Systematic review of aquatic therapeutic exercise efficacy in breast cancer survivors

Muñoz-Gómez, Elena; Arnal‐Gómez, Anna; Cascón, Alba López; Espí-López, Gemma Victoria

doi:10.1007/s00520-022-07460-1

Cited by 5 publications

(4 citation statements)

References 60 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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“…Water creates favourable conditions for performing effective resistance exercises that increase muscle strength and endurance, as well as stretching exercises that make muscles more elastic and support the improvement of mobility in the peripheral joints. In addition to improving physical fitness, exercises in water counteract the formation of chronic arm oedema, which are a common complication (amongst 1 in 5 patients) after BC treatment [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of aquatic and land exercise on the mental well-being of women following breast cancer surgery-comparative study

Czenczek-Lewandowska,

Szeliga,

Leszczak

2023

Breast Cancer Res Treat

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Purpose Women after surgical treatment of breast cancer are less likely to engage in physical activity and may exhibit depressive symptoms even for many years post-treatment. The aim of the study was to compare the impact of 6 months aquatic and land exercise on mental well-being of women after breast cancer surgery. Methods The study was based on a survey which involved a total of 90 women ≥ 50 years of age (including 60 subjects after treatment of breast cancer ≥ 2 years after surgery and 30 healthy control). The study participants were divided into three groups, i.e. women attending general exercise sessions in a gym (A, n = 30), participating in aquatic exercise (B, n = 30), as well as healthy female peers reporting no regular physical exercise for the period of 6 months (C, n = 30). The present data were acquired using standardized questionnaires designed to assess physical activity (IPAQ-SF), mental well-being (WHO-5) and level of anxiety, i.e., Generalized Anxiety Disorder Questionnaire (GAD-7). Results Both the aquatic and land exercise had positive effect on mental well-being of woman after breast cancer surgery and there were no significant differences between them. Analysis of the anxiety level (GAD-7) confirms that women after breast cancer treatment were more exposed to a feeling of generalised anxiety disorder, i.e. 8.67 vs. 6.73, 4.5 (p = 0.001). The results of WHO-5 index were significantly higher in the A and B groups comparing to healthy control, i.e. 13.27 vs. 14.18; 10.10 (p < 0.001), but the obtained results still indicate the low self-esteem of the study group. Women after breast cancer surgery who regularly participated in aquatic exercise were engaged in more vigorous physical activity compared to the other groups, i.e. 1049.33 vs. 521.33; 860.00 MET min/week (p = 0.001). Conclusion Regardless of the type of physical activity, 6 months aquatic and land exercise contributed to improved mental well-being and ensured adequate levels of moderate physical activity of woman after BC surgery. Regular physical activity is crucial in the rehabilitation after mastectomy and can be an effective treatment to achieve beneficial mental outcomes.

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“…The search was conducted in the aforementioned databases to scrutinize eligible trials. Additionally, the reference lists of various review articles [ 5 , 7 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ] were examined and manual searches were performed. In situations where the two initial reviewers were unable to reach a consensus, a third reviewer and study author (PLC) was consulted.…”

Section: Methodsmentioning

confidence: 99%

“…Exercise has been demonstrated to provide a multitude of advantages for individuals who have survived breast cancer, including improvements in physical function [ 4 ], fatigue [ 5 ], depression [ 6 ], and overall quality of life [ 7 ]. Nonetheless, a vast array of physical activity options exists, including aerobic activity [ 8 ], strength training [ 9 ], yoga [ 10 ], and others [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Differential Impact of Exercises on Quality-of-Life Improvement in Breast Cancer Survivors: A Network Meta-Analysis of Randomized Controlled Trials

Wang

Chen²,

Liao³

et al. 2023

Cancers

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This study aimed to assess the effectiveness of various exercise interventions in enhancing the quality of life for breast cancer survivors. To achieve this, randomized controlled trials were identified from major electronic databases, focusing on the relationship between exercise and quality of life in breast cancer survivors. The primary outcome was the impact of exercise on quality of life 12 weeks after the intervention, with a secondary outcome comparing dropout rates between intervention groups and a regular care control group. The study protocol was registered with INPLASY (INPLASY202340007). A network meta-analysis of nine randomized controlled trials involving 725 participants was conducted, examining aerobic and strength training, aerobic activity, yoga, and strength exercise. Results showed that aerobic and strength training was the most effective intervention, significantly improving the quality of life of breast cancer survivors (1.31; 95% confidence interval: 0.49 to 2.12). Aerobic activity had a borderline effect (0.83; 0.03 to 1.63), while no exercise interventions were associated with an increased dropout risk compared to the control group (regular care). The study concluded that concurrent aerobic and strength training can improve breast cancer survivors’ quality of life after 12 weeks of intervention without increasing dropout risk compared to regular care.

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Systematic review of aquatic therapeutic exercise efficacy in breast cancer survivors

Cited by 5 publications

References 60 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

The effect of aquatic and land exercise on the mental well-being of women following breast cancer surgery-comparative study

Differential Impact of Exercises on Quality-of-Life Improvement in Breast Cancer Survivors: A Network Meta-Analysis of Randomized Controlled Trials

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