Review of exercise studies in breast cancer survivors: attention to principles of exercise training
Identifieur interne : 002B55 ( Istex/Corpus ); précédent : 002B54; suivant : 002B56Review of exercise studies in breast cancer survivors: attention to principles of exercise training
Auteurs : Kristin L. Campbell ; Sarah E. Neil ; Kerri M. Winters-StoneSource :
- British Journal of Sports Medicine [ 0306-3674 ] ; 2012-10.
Abstract
Objectives Research supports the use of exercise to improve quality of life and reduce the side effects of breast cancer treatment, such as fatigue and decreased aerobic capacity. Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors. Methods Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription. Results Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription. Conclusion The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. Incomplete reporting of the exercise prescription and adherence to the prescription limits the reproducibility of the intervention, and the ability to determine the dose of exercise received by participants.
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DOI: 10.1136/bjsports-2010-082719
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Winters-Stone</name><affiliation><mods:affiliation>Oregon Health and Science University, Portland, Oregon, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:5D1C23B1A8DC3303740D61B92B683DB9C7535043</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1136/bjsports-2010-082719</idno><idno type="url">https://api.istex.fr/document/5D1C23B1A8DC3303740D61B92B683DB9C7535043/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002B55</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002B55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Review of exercise studies in breast cancer survivors: attention to principles of exercise training</title><author><name sortKey="Campbell, Kristin L" sort="Campbell, Kristin L" uniqKey="Campbell K" first="Kristin L" last="Campbell">Kristin L. Campbell</name><affiliation><mods:affiliation>University of British Columbia, Vancouver, British Columbia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Neil, Sarah E" sort="Neil, Sarah E" uniqKey="Neil S" first="Sarah E" last="Neil">Sarah E. Neil</name><affiliation><mods:affiliation>University of British Columbia, Vancouver, British Columbia, Canada</mods:affiliation></affiliation></author><author><name sortKey="Winters Stone, Kerri M" sort="Winters Stone, Kerri M" uniqKey="Winters Stone K" first="Kerri M" last="Winters-Stone">Kerri M. Winters-Stone</name><affiliation><mods:affiliation>Oregon Health and Science University, Portland, Oregon, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">British Journal of Sports Medicine</title><title level="j" type="abbrev">Br J Sports Med</title><idno type="ISSN">0306-3674</idno><idno type="eISSN">1473-0480</idno><imprint><publisher>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><date type="published" when="2012-10">2012-10</date><biblScope unit="volume">46</biblScope><biblScope unit="issue">13</biblScope><biblScope unit="page" from="909">909</biblScope></imprint><idno type="ISSN">0306-3674</idno></series><idno type="istex">5D1C23B1A8DC3303740D61B92B683DB9C7535043</idno><idno type="DOI">10.1136/bjsports-2010-082719</idno><idno type="href">bjsports-46-909.pdf</idno><idno type="ArticleID">bjsports-2010-082719</idno><idno type="local">bjsports;46/13/909</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0306-3674</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives Research supports the use of exercise to improve quality of life and reduce the side effects of breast cancer treatment, such as fatigue and decreased aerobic capacity. Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors. Methods Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription. Results Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription. Conclusion The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. Incomplete reporting of the exercise prescription and adherence to the prescription limits the reproducibility of the intervention, and the ability to determine the dose of exercise received by participants.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>tness</json:string><json:string>aerobic</json:string><json:string>exercise prescription</json:string><json:string>exercise training</json:string><json:string>breast cancer survivors</json:string><json:string>programme</json:string><json:string>breast cancer</json:string><json:string>body composition</json:string><json:string>survivor</json:string><json:string>oncol</json:string><json:string>aerobic tness</json:string><json:string>adjuvant</json:string><json:string>chemotherapy</json:string><json:string>initial values</json:string><json:string>courneya</json:string><json:string>physical activity</json:string><json:string>randomized</json:string><json:string>fitt</json:string><json:string>schmitz</json:string><json:string>vo2peak</json:string><json:string>clin</json:string><json:string>breast cancer patients</json:string><json:string>exercise prescriptions</json:string><json:string>exercise interventions</json:string><json:string>nurs</json:string><json:string>aerobic exercise</json:string><json:string>training programme</json:string><json:string>aerobic studies</json:string><json:string>resistance exercise</json:string><json:string>baseline</json:string><json:string>prescription</json:string><json:string>clin oncol</json:string><json:string>aerobic resistance</json:string><json:string>side effects</json:string><json:string>adjuvant treatment</json:string><json:string>systematic review</json:string><json:string>progression</json:string><json:string>adjuvant chemotherapy</json:string><json:string>review table</json:string><json:string>exercise intervention</json:string><json:string>bone mineral density</json:string><json:string>heart rate</json:string><json:string>lean body mass</json:string><json:string>resistance training</json:string><json:string>exercise testing</json:string><json:string>primary outcome</json:string><json:string>study design</json:string><json:string>outcome measures</json:string><json:string>exercise programme</json:string><json:string>reversibility</json:string><json:string>unclear</json:string><json:string>tness levels</json:string><json:string>blood pressure</json:string><json:string>fitt format</json:string><json:string>resistance intervention</json:string><json:string>bone health</json:string><json:string>sports exerc</json:string><json:string>aerobic interventions</json:string><json:string>body weight</json:string><json:string>cancer survivors</json:string><json:string>intervention studies</json:string><json:string>exercise intervention studies</json:string><json:string>cancer treatment</json:string><json:string>physical activity levels</json:string><json:string>aerobic capacity</json:string><json:string>resistance trial</json:string><json:string>breast</json:string><json:string>overload</json:string><json:string>intervention</json:string></teeft></keywords><author><json:item><name>Kristin L Campbell</name><affiliations><json:string>University of British Columbia, Vancouver, British Columbia, Canada</json:string></affiliations></json:item><json:item><name>Sarah E Neil</name><affiliations><json:string>University of British Columbia, Vancouver, British Columbia, Canada</json:string></affiliations></json:item><json:item><name>Kerri M Winters-Stone</name><affiliations><json:string>Oregon Health and Science University, Portland, Oregon, USA</json:string></affiliations></json:item></author><articleId><json:string>bjsports-2010-082719</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>review-article</json:string></originalGenre><abstract>Objectives Research supports the use of exercise to improve quality of life and reduce the side effects of breast cancer treatment, such as fatigue and decreased aerobic capacity. Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors. Methods Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription. Results Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription. Conclusion The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. 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Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors. Methods Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription. Results Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription. Conclusion The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. Incomplete reporting of the exercise prescription and adherence to the prescription limits the reproducibility of the intervention, and the ability to determine the dose of exercise received by participants.</p></abstract></profileDesc><revisionDesc><change when="2012-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/5D1C23B1A8DC3303740D61B92B683DB9C7535043/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="review-article"><front><journal-meta><journal-id journal-id-type="hwp">bjsports</journal-id><journal-id journal-id-type="nlm-ta">Br J Sports Med</journal-id><journal-id journal-id-type="publisher-id">bjsm</journal-id><journal-title>British Journal of Sports Medicine</journal-title><abbrev-journal-title abbrev-type="publisher">Br J Sports Med</abbrev-journal-title><abbrev-journal-title>Br J Sports Med</abbrev-journal-title><issn pub-type="ppub">0306-3674</issn><issn pub-type="epub">1473-0480</issn><publisher><publisher-name>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">bjsports-2010-082719</article-id><article-id pub-id-type="doi">10.1136/bjsports-2010-082719</article-id><article-id pub-id-type="other">bjsports;46/13/909</article-id><article-id pub-id-type="other">909</article-id><article-id pub-id-type="other">bjsports-2010-082719</article-id><article-categories><subj-group subj-group-type="heading"><subject>Reviews</subject></subj-group></article-categories><title-group><article-title>Review of exercise studies in breast cancer survivors: attention to principles of exercise training</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Campbell</surname><given-names>Kristin L</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Neil</surname><given-names>Sarah E</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Winters-Stone</surname><given-names>Kerri M</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of British Columbia, Vancouver, British Columbia, Canada</aff><aff id="A2"><label>2</label>Oregon Health and Science University, Portland, Oregon, USA</aff><author-notes><corresp><label>Correspondence to</label> Kristin Campbell, Department of Physical Therapy, 212 Friedman Building, 2177 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada; <email xlink:type="simple">Kristin.campbell@ubc.ca</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2012</year></pub-date><volume>46</volume><volume-id pub-id-type="other">46</volume-id><volume-id pub-id-type="other">46</volume-id><issue>13</issue><issue-id pub-id-type="other">bjsports;46/13</issue-id><issue-id pub-id-type="other">13</issue-id><issue-id pub-id-type="other">46/13</issue-id><fpage>909</fpage><history><date date-type="accepted"><day>27</day><month>4</month><year>2011</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="bjsports-46-909.pdf"></self-uri><abstract><sec><title>Objectives</title><p>Research supports the use of exercise to improve quality of life and reduce the side effects of breast cancer treatment, such as fatigue and decreased aerobic capacity. Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors.</p></sec><sec><title>Methods</title><p>Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription.</p></sec><sec><title>Results</title><p>Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription.</p></sec><sec><title>Conclusion</title><p>The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. Incomplete reporting of the exercise prescription and adherence to the prescription limits the reproducibility of the intervention, and the ability to determine the dose of exercise received by participants.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Review of exercise studies in breast cancer survivors: attention to principles of exercise training</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Review of exercise studies in breast cancer survivors: attention to principles of exercise training</title></titleInfo><name type="personal"><namePart type="given">Kristin L</namePart><namePart type="family">Campbell</namePart><affiliation>University of British Columbia, Vancouver, British Columbia, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sarah E</namePart><namePart type="family">Neil</namePart><affiliation>University of British Columbia, Vancouver, British Columbia, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kerri M</namePart><namePart type="family">Winters-Stone</namePart><affiliation>Oregon Health and Science University, Portland, Oregon, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="review-article"></genre><originInfo><publisher>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><dateIssued encoding="w3cdtf">2012-10</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Objectives Research supports the use of exercise to improve quality of life and reduce the side effects of breast cancer treatment, such as fatigue and decreased aerobic capacity. Previously published reviews have focused on reporting the outcomes of exercise interventions, but have not critically examined the exercise prescriptions. The purpose of this review is to evaluate the application of the principles of exercise training in the exercise prescriptions reported in intervention studies for breast cancer survivors. Methods Databases were searched for randomised controlled trials of exercise in women diagnosed with breast cancer. Data were extracted to evaluate the application of the principles of exercise training, the reporting of the components of the exercise prescription and the reporting of adherence to the exercise prescription. Results Of the 29 papers included, none applied all principles of exercise training. Specificity was applied by 64%, progression by 41%, overload by 31%, initial values by 62% and diminishing returns and reversibility by 7% of trials. No study reported all components of the exercise prescription. Conclusion The application of the principles of exercise training varied greatly, and reporting of the exercise prescribed and completed was incomplete. When principles of exercise training are applied to the development of exercise protocols, there is greater confidence that non-significant findings reflect lack of efficacy of exercise rather than deficiencies in the prescription. Incomplete reporting of the exercise prescription and adherence to the prescription limits the reproducibility of the intervention, and the ability to determine the dose of exercise received by participants.</abstract><relatedItem type="host"><titleInfo><title>British Journal of Sports Medicine</title></titleInfo><titleInfo type="abbreviated"><title>Br J Sports Med</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0306-3674</identifier><identifier type="eISSN">1473-0480</identifier><identifier type="PublisherID">bjsm</identifier><identifier type="PublisherID-hwp">bjsports</identifier><identifier type="PublisherID-nlm-ta">Br J Sports Med</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>46</number></detail><detail type="issue"><caption>no.</caption><number>13</number></detail><extent unit="pages"><start>909</start></extent></part></relatedItem><identifier type="istex">5D1C23B1A8DC3303740D61B92B683DB9C7535043</identifier><identifier type="DOI">10.1136/bjsports-2010-082719</identifier><identifier type="href">bjsports-46-909.pdf</identifier><identifier type="ArticleID">bjsports-2010-082719</identifier><identifier type="local">bjsports;46/13/909</identifier><accessCondition type="use and reproduction" contentType="copyright">Published by the BMJ Publishing Group Limited. 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