Randomized controlled trial to evaluate the effects of combined progressive exercise on metabolic syndrome in breast cancer survivors: rationale, design, and methods
Identifieur interne : 002603 ( Main/Exploration ); précédent : 002602; suivant : 002604Randomized controlled trial to evaluate the effects of combined progressive exercise on metabolic syndrome in breast cancer survivors: rationale, design, and methods
Auteurs : Christina M. Dieli-Conwright [États-Unis] ; Joanne E. Mortimer [États-Unis] ; E Todd Schroeder [États-Unis] ; Kerry Courneya [Canada] ; Wendy Demark-Wahnefried [États-Unis] ; Thomas A. Buchanan [États-Unis] ; Debu Tripathy [États-Unis] ; Leslie Bernstein [États-Unis]Source :
- BMC Cancer [ 1471-2407 ] ; 2014.
Abstract
Metabolic syndrome (MetS) is increasingly present in breast cancer survivors, possibly worsened by cancer-related treatments, such as chemotherapy. MetS greatly increases risk of cardiovascular disease and diabetes, co-morbidities that could impair the survivorship experience, and possibly lead to cancer recurrence. Exercise has been shown to positively influence quality of life (QOL), physical function, muscular strength and endurance, reduce fatigue, and improve emotional well-being; however, the impact on MetS components (visceral adiposity, hyperglycemia, low serum high-density lipoprotein cholesterol, hypertriglyceridemia, and hypertension) remains largely unknown. In this trial, we aim to assess the effects of combined (aerobic and resistance) exercise on components of MetS, as well as on physical fitness and QOL, in breast cancer survivors soon after completing cancer-related treatments.
This study is a prospective randomized controlled trial (RCT) investigating the effects of a 16-week supervised progressive aerobic and resistance exercise training intervention on MetS in 100 breast cancer survivors. Main inclusion criteria are histologically-confirmed breast cancer stage I-III, completion of chemotherapy and/or radiation within 6 months prior to initiation of the study, sedentary, and free from musculoskeletal disorders. The primary endpoint is MetS; secondary endpoints include: muscle strength, shoulder function, cardiorespiratory fitness, body composition, bone mineral density, and QOL. Participants randomized to the Exercise group participate in 3 supervised weekly exercise sessions for 16 weeks. Participants randomized to the Control group are offered the same intervention after the 16-week period of observation.
This is the one of few RCTs examining the effects of exercise on MetS in breast cancer survivors. Results will contribute a better understanding of metabolic disease-related effects of resistance and aerobic exercise training and inform intervention programs that will optimally improve physiological and psychosocial health during cancer survivorship, and that are ultimately aimed at improving prognosis.
Url:
DOI: 10.1186/1471-2407-14-238
PubMed: 24708832
PubMed Central: 3985576
Affiliations:
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Dieli-Conwright</name><affiliation wicri:level="4"><nlm:aff id="I1">Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E. Alcazar St. CHP 155, 90089 Los Angeles, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E. Alcazar St. CHP 155, 90089 Los Angeles, CA</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Mortimer, Joanne E" sort="Mortimer, Joanne E" uniqKey="Mortimer J" first="Joanne E" last="Mortimer">Joanne E. Mortimer</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, 1500 E. Duarte Rd, 91010 Duarte, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, 1500 E. Duarte Rd, 91010 Duarte, CA</wicri:regionArea><wicri:noRegion>CA</wicri:noRegion></affiliation></author><author><name sortKey="Schroeder, E Todd" sort="Schroeder, E Todd" uniqKey="Schroeder E" first="E Todd" last="Schroeder">E Todd Schroeder</name><affiliation wicri:level="4"><nlm:aff id="I1">Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E. Alcazar St. CHP 155, 90089 Los Angeles, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E. Alcazar St. CHP 155, 90089 Los Angeles, CA</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Courneya, Kerry" sort="Courneya, Kerry" uniqKey="Courneya K" first="Kerry" last="Courneya">Kerry Courneya</name><affiliation wicri:level="1"><nlm:aff id="I3">E-488 Van Vliet Center Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta T6G 2H9, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>E-488 Van Vliet Center Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta T6G 2H9</wicri:regionArea><wicri:noRegion>Alberta T6G 2H9</wicri:noRegion></affiliation></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Nutrition Sciences, University of Alabama Birmingham, 1675 University Blvd, 35294 Birmingham, AL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition Sciences, University of Alabama Birmingham, 1675 University Blvd, 35294 Birmingham, AL</wicri:regionArea><wicri:noRegion>AL</wicri:noRegion></affiliation></author><author><name sortKey="Buchanan, Thomas A" sort="Buchanan, Thomas A" uniqKey="Buchanan T" first="Thomas A" last="Buchanan">Thomas A. Buchanan</name><affiliation wicri:level="4"><nlm:aff id="I5">Division of Endocrinology and Diabetes, Keck School of Medicine, University of Southern California, 2250 Alcazar St. Suite 200, 90033 Los Angeles, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Endocrinology and Diabetes, Keck School of Medicine, University of Southern California, 2250 Alcazar St. Suite 200, 90033 Los Angeles, CA</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Tripathy, Debu" sort="Tripathy, Debu" uniqKey="Tripathy D" first="Debu" last="Tripathy">Debu Tripathy</name><affiliation wicri:level="4"><nlm:aff id="I6">Department of Medicine, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, 90033 Los Angeles, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, 90033 Los Angeles, CA</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name><affiliation wicri:level="1"><nlm:aff id="I7">Division of Cancer Etiology, Beckman Research Institute, City of Hope, 1500 E. Duarte Rd, 91010 Duarte, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cancer Etiology, Beckman Research Institute, City of Hope, 1500 E. Duarte Rd, 91010 Duarte, CA</wicri:regionArea><wicri:noRegion>CA</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Metabolic syndrome (MetS) is increasingly present in breast cancer survivors, possibly worsened by cancer-related treatments, such as chemotherapy. MetS greatly increases risk of cardiovascular disease and diabetes, co-morbidities that could impair the survivorship experience, and possibly lead to cancer recurrence. Exercise has been shown to positively influence quality of life (QOL), physical function, muscular strength and endurance, reduce fatigue, and improve emotional well-being; however, the impact on MetS components (visceral adiposity, hyperglycemia, low serum high-density lipoprotein cholesterol, hypertriglyceridemia, and hypertension) remains largely unknown. In this trial, we aim to assess the effects of combined (aerobic and resistance) exercise on components of MetS, as well as on physical fitness and QOL, in breast cancer survivors soon after completing cancer-related treatments.</p></sec><sec><title>Methods/Design</title><p>This study is a prospective randomized controlled trial (RCT) investigating the effects of a 16-week supervised progressive aerobic and resistance exercise training intervention on MetS in 100 breast cancer survivors. Main inclusion criteria are histologically-confirmed breast cancer stage I-III, completion of chemotherapy and/or radiation within 6 months prior to initiation of the study, sedentary, and free from musculoskeletal disorders. The primary endpoint is MetS; secondary endpoints include: muscle strength, shoulder function, cardiorespiratory fitness, body composition, bone mineral density, and QOL. Participants randomized to the Exercise group participate in 3 supervised weekly exercise sessions for 16 weeks. Participants randomized to the Control group are offered the same intervention after the 16-week period of observation.</p></sec><sec><title>Discussion</title><p>This is the one of few RCTs examining the effects of exercise on MetS in breast cancer survivors. Results will contribute a better understanding of metabolic disease-related effects of resistance and aerobic exercise training and inform intervention programs that will optimally improve physiological and psychosocial health during cancer survivorship, and that are ultimately aimed at improving prognosis.</p></sec><sec><title>Trial registration</title><p><ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov/show/NCT01140282">NCT01140282</ext-link>; Registration: June 10, 2010</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hewitt, M" uniqKey="Hewitt M">M Hewitt</name></author><author><name sortKey="Rowland, Jh" uniqKey="Rowland J">JH Rowland</name></author><author><name sortKey="Yancik, R" uniqKey="Yancik R">R Yancik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holmes, Md" uniqKey="Holmes M">MD Holmes</name></author><author><name sortKey="Chen, 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Dieli-Conwright</name></region><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name><name sortKey="Buchanan, Thomas A" sort="Buchanan, Thomas A" uniqKey="Buchanan T" first="Thomas A" last="Buchanan">Thomas A. Buchanan</name><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><name sortKey="Mortimer, Joanne E" sort="Mortimer, Joanne E" uniqKey="Mortimer J" first="Joanne E" last="Mortimer">Joanne E. Mortimer</name><name sortKey="Schroeder, E Todd" sort="Schroeder, E Todd" uniqKey="Schroeder E" first="E Todd" last="Schroeder">E Todd Schroeder</name><name sortKey="Tripathy, Debu" sort="Tripathy, Debu" uniqKey="Tripathy D" first="Debu" last="Tripathy">Debu Tripathy</name></country><country name="Canada"><noRegion><name sortKey="Courneya, Kerry" sort="Courneya, Kerry" uniqKey="Courneya K" first="Kerry" last="Courneya">Kerry Courneya</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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