise, among whom 68.0% satisfied the recommended activity level. Factors associated with satisfying guideline recommendations were higher self-efficacy [odds ratio (OR) per 1 standard deviation (SD) increase, 1.58; 95% CI, 1.29–1.94], stronger perceived social support (OR per 1SD increase, 1.54; 95% CI, 1.26–1.89), lower household annual income (OR, 1.58; 95% CI, 1.07–2.33), experience of any cancer-related symptom relief through physical activity (OR, 1.81; 95% CI, 1.13–2.94), and urban location (OR, 1.50; 95% CI, 1.03–2.20). Conclusions Physical activity levels of breast cancer survivors can be certainly be improved. There is need to encourage physical activity and disseminate appropriate information and support regarding the same throughout Japan, focusing particularly on self-efficacy and social support.

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Effectiveness of three exercise programs and intensive follow-up in improving quality of life, pain, and lymphedema among breast cancer survivors: a randomized, controlled 6-month trial

Cited by 7 publications

References 46 publications

Updated systematic review of the effects of exercise on understudied health outcomes in cancer survivors

Updated systematic review of the effects of exercise on understudied health outcomes in cancer survivors

Breast cancer survivorship needs: a qualitative study

Physical activity and exercise behavior of Japanese breast cancer survivors: A nationwide cross-sectional survey

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