The effects of an individualized exercise intervention on body composition in breast cancer patients undergoing treatment
Keywords:
Exercise, Neoplasms, Adipose tissue, Skinfold thickness, MusclesAbstract
CONTEXT AND OBJECTIVE: Changes in metabolism have been reported in the majority of patients undergoing cancer treatment, and these are usually characterized by progressive change in body composition. The effects of aerobic exercise programs to combat the cancer and cancer treatment-related side effects, which include the negative changes in body composition, have been extensively reported in the literature. However, few resistance exercise intervention studies have hypothesized that breast cancer patients might benefi t from this type of exercise. The purpose of this study was to determine whether exercise protocols that emphasize resistance training would change body composition and strength in breast cancer patients undergoing treatment. DESIGN AND SETTING: Randomized controlled trial, at the Campus Recreation Center and Rocky Mountain Cancer Rehabilitation Institute of the University of Northern Colorado, and the North Colorado Medical Center. METHODS: Twenty inactive breast cancer patients were randomly assigned to a 21-week exercise group (n = 10) or a control group (n = 10). The exercise group trained at low to moderate intensity for 60 minutes on two days/week. The primary outcome measurements included body composition (skinfold method) and muscle strength (one repetition maximum). RESULTS: Signifi cant differences in lean body mass, body fat and strength (p = 0.004, p = 0.004, p = 0.025, respectively) were observed between the groups at the end of the study. CONCLUSION: The results suggest that exercise emphasizing resistance training promotes positive changes in body composition and strength in breast cancer patients undergoing treatment.
Downloads
References
American Cancer Society. Breast Cancer Facts and Figures, 2003-2004. Atlanta: American Cancer Society Publications; 2003. Available from: http://www.cancer.org/downloads/STT/CAFF2003BrFPWSecured.pdf. Accessed in 2006 (Nov 1).
Courneya KS. Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc. 2003;35(11):1846-52.
Whiteman MK, Hillis SD, Curtis KM, McDonald JA, Wingo PA, Marchbanks PA. Body mass and mortality after breast cancer diag- nosis. Cancer Epidemiol Biomarkers Prev. 2005;14(8):2009-14.
Dixon JK, Moritz DA, Baker FL. Breast cancer and weight gain: an unexpected finding. Oncol Nurs Forum. 1978;5(3):5-7.
Demark-Wahnefried W, Peterson BL, Winer EP, et al. Changes in weight, body composition, and factors influencing energy balance among premenopausal breast cancer patients receiving adjuvant chemotherapy. J Clin Oncol. 2001;19(9):2381-9.
Goodwin PJ, Ennis M, Bordeleau MJ, et al. Health-related quality of life and psychosocial status in breast cancer prognosis: analysis of multiple variables. J Clin Oncol. 2004;22(20):4184-92.
Chang VT, Hwang SS, Feuerman M, Kasimis BS. Symptom and quality of life survey of medical oncology patients at a veterans affairs medical center: a role for symptom assessment. Cancer. 2000;88(5):1175-83.
Dimeo F, Fetscher S, Lange W, Mertelsmann R, Keul J. Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood. 1997;90(9):3390-4.
Dimeo FC. Effects of exercise on cancer-related fatigue. Cancer. 2001;92(6 Suppl):1689-93.
Courneya KS, Friedenreich CM. Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med. 1999;21(2):171-9.
al-Majid S, McCarthy DO. Cancer-induced fatigue and skeletal muscle wasting: the role of exercise. Biol Res Nurs. 2001;2(3):186-97.
Freedman RJ, Aziz N, Albanes D, et al. Weight and body composition changes during and after adjuvant chemother- apy in women with breast cancer. J Clin Endocrinol Metab. 2004;89(5):2248-53.
Costa LJ, Varella PC, del Giglio A. Weight changes during chemo- therapy for breast cancer. Sao Paulo Med J. 2002;120(4):113-7.
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 7th ed. Baltimore: Lippincott Williams & Wilkins; 2005.
Dimeo FC, Stieglitz RD, Novelli-Fischer U, Fetscher S, Keul J. Effects of physical activity on the fatigue and psycho- logic status of cancer patients during chemotherapy. Cancer. 1999;85(10):2273-7.
Mock V, Dow KH, Meares CJ, et al. Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum. 1997;24(6):991-1000.
Winningham ML, MacVicar MG, Bondoc M, Anderson JI, Minton JP. Effect of aerobic exercise on body weight and compo- sition in patients with breast cancer on adjuvant chemotherapy. Oncol Nurs Forum. 1989;16(5):683-9.
Kraemer WJ, Adams K, Cafarelli E, et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-80.
Adamsen L, Midtgaard J, Rorth M, et al. Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy. Support Care Cancer. 2003;11(11):707-16.
Battaglini CL, Bottaro M, Campbell JS, Novaes J, Simão R. Atividade física e níveis de fadiga em pacientes portadores de câncer. [Physical activity and levels of fatigue in cancer patients]. Rev Bras Med Esporte. 2004;10(2):98-110.
Durak EP, Lilly PC. The application of an exercise and well- ness program for cancer patients: a preliminary outcomes report. J Strength Cond Res. 1998;12(1):3-6. Available from: http://nsca.allenpress.com/nscaonline/?request=get-abstract&doi=10.1519%2F1533-4287(1998)012%3C0003:TAOAEA%3E2.3.CO%3B2. Accessed in 2006 (Nov 06).
Durak EP, Lilly PC, Hackworth JL. Physical and psychosocial responses to exercise in cancer patients: A two-year follow-up survey with prostate, leukemia, and general carcinoma. Journal of Exercise Physiology. 1999;2(1):1-6. Available from: http://faculty.css.edu/tboone2/asep/jan12b.htm. Accessed in 2006 (Nov 06).
Porock D, Kristjanson LJ, Tinnelly K, Duke T, Blight J. An exercise intervention for advanced cancer patients experiencing fatigue: a pilot study. J Palliat Care. 2000;16(3):30-6.
Segal R, Evans W, Johnson D, et al. Structured exercise improves physical functioning in women with stages I and II breast cancer: results of a randomized controlled trial. J Clin Oncol. 2001;19(3):657-65.
Jackson AS, Pollock ML, Ward A. Generalized equations for predicting body density of women. Med Sci Sports Exerc. 1980;12(3):175-81.
Kuramoto AK, Payne VG. Predicting muscular strength in women: a preliminary study. Res Q Exerc Sport. 1995;66(2):168-72.
Schneider CM, Dennehy CA, Carter SD. Exercise and cancer recovery. Champaign: Human Kinetics; 2003.
Kolden GG, Strauman TJ, Ward A, et al. A pilot study of group exercise training (GET) for women with primary breast cancer: feasibility and health benefits. Psychooncology. 2002;11(5):447-56.
Schwartz AL. Exercise and weight gain in breast cancer patients receiving chemotherapy. Cancer Pract. 2000;8(5):231-7.
Segal R, Reid RD, Courneya KS, et al. Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol. 2003;21(9):1653-9.