Experiencing health – Physical activity during adjuvant chemotherapy treatment for women with breast cancer

Backman, Malin; Browall, Maria; Sundberg, Carl Johan; Wengström, Yvonne

doi:10.1016/j.ejon.2015.09.007

Cited by 35 publications

(82 citation statements)

References 121 publications

(157 reference statements)

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“…Parry [45] provided evidence of this and reported that as women with breast cancer engaged in dragon boating, they felt normal at a time when they were adjusting to new and unfamiliar emotional and physical changes after treatment. This finding was supported by Backman et al [32] who found that physical activity during adjuvant chemotherapy treatment helped women with breast cancer feel like life continued in a normal way. Overall, physical activity provided participants with opportunities to get back to what they were doing before their diagnosis and/or offered them an opportunity to engage in activities of ‘normal’ life [32,33,39,40,41,45,50,61,62,64,67].…”

Section: Resultssupporting

confidence: 55%

“…Participants noted specific benefits in terms of their physical fitness [38,40,41,44,46,48,50,52,53,54,58,59,64,65,69], overall energy levels [32,33,35,37,38,40,42,43,44,46,48,50,54,56,57,58,59,62,65,66,67], physical strength [32,35,42,43,44,46,49,50,51,54,56,57,59,60,61,62,66,68,69], flexibility [38,39,49,56,67], weight/body composition [42,43,53,54,62,69,70], sleep quality [40,…”

Section: Resultsmentioning

confidence: 99%

“…Yet, some participants had negative experiences [32,37,54,70]. For example, Backman et al [32] noted that women who were receiving adjuvant chemotherapy treatment for breast cancer experienced nausea, lethargy, and headaches when participating in aerobic and/or resistance training. Additionally, others experienced feelings of fatigue, though some noted that feeling tired was a good thing because they viewed as a “healthy fatigue” [54,68].…”

Section: Resultsmentioning

confidence: 99%

“…Physical activity enabled participants to shift their focus from sickness and disease to wellness and health [32,33,38,39,42,45,48,50,53,54,55,57,61,63,67,69]. It also gave them something to do and kept their minds busy.…”

Section: Resultsmentioning

confidence: 99%

“…Physical activity fostered a range of positive self-perceptions. Participants used specific terms such as ‘proud’, ‘accomplished’, and ‘confident’ to describe how they felt about themselves after physical activity [32,33,34,35,36,38,39,40,44,46,52,54,55,56,57,58,59,60,62,63,65,66,67,69,70]. They also expressed more general positive feelings.…”

Section: Resultsmentioning

confidence: 99%

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Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Burke

Wurz

Bradshaw

et al. 2017

Cancers

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Qualitative research on the impact of physical activity on quality of life (QoL) in adults diagnosed with cancer is accumulating. However, the field of physical activity and cancer survivorship lack a synthesis of this research to reliably understand the implications for future research and practice. The aim of this meta-synthesis was to identify, appraise, and synthesize qualitative research on cancer survivors’ perspectives of the impact of physical activity on their QoL. Seven electronic databases were searched for original studies published in English, and reference lists of relevant studies were hand-searched to identify additional studies. Forty studies met eligibility criteria and were included in this meta-synthesis. Study characteristics and major findings were extracted, and findings were summarized, compared, and synthesized. Themes identified in this review revealed that physical activity positively impacted four dimensions of cancer survivors’ QoL: physical (e.g., managing the physical consequences of cancer and its treatment), psychological (e.g., evoking positive self-perceptions), social (e.g., feeling understood by others), and spiritual (e.g., redefining life purpose). This meta-synthesis corroborates conclusions from reviews of quantitative research and illustrates that physical activity can be used to improve QoL in adult cancer survivors, regardless of diagnosis (i.e., stage, cancer type) and treatment status. It also provides detailed insight into specific aspects within each dimension of QoL impacted by physical activity from cancer survivors’ perspectives, which is important for understanding the meaning and utility of physical activity for them. However, more research is needed to further develop the qualitative evidence base in order to better understand how physical activity impacts on QoL experiences in men, young adults, and adults diagnosed with less common types of cancer at different points along cancer trajectory (i.e., diagnosis, treatment, post-treatment, palliation).

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Section: Resultssupporting

confidence: 55%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Burke

Wurz

Bradshaw

et al. 2017

Cancers

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Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial

Lange

Kucharski

Svedlund

et al. 2018

Arthritis Care & Research

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Barriers and facilitators to participating in physical activity for adults with breast cancer receiving adjuvant treatment: A qualitative metasynthesis

et al. 2019

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Objective Physical activity can improve the health and well‐being of individuals receiving adjuvant treatment for breast cancer, but engagement in physical activity can be low. This review synthesises the barriers and facilitators to engaging with and participating in physical activity whilst receiving treatment. Methods The metasynthesis of qualitative studies is reported in line with the PRISMA statement. We systematically searched eight databases (MEDLINE, EMBASE, CENTRAL, PsycINFO, CINAHL, British Library, OpenGrey, and Conference Proceedings Citation Index) from inception to November 30, 2017. A total of 1276 abstracts were retrieved and screened by two reviewers independently. Data from eligible studies were extracted and critically appraised. As this review concerns qualitative studies only, a CER‐QUAL GRADE assessment was completed. Results A total of 13 studies were included. Four clear themes emerged (side effects of treatment, beliefs about physical activity, focus on health not illness, and social factors) each containing both barriers and facilitators. Key facilitators to participating in physical activity during adjuvant treatment included positive physical benefits, improvements in psychological well‐being, and increased self‐esteem and empowerment. Further, having a knowledgeable instructor, tailored information, and a supportive environment were important to women undergoing treatment. Main barriers included fatigue and pain, as well as work and caring responsibilities. Conclusions Incorporating physical activity into treatment regimens is important. Focusing on being less sedentary and providing accurate, tailored information should be prioritised within future interventions. Having a supportive environment and accounting for the particular barriers or facilitators to engagement identified here should aid the success of future interventions.

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Experiencing health – Physical activity during adjuvant chemotherapy treatment for women with breast cancer

Cited by 35 publications

References 121 publications

Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial

Barriers and facilitators to participating in physical activity for adults with breast cancer receiving adjuvant treatment: A qualitative metasynthesis

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