Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

Backer, Ingrid C. De; Vreugdenhil, Gerard; Nijziel, Marten R.; Kester, A.D.M.; Breda, Eric van; Schep, Goof

doi:10.1038/sj.bjc.6604433

Cited by 56 publications

(56 citation statements)

References 48 publications

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“…Across the eight domains of the MOS SF-36, HIIT had the greatest effect on physical functioning over time from Phase A to Phase C in the SED group compared to the LEX group. Similar findings were reported in a study of cancer survivors aged 24-73 years who followed an 18-week high-intensity strength training programme (De Backer et al 2008). Perceptions of the physical functioning domain of HRQL increased by 17 % in cancer survivors as a result of the training programme.…”

Section: Discussionsupporting

confidence: 86%

Impact of low-volume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men

Knowles

Herbert

Easton

et al. 2015

AGE

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There is a demand for effective training methods that encourage exercise adherence during advancing age, particularly in sedentary populations. This study examined the effects of high-intensity interval training (HIIT) exercise on health-related quality of life (HRQL), aerobic fitness and motivation to exercise in ageing men. Participants consisted of males who were either lifelong sedentary (SED; N=25; age 63±5 years) or lifelong exercisers (LEX; N=19; aged 61±5 years).V O 2max and HRQL were measured at three phases: baseline (Phase A), week seven (Phase B) and week 13 (Phase C). Motivation to exercise was measured at baseline and week 13.VO 2max was significantly higher in LEX (39.2±5.6 ml kg min −1 ) compared to SED (27.2 ±5.2 ml kg min −1 ) and increased in both groups from Phase A to C (SED 4.6±3.2 ml kg min −1 , 95 % CI 3.1 -6.0; LEX 4.9±3.4 ml kg min −1 , 95 % CI 3.1-6.6) Physical functioning (97±4 LEX; 93±7 SED) and general health (70±11 LEX; 78±11 SED) were significantly higher in LEX but increased only in the SED group from Phase A to C (physical functioning 17±18, 95 % CI 9-26, general health 14±14, 95 % CI 8-21). Exercise motives related to social recognition (2.4±1.2 LEX; 1.5 ±1.0 SED), affiliation (2.7±1.0 LEX; 1.6±1.2 SED) and competition (3.3±1.3 LEX; 2.2±1.1) were significantly higher in LEX yet weight management motives were significantly higher in SED (2.9±1.1 LEX; 4.3± 0.5 SED). The study provides preliminary evidence that low-volume HIIT increases perceptions of HRQL, exercise motives and aerobic capacity in older adults, to varying degrees, in both SED and LEX groups.Keywords Ageing men . High-intensity interval training . Health-related quality of life . Motivation . Exercise

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Section: Discussionsupporting

confidence: 86%

Impact of low-volume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men

Knowles

Herbert

Easton

et al. 2015

AGE

View full text Add to dashboard Cite

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“…Exercise leads to improvements in pulmonary function and cardiovascular endurance but also in muscle strength [29] and muscle weakness in cancer survivors can be influenced by regular exercise [4,6,29,33]. Therefore, postcancer rehabilitation is of high value comprising a long-term benefit [3] and physical activity constitutes an important component to posttreatment rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Do Patients With Ewing's Sarcoma Continue With Sports Activities After Limb Salvage Surgery of the Lower Extremity?

Hobusch

Lang

Schuh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Limb salvage surgery has evolved to become the standard method of treating sarcomas of the extremities with acceptable oncologic results. However, little information exists relative to the activity level or ability to participate in sports after tumor reconstructions. Questions/purposes The aims of the study were to answer the following questions: (1) Which sports activity levels and what types of sports can be expected in the long term after tumor reconstruction? (2) Which frequency durations are patients with Ewing's sarcoma able to perform in longterm followup after local control? (3) Do surgical complications affect sports activity level? Methods Thirty patients (13 females, 17 males; mean age, 18 ± 8 years; range, 2-36 years at diagnosis; mean followup 16 ± 6 years [minimum, 5 years]) were included. Tumors were located in the pelvis, femur, tibia, and fibula. Surgical procedures included surgical resections alone (n = 8), surgical resection with biological reconstruction (n = 9), or endoprosthetic reconstruction (n = 13). We assessed UCLA sports activity levels, kinds of sports as well as the frequency per week and the duration of each training unit at long term (minimum followup, 5 years). Results In long-term followup 83% patients (25 of 30) were performing athletic activity regularly. The hours/ week of sports depended on type of surgery and were highest after resections in the pelvis and femur (5.8) and were lowest after megaprosthetic reconstruction of the pelvis (1.0). Patients undergoing biologic reconstructions were able to perform high-impact sports. UCLA sports activity levels were high after joint-preserving vascularized fibula for tibia reconstruction (7.4) and after megaprosthetic reconstruction of the lower extremity (6.3-6.4) and were low after tumors located in the fibula (4.2). Complications during followup did not significantly influence sports activity in long-term survivors.

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“…The current exercise programme had been studied among patients with other cancer types (De Backer et al., 2007, 2008) and the intensity of the interval training was prescribed based on the patients’ individual fitness level assessed by the steep ramp test. As the training load was reduced in at least some of the training sessions in about half of the patients, the programme might have been too challenging and/or the steep ramp test might have been not accurate enough in estimating the correct training load in this patient population.…”

Section: Discussionmentioning

confidence: 99%

Lessons learnt from a process evaluation of an exercise intervention in patients treated with autologous stem cell transplantation

Persoon

Chinapaw²,

Buffart

et al. 2017

Eur J Cancer Care

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This paper describes the process evaluation of an 18‐week supervised exercise programme in 50 patients treated with high‐dose chemotherapy followed by autologous stem cell transplantation. The intervention included 30 exercise sessions with six resistance exercises and interval training. We evaluated the context, dose delivered and received, and patients’ and physiotherapists’ satisfaction with the intervention.Ninety‐two per cent of the patients trained within 15 km of their home address, with an average session attendance of 86%. Most patients trained at the prescribed intensity for four of the six resistance exercises, but the dose delivered and received of the two remaining resistance exercises and interval training could not be determined. Both patients and physiotherapists highly appreciated the programme (score of 8.3 and 7.9 out of 10 respectively). This process evaluation provided valuable lessons for future trials: (1) It is possible to deliver supervised exercise training to this patient group in local physiotherapy practices; (2) to determine dose received all intervention components should be standardised; and (3) to optimise data collection, all study materials should be tested more extensively prior to the start of the intervention.

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Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

Cited by 56 publications

References 48 publications

Impact of low-volume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men

Impact of low-volume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men

Do Patients With Ewing's Sarcoma Continue With Sports Activities After Limb Salvage Surgery of the Lower Extremity?

Lessons learnt from a process evaluation of an exercise intervention in patients treated with autologous stem cell transplantation

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