Survivorship, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology

Denlinger, Crystal S.; Sanft, Tara; Baker, K. Scott; Broderick, Gregory A.; Demark‐Wahnefried, Wendy; Friedman, Debra L.; Goldman, Mindy; Hudson, Melissa M.; Khakpour, Nazanin; King, Allison A.; Koura, Divya; Lally, Robin M.; Langbaum, Terry S.; McDonough, Allison L.; Melisko, Michelle; Montoya, José G.; Mooney, Kathi; Moslehi, Javid; O’Connor, Tracey; Overholser, Linda; Paskett, Electra D.; Peppercorn, Jeffrey; Pirl, William F.; Rodriguez, Maria Alma; Ruddy, Kathryn J.; Silverman, Paula; Smith, Sophia K.; Syrjala, Karen L.; Tevaarwerk, Amye J.; Urba, Susan G.; Wakabayashi, Mark T.; Zee, Phyllis C.; McMillian, Nicole R.; Freedman-Cass, Deborah A.

doi:10.6004/jnccn.2018.0078

Cited by 160 publications

(131 citation statements)

References 129 publications

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“…60 However, what is known are the health benefits of regular sustained exercise as a non-pharmacologic intervention for cardiovascular and overall health of women who are cancer survivors. 14,17,18 The combination of aerobic plus resistance exercise is recommended for all women >50 years of age and resistance exercise has the potential to decrease chronic illness risks associated with central adiposity, increased fat mass, and elevated waist circumference in normal, overweight and obese breast cancer survivors. 62,63 …”

Section: Discussionmentioning

confidence: 99%

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The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes

et al. 2017

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Background Induced premature menopause and cardio-toxic therapy increase cardiovascular disease risk in female cancer survivors. Objective To compare the effects of a 12 month aerobic-resistance fitness center intervention to home based physical activity on cardiovascular function and metabolic risk factors. Methods Subjects (N = 154) who had completed primary and/or adjuvant chemotherapy (past 3 years) were randomized to a fitness center intervention or a home based group. The fitness center intervention was a structured thrice weekly aerobic (30 min brisk walking treadmill in target heart range) combined with resistance (30 min of lower body strength training) exercise program, supervised for the first 6 months. The home based group received national guidelines for 30 min moderate intensity exercise most days of the week. Fasting serum samples were collected at baseline, 6 and 12 months for insulin, glucose, lipids and hemoglobin A-1C. A graded exercise stress test was also performed at baseline and 6 months. Results The majority of subjects were white (85.7%), had breast cancer (83.1%) and the average age was 51.9 years. Subjects in the fitness center intervention had significantly improved time on treadmill (p = .039), improved heart rate recovery at 1 min (p = .028), greater MET minutes/week (p ≤ .0001), a trend for improved insulin resistance (p = .067) and stable insulin levels (p = .045) compared to the home based physical activity group. Conclusions Exercise represents a potential cardiac risk reduction intervention for cancer survivors. Clinical Trials.gov NCT01102985.

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Section: Discussionmentioning

confidence: 99%

“…As one example, weight gain during and after breast cancer treatment is common, 10–12 which is associated with an increased risk of recurrence and lower survival 13–16 and represents a modifiable risk factor for tertiary prevention. 17,18 …”

Section: Introductionmentioning

confidence: 99%

The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes

et al. 2017

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“…The global cancer burden is estimated to have 18.1 million new cancer cases in 2018 . An individual is considered to be a cancer survivor (CS) from the time of cancer diagnosis, throughout the balance of his or her life . Better primary health care, improved early detection, and better treatment enable individuals to live longer after cancer diagnosis, and cancer may be managed as a chronic illness .…”

Section: Introductionmentioning

confidence: 99%

Association between anxiety, depression, and comorbid chronic diseases among cancer survivors

et al. 2019

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Objective Cancer survivors (CSs) often face the dual physical burden of cancer and other comorbid chronic disease (CCD) and have a great deal of psychological distress, such as anxiety and depression. However, the association between CCD and psychological problems remain less clear in CS. This study was performed to investigate the prevalence of anxiety and depression in Chinese CS, and whether CCD have impact on CSs' anxiety and depression. Methods A cross‐sectional study was conducted among 1546 CSs in Shanghai, China. All participants were asked to complete a questionnaire containing Zung self‐rating anxiety scale (SAS), Zung self‐rating depression scale (SDS), and questions on sociodemographic characteristics and CCD. Associations between CCDs, and anxiety and depression, were evaluated by using logistic regression, adjusted for confounding factors. Results The prevalence of anxiety and depression in CSs were 28.2 % and 48.2%, respectively. 74.9% CSs had one or more comorbidities. Almost all CCDs examined showed associations with anxiety, except for CSs with diabetes. CSs with hyperlipidemia, diabetes, heart and cardiovascular diseases, and musculoskeletal diseases had significantly greater depression scores. When compared with those without CCD, CSs with one to two CCDs and greater than or equal to three CCDs had higher risks of anxiety and depression. Conclusions Anxiety and depression were more prevalent among CSs who also had CCDs. CCD have significantly negative association with CSs' anxiety and depression. Further cohort research will help deduce the causal relationships between CCDs, and anxiety and depression.

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“…Advances in breast cancer detection and treatment have meant that many more women are entering survivorship, with the 5‐year survival rate now almost 90% for Western countries . Consequently, much research has focused on improving quality of life (QOL) in breast cancer survivors in the long term, including gaining a greater understanding of the woman's broader interpersonal context and intimate relationships .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with romantic relationship formation difficulties in women with breast cancer

et al. 2018

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Survivorship, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology

Cited by 160 publications

References 129 publications

The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes

The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes

Association between anxiety, depression, and comorbid chronic diseases among cancer survivors

Factors associated with romantic relationship formation difficulties in women with breast cancer

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