Effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy – A systematic review and meta-analysis

Boing, Leonessa; Vieira, Melissa de Carvalho Souza; Moratelli, Jéssica; Bergmann, Anke

doi:10.1016/j.maturitas.2020.06.022

Cited by 42 publications

(38 citation statements)

References 67 publications

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“…Many theories have been proposed to explain the association between greenspace exposure and health gains. The first hypothesis is that greenspace exposure may represent an opportunity for PA. PA is widely recognized as one of the most important protective factors of many NCDs [ 110 ], including cardiovascular diseases [ 111 ], hypertension [ 112 ], diabetes [ 113 ], obesity [ 114 ], mental disorders [ 32 ], and cancers [ 115 , 116 ]. However, according to some studies, higher health gains could be reached with outdoors, rather than indoors, PA.…”

Section: Discussionmentioning

confidence: 99%

Association between Urban Greenspace and Health: A Systematic Review of Literature

Gianfredi

Buffoli

Rebecchi

et al. 2021

IJERPH

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The current review aimed to explore the association between urban greenspaces and health indicators. In particular, our aims were to analyze the association between publicly accessible urban greenspaces exposure and two selected health outcomes (objectively measured physical activity (PA) and mental health outcomes (MH)). Two electronic databases—PubMed/Medline and Excerpta Medica dataBASE (EMBASE)—were searched from 1 January 2000 to 30 September 2020. Only articles in English were considered. Out of 356 retrieved articles, a total of 34 papers were included in our review. Of those, 15 assessed the association between urban greenspace and PA and 19 dealt with MH. Almost all the included studies found a positive association between urban greenspace and both PA and MH, while a few demonstrated a non-effect or a negative effect on MH outcomes. However, only guaranteeing access is not enough. Indeed, important elements are maintenance, renovation, closeness to residential areas, planning of interactive activities, and perceived security aspects. Overall, despite some methodological limitations of the included studies, the results have shown almost univocally that urban greenspaces harbour potentially beneficial effects on physical and mental health and well-being.

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Section: Discussionmentioning

confidence: 99%

Association between Urban Greenspace and Health: A Systematic Review of Literature

Gianfredi

Buffoli

Rebecchi

et al. 2021

IJERPH

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“…One meta-analysis reported that the positive results were small, nonsignificant, and with a large and statistically significant amount of heterogeneity. There were also some consistent results detecting no significant changes in breast cancer survivors [43], or overweight and obese older adults [44].…”

Section: Discussionmentioning

confidence: 76%

Intelligent Personalized Exercise Prescription Based on an eHealth Promotion System to Improve Health Outcomes of Middle-Aged and Older Adult Community Dwellers: Pretest–Posttest Study

Sun

Xie

et al. 2021

J Med Internet Res

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Background A scientific, personalized, and quantitative exercise prescription that has the potential to be an important therapeutic agent for all ages in the prevention of chronic disease is highly recommended. However, it is often poorly implemented, as clinicians lack the necessary knowledge and skills while participants have low adherence due to design defects (eg, prescriptions fail to take individual willingness, the appeal of exercise, and complex physical conditions into account). Intelligent personalized prescription is thus worth exploring. Objective The aim of this study was to investigate whether a year-long cloud platform–based and intelligent personalized exercise prescription intervention could improve Chinese middle-aged and older adult community dwellers’ health outcomes. Methods A total of 177 participants (aged 52-85 years; mean 67.93, SD 7.05) were recruited from 2 Chinese community health service centers in Anhui Province, China. The exercise intervention was delivered over 12 months with a single-group pretest–posttest design. After being assessed in terms of physical activity, health-related lifestyle, history of chronic diseases and drug use, family history of disease and cardiovascular function, body composition, bone mineral density, and physical fitness through an eHealth promotion system, participants with relative contraindications for exercise were personally prescribed the health care exercise mode by an intelligent system, while those without relative contraindication and who had a regular exercise habit were prescribed the scientific fitness mode. Paired t tests were used for the analysis. Results A total of 97 participants were classified into the health care mode, and the remaining 80 participants were assigned to the scientific fitness mode. Significant changes in heart rate (mean difference [MD] 2.97; 95% CI 1.1-4.84; P=.002), subendocardial viability ratio (MD –0.13; CI: –1.19 to –0.63; P<.001), weight (MD 0.99; CI 0.29-1.69; P=.006), BMI (MD 0.38; CI 0.11-0.64; P=.006), body fat rate (MD 0.88; CI 0.24-1.51; P=.007), fat mass (MD 0.92; CI 0.33-1.53; P=.003), and brachial-ankle pulse wave velocity (MD: –0.72; CI –1.17 to –0.27; P=.002) were observed among participants with the health care mode exercise prescriptions at the 12-month postintervention versus the baseline assessment, while no changes in systolic blood pressure, diastolic blood pressure, muscle mass, bone mineral density, t value, z value, balance, or ability were discerned. The results showed a functional decline in the physical fitness of both groups, including in handgrip strength (healthcare mode: MD 4.41; scientific fitness mode: MD 3.11), vital capacity (healthcare mode: MD 261.99; scientific fitness mode: MD 250.78), and agility (healthcare mode MD=–0.35; scientific fitness mode: MD=–0.39) with all P values <.001, except handgrip strength in the scientific fitness mode (P=.002). There were no significant differences in other parameters among participants with scientific fitness mode exercise prescriptions. Conclusions The observations suggest that our exercise prescription intervention program might promote certain health outcomes in Chinese middle-aged and older adult community dwellers, yet we are unable to recommend such a program given the existing limitations. Future randomized controlled trials with diverse samples are warranted to confirm our findings.

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“…Physical activity is considered as a supportive care and has shown many physical, biological, psychological, and clinical benefits for patients with BC [59][60][61]. Nevertheless, most of the studies were carried out on cross-sectional, retrospective, or short-term intervention study, which does not allow us to conclude on the medium-and long-term effects of physical activity in preventing sequelae over time.…”

Section: Benefits Of Physical Activitymentioning

confidence: 99%

“…However, to date, no physical activity intervention with objective measurement of physical activity has been carried out to study the associations between physical activity level and the risk of sequelae. Only one systemic review in breast cancer patients receiving hormone therapy concluded that aerobic plus resistance training had positive effects on cardiorespiratory fitness and pain, but further studies are needed to confirm the associations [61].…”

Section: Benefits Of Physical Activitymentioning

confidence: 99%

Patterns of Sequelae in Women with a History of Localized Breast Cancer: Results from the French VICAN Survey

Delrieu

Bouaoun

Fatouhi

et al. 2021

Cancers

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Breast cancer (BC) remains complex for women both physically and psychologically. The objectives of this study were to (1) assess the evolution of the main sequelae and treatment two and five years after diagnosis in women with early-stage breast cancer, (2) explore patterns of sequelae associated with given sociodemographic, clinical, and lifestyle factors. The current analysis was based on 654 localized BC patients enrolled in the French nationwide longitudinal survey “vie après cancer” VICAN (January–June 2010). Information about study participants was collected at enrollment, two and five years after diagnosis. Changes over time of the main sequelae were analyzed and latent class analysis was performed to identify patterns of sequelae related to BC five years after diagnosis. The mean age (±SD) of study participants at inclusion was 49.7 (±10.5) years old. Six main classes of sequelae were identified two years and five years post-diagnosis (functional, pain, esthetic, fatigue, psychological, and gynecological). A significant decrease was observed for fatigue (p = 0.03) and an increase in cognitive sequelae was reported (p = 0.03). Two latent classes were identified—functional and esthetic patterns. Substantial sequelae remain up to five years after BC diagnosis. Changes in patient care pathways are needed to identify BC patients at a high risk.

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Effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy – A systematic review and meta-analysis

Cited by 42 publications

References 67 publications

Association between Urban Greenspace and Health: A Systematic Review of Literature

Association between Urban Greenspace and Health: A Systematic Review of Literature

Intelligent Personalized Exercise Prescription Based on an eHealth Promotion System to Improve Health Outcomes of Middle-Aged and Older Adult Community Dwellers: Pretest–Posttest Study

Patterns of Sequelae in Women with a History of Localized Breast Cancer: Results from the French VICAN Survey

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