Integrative Exercise and Lifestyle Intervention Increases Leisure-Time Activity in Breast Cancer Patients

Background. Physical activity has been demonstrated to increase survival in breast cancer patients, but few breast cancer patients meet the general recommendations for physical activity. The aim of this pilot study was to investigate if a supervised integrated counseling and group-based exercise program could increase leisure-time activity in women with breast cancer. Methods. This pilot project, designed as a single-arm study with pre-post testing, consisted of 24 classes of combined aerobic and strength exercise training as well as classes on dietary and health behavior. A total of 48 women with breast cancer who were undergoing or had recently completed anticancer treatment completed the study. Leisure-time physical activity, grip strength, functional capacity, quality of life (QoL), and depression were assessed at baseline, after intervention, and at the 12-week follow-up after intervention. Results. The breast cancer patients increased their leisure-time physical activity ( P = .004), global strength ( P = .004), functional capacity ( P = .001), and QoL ( P = .009), and their depression score ( P = .004) significantly decreased. These improvements were independent of whether the patients were in ongoing therapy or had completed their treatment. Conclusion. This integrated intervention may produce lifestyle changes in breast cancer patients and survivors using the teachable moment to increase their leisure-time physical activity and, thereby, their QoL.

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Comparing the Effectiveness of a Wearable Activity Tracker in Addition to Counseling and Counseling Only to Reinforce Leisure-Time Physical Activity among Breast Cancer Patients: A Randomized Controlled Trial

Cancers ◽

10.3390/cancers13112692 ◽

2021 ◽

Vol 13 (11) ◽

pp. 2692

Author(s):

Sunga Kong ◽

Jae Kyung Lee ◽

Danbee Kang ◽

Nayeon Kim ◽

Young Mog Shim ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Patients ◽

Leisure Time Physical Activity ◽

Controlled Trial ◽

Breast Cancer Patients ◽

Activity Tracker ◽

Randomized Controlled ◽

Counseling Group ◽

Wearable Activity Tracker

This randomized controlled trial aimed to compare the effectiveness of a wearable activity tracker (WAT) in addition to counseling (WAT+counseling) and counseling only for reinforcing leisure-time physical activity (LTPA) among breast cancer patients during radiotherapy (RT). A total of 152 breast cancer patients who were planning to undergo radiation therapy (RT) after surgery participated in the study. The WAT+counseling group (n = 76) underwent physical activity (PA) self-monitoring using a WAT and participated in counseling. The counseling-only group (n = 76) received telephone counseling once a week during RT and did not receive WAT. The WAT+counseling group had increased relative change in self-reported LTPA (102.8) compared with the counseling-only group (57.8) immediately after RT compared to baseline. Although the relative changes of self-reported LTPA of the WAT+counseling group were higher at three and six months after the end of RT compared to in the counseling-only group, the results were not significant. The mean average daily step count of the WAT+counseling group was 9351.7, which increased to 11,592.2 during RT and 12,240.1 after RT. In the subgroup analysis, patients who did not perform regular PA before cancer diagnosis had significantly increased step counts. This study shows the feasibility of WAT with counseling to reinforce PA among breast cancer patients.

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Supplemental Material for A Randomized Trial to Promote Physical Activity Among Breast Cancer Patients

Health Psychology ◽

10.1037/a0029886.supp ◽

2013 ◽

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Randomized Trial ◽

Cancer Patients ◽

Breast Cancer Patients

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Supplemental Material for Temporal Relationships Between Sleep and Physical Activity Among Breast Cancer Patients With Insomnia

Health Psychology ◽

10.1037/hea0000408.supp ◽

2016 ◽

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Patients ◽

Breast Cancer Patients ◽

Temporal Relationships

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Red Clover and Lifestyle Changes to Contrast Menopausal Symptoms in Premenopausal Breast Cancer Patients Given Tamoxifen

Case Medical Research ◽

10.31525/ct1-nct03844685 ◽

2000 ◽

Author(s):

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Red Clover ◽

Lifestyle Changes ◽

Menopausal Symptoms ◽

Breast Cancer Patients ◽

Premenopausal Breast Cancer

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Effects of a 1-Year Physical Activity Intervention on Markers of Hemostasis among Breast Cancer Survivors: A Randomized Controlled Trial

TH Open ◽

10.1055/s-0040-1721782 ◽

2021 ◽

Vol 05 (01) ◽

pp. e14-e23

Author(s):

Siv Kjølsrud Bøhn ◽

Inger Thune ◽

Vidar Gordon Flote ◽

Hanne Frydenberg ◽

Gro Falkenér Bertheussen ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Postmenopausal Women ◽

Cancer Patients ◽

Physical Activity Intervention ◽

Intervention Group ◽

Factor Vii ◽

Breast Cancer Patients ◽

Hemostatic Factors

Abstract Introduction Physical activity may reduce the development of breast cancer. Whereas hypercoagulability has been linked to adverse outcomes in breast cancer patients, the effects of physical activity on their hemostatic factors are unknown. The study aimed to assess whether long-term (1 year) physical activity can affect hemostatic factors in breast cancer patients. Methods Fifty-five women (35–75 years) with invasive breast cancer stage I/II were randomized to a physical activity intervention (n = 29) lasting 1 year or to a control group (n = 26), and analyzed as intention to treat. Fibrinogen, factor VII antigen, tissue factor pathway inhibitor, and von Willebrand factor (VWF) antigen as well as prothrombin fragment 1 + 2, the endogenous thrombin potential and D-dimer, were measured in plasma before intervention (baseline), and then after 6 and 12 months. Results Maximal oxygen uptake (measure of cardiorespiratory fitness) decreased the first 6 months among the controls, but remained stable in the intervention group. We found no significant differences between the two study groups regarding any of the hemostatic factors, except a significantly higher increase in factor VII antigen in the intervention group. The effect of the intervention on VWF was, however, significantly affected by menopausal stage, and a significant effect of the intervention was found on VWF among postmenopausal women, even after adjustment for dietary intake. Conclusion Long-term physical activity had no effect on the majority of the hemostatic factors measured, but led to increased plasma concentrations of factor VII antigen and prevented an increase in VWF concentration after breast cancer treatment in postmenopausal women. The clinical impact of these findings for risk of vascular thrombosis warrants further studies.

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Occupational and leisure time physical activity and the risk of breast cancer

European Journal of Cancer ◽

10.1016/s0959-8049(99)00051-9 ◽

1999 ◽

Vol 35 (5) ◽

pp. 775-778 ◽

Cited By ~ 40

Author(s):

F Levi ◽

C Pasche ◽

F Lucchini ◽

C La Vecchia

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Leisure Time ◽

Leisure Time Physical Activity

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Investigating the relationships between quality of life, fatigue and leisure time physical activity in prostate cancer patients

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-181220 ◽

2019 ◽

Vol 32 (3) ◽

pp. 497-503

Author(s):

Kadirhan Ozdemir ◽

Ilke Keser ◽

Ilker Sen ◽

Mustafa Ozgur Tan

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Prostate Cancer ◽

Cancer Patients ◽

Leisure Time ◽

Leisure Time Physical Activity

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Changes in physical activity behavior and C-reactive protein in breast cancer patients

Annals of Behavioral Medicine ◽

10.1093/abm/kax010 ◽

2018 ◽

Vol 52 (7) ◽

pp. 545-551 ◽

Cited By ~ 4

Author(s):

Catherine M Sabiston ◽

Carsten Wrosch ◽

Andrée L Castonguay ◽

Benjamin D Sylvester

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Patients ◽

Physical Activity Behavior ◽

Breast Cancer Patients ◽

C Reactive Protein ◽

Reactive Protein ◽

Activity Behavior

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Lifestyle breast cancer patients among Indonesian women: A nationwide survey

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v10i4.20913 ◽

2021 ◽

Vol 10 (4) ◽

pp. 730

Author(s):

Solikhah Solikhah ◽

Khairunnisaa Nuur Aliifah Setyawati ◽

Monthida Sangruangake

Keyword(s):

Breast Cancer ◽

High School ◽

Cancer Patients ◽

Breast Cancer Incidence ◽

Education Level ◽

Lifestyle Changes ◽

Breast Cancer Patients ◽

Cross Sectional ◽

Major Health Problem ◽

Significance Level

Recently, cancer is a major health problem in the world. Lifestyle changes and growing urbanization likely led to increasing breast cancer incidence in such in Indonesia. Therefore, this study aimed to explore lifestyle breast cancer patients among Indonesian women. The investigation was a cross-sectional study distributed among 3,392 females drawn from 13 out of 27 provinces in Indonesia. Multiple binary logistic regressions were conducted to investigate breast cancer risk among Indonesian. A significance level of 0.05 was employed in all analysis. Of the 3,392 respondents included in the analysis, more than half (52.71%; n=1,788) was aged 40–49 years old. The most common marital status of the participants was married (98.20%; n=3,331), followed by no smoking (94.69%; n=3,212) and active exercise (62.12%; n=2,107). Education level was significantly associated with breast cancer (AdjOR_Junior high school=0.21; 95%CI=0.06 to 0.70; p<0.01 and AdjOR_senior high school=0.60; 95%CI=0.15 to 2.26; p<0.05). Education level was significantly related to breast cancer. Lifestyle such as smoking and physical activity was suspected to affect breast cancer indirectly.

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