Physical activity and survival following breast cancer

Johnsson, Anna; Broberg, Per; Krüger, Ute; Johnsson, Anders; Tornberg, Åsa; Olsson, Håkan

doi:10.1111/ecc.13037

Cited by 21 publications

(21 citation statements)

References 20 publications

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“…We did find that being more physically active did reduce symptoms and improve well‐being. Lifestyle interventions, including exercise, reductions in sedentary time, yoga, cognitive retraining, and weight loss, have been shown to increase well‐being in other studies, so this remains an important topic for survivorship care visits …”

Section: Discussionmentioning

confidence: 99%

Symptom burden among older breast cancer survivors: The Thinking and Living With Cancer (TLC) study

Mandelblatt

Zhai

Ahn

et al. 2019

Cancer

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Background Little is known about longitudinal symptom burden, its consequences for well‐being, and whether lifestyle moderates the burden in older survivors. Methods The authors report on 36‐month data from survivors aged ≥60 years with newly diagnosed, nonmetastatic breast cancer and noncancer controls recruited from August 2010 through June 2016. Symptom burden was measured as the sum of self‐reported symptoms/diseases as follows: pain (yes or no), fatigue (on the Functional Assessment of Cancer Therapy [FACT]‐Fatigue scale), cognitive (on the FACT‐Cognitive scale), sleep problems (yes or no), depression (on the Center for Epidemiologic Studies Depression scale), anxiety (on the State‐Trait Anxiety Inventory), and cardiac problems and neuropathy (yes or no). Well‐being was measured using the FACT‐General scale, with scores from 0 to 100. Lifestyle included smoking, alcohol use, body mass index, physical activity, and leisure activities. Mixed models assessed relations between treatment group (chemotherapy with or without hormone therapy, hormone therapy only, and controls) and symptom burden, lifestyle, and covariates. Separate models tested the effects of fluctuations in symptom burden and lifestyle on function. Results All groups reported high baseline symptoms, and levels remained high over time; differences between survivors and controls were most notable for cognitive and sleep problems, anxiety, and neuropathy. The adjusted burden score was highest among chemotherapy‐exposed survivors, followed by hormone therapy‐exposed survivors versus controls (P < .001). The burden score was related to physical, emotional, and functional well‐being (eg, survivors with lower vs higher burden scores had 12.4‐point higher physical well‐being scores). The composite lifestyle score was not related to symptom burden or well‐being, but physical activity was significantly associated with each outcome (P < .005). Conclusions Cancer and its treatments are associated with a higher level of actionable symptoms and greater loss of well‐being over time in older breast cancer survivors than in comparable noncancer populations, suggesting the need for surveillance and opportunities for intervention.

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Section: Discussionmentioning

confidence: 99%

Symptom burden among older breast cancer survivors: The Thinking and Living With Cancer (TLC) study

Mandelblatt

Zhai

Ahn

et al. 2019

Cancer

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“…Numerous studies have shown that physical activity has multiple benefits for breast cancer survivors, ranging from reducing fatigue [24,26,30] to increasing strength levels and improving quality of life [19,22,23]. [32].…”

Section: Discussionmentioning

confidence: 99%

“…Physical activity has been associated with a lower risk of developing breast cancer [9,[16][17][18][19], with a decrease in the probability of relapse and with a higher survival rate [16,[19][20][21]. In individuals with cancer, physical activity has benefits for their health: reduced fatigue, improved strength levels, and improved quality of life and physical function [17,19,[22][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Impact of Rowing Training on Quality of Life and Perceived Health in Female Breast Cancer Survivors

González¹,

Torres-Pérez²,

Fernández-García³

2021

Preprint

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The aim of this study was to determine whether a rowing training program improved the quantity and quality of physical activity and quality of life in female breast cancer survivors (stage I - 4.35%; II - 30.43%; III - 52.17%; and IV - 8.7%) diagnosed 6.57 ± 5.02 years previously, who had undergone a subsequent intervention (preservation 53.52%; total mastectomy 39.13% and double mastectomy 4.35%) and had a current mean age of 53.70 ± 7.88 years. The participants (N = 30) engaged in a 12-week training program, each week comprising three sessions and each session lasting 60-90 minutes. An anthropometric evaluation was performed before and after the program. The short form of the International Physical Activity Questionnaire (IPAQ-SF) and the Short Form 36 Health Survey (SF-36) were also administered. The results showed statistically significant improvements in levels of physical activity and in the dimensions of quality of life. We can conclude that a 12-week rowing training program tailored to women who have had breast cancer increases physical activity levels, leading to improved health status and quality of life.

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“…PA has been related with better prognosis and survival in BC. Johnsson et al [ 139 ] studied 847 women aged 34 to 87 years old with BC, reporting a reduced all-cause mortality in the most active group. Importantly, their results showed that the improved survival of BC was only observed in women > 55 years, denoting the higher impact of PA in postmenopausal BC patients.…”

Section: The Association Of Pa With Bc Mortality and Survivalmentioning

confidence: 99%

Physical Activity as an Imperative Support in Breast Cancer Management

Ortega

Fraile-Martínez

García-Montero

et al. 2020

Cancers

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Breast cancer (BC) is the most common malignancy and the second cause of cancer-related death among women. It is estimated that 9 in 10 cases of BC are due to non-genetic factors, and approximately 25% to 30% of total breast cancer cases should be preventable only by lifestyle interventions. In this context, physical activity represents an excellent and accessible approach not only for the prevention, but also for being a potential support in the management of breast cancer. The present review will collect the current knowledge of physical activity in the background of breast cancer, exploring its systemic and molecular effects, considering important variables in the training of these women and the evidence regarding the benefits of exercise on breast cancer survival and prognosis. We will also summarize the various effects of physical activity as a co-adjuvant therapy in women receiving different treatments to deal with its adverse effects. Finally, we will reveal the impact of physical activity in the enhancement of quality of life of these patients, to conclude the central role that exercise must occupy in breast cancer management, in an adequate context of a healthy lifestyle.

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Physical activity and survival following breast cancer

Cited by 21 publications

References 20 publications

Symptom burden among older breast cancer survivors: The Thinking and Living With Cancer (TLC) study

Symptom burden among older breast cancer survivors: The Thinking and Living With Cancer (TLC) study

Impact of Rowing Training on Quality of Life and Perceived Health in Female Breast Cancer Survivors

Physical Activity as an Imperative Support in Breast Cancer Management

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