Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer.
Identifieur interne : 003652 ( Main/Exploration ); précédent : 003651; suivant : 003653Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer.
Auteurs : Sandra C. Hayes [Australie] ; Sheree Rye ; Tracey Disipio ; Patsy Yates ; John Bashford ; Chris Pyke ; Christobel Saunders ; Diana Battistutta ; Elizabeth EakinSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anxiété (), Dépression (), Enquêtes et questionnaires, Exercice physique, Femelle, Gestion de la douleur, Humains, Membre supérieur (physiopathologie), Qualité de vie, Résultat thérapeutique, Sujet âgé, Traitement par les exercices physiques, Tumeurs du sein (), Tumeurs du sein (physiopathologie), Tumeurs du sein (psychologie), Études de faisabilité.
- MESH :
- physiopathologie : Membre supérieur, Tumeurs du sein.
- psychologie : Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Anxiété, Dépression, Enquêtes et questionnaires, Exercice physique, Femelle, Gestion de la douleur, Humains, Qualité de vie, Résultat thérapeutique, Sujet âgé, Traitement par les exercices physiques, Tumeurs du sein, Études de faisabilité.
English descriptors
- KwdEn :
- Adult, Aged, Anxiety (therapy), Breast Neoplasms (physiopathology), Breast Neoplasms (psychology), Breast Neoplasms (therapy), Depression (therapy), Exercise, Exercise Therapy, Feasibility Studies, Female, Humans, Middle Aged, Pain Management, Quality of Life, Surveys and Questionnaires, Treatment Outcome, Upper Extremity (physiopathology).
- MESH :
- physiopathology : Breast Neoplasms, Upper Extremity.
- psychology : Breast Neoplasms.
- therapy : Anxiety, Breast Neoplasms, Depression.
- Adult, Aged, Exercise, Exercise Therapy, Feasibility Studies, Female, Humans, Middle Aged, Pain Management, Quality of Life, Surveys and Questionnaires, Treatment Outcome.
Abstract
Exercise for Health was a randomized, controlled trial designed to evaluate two modes of delivering (face-to-face [FtF] and over-the-telephone [Tel]) an 8-month translational exercise intervention, commencing 6-weeks post-breast cancer surgery (PS). Outcomes included quality of life (QoL), function (fitness and upper body) and treatment-related side effects (fatigue, lymphoedema, body mass index, menopausal symptoms, anxiety, depression and pain). Generalised estimating equation modelling determined time (baseline [5 weeks PS], mid-intervention [6 months PS], post-intervention [12 months PS]), group (FtF, Tel, Usual Care [UC]) and time-by-group effects. 194 women representative of the breast cancer population were randomised to the FtF (n = 67), Tel (n = 67) and UC (n = 60) groups. There were significant (p < 0.05) interaction effects on QoL, fitness and fatigue with differences being observed between the treatment groups and the UC group. Trends observed for the treatment groups were similar. The treatment groups reported improved QoL, fitness and fatigue over time and changes observed between baseline and post-intervention were clinically relevant. In contrast, the UC group experienced no change, or worsening QoL, fitness and fatigue, mid-intervention. Although improvements in the UC group occurred by 12-months post-surgery, the change did not meet the clinically relevant threshold. There were no differences in other treatment-related side effects between groups. This translational intervention trial, delivered either FtF or Tel, supports exercise as a form of adjuvant breast cancer therapy that can prevent declines in fitness and function during treatment and optimise recovery post-treatment.
DOI: 10.1007/s10549-012-2331-y
PubMed: 23139058
Affiliations:
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Hayes</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia. sc.hayes@qut.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name></author><author><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name></author><author><name sortKey="Yates, Patsy" sort="Yates, Patsy" uniqKey="Yates P" first="Patsy" last="Yates">Patsy Yates</name></author><author><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name></author><author><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name></author><author><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name></author><author><name sortKey="Eakin, Elizabeth" sort="Eakin, Elizabeth" uniqKey="Eakin E" first="Elizabeth" last="Eakin">Elizabeth Eakin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23139058</idno><idno type="pmid">23139058</idno><idno type="doi">10.1007/s10549-012-2331-y</idno><idno type="wicri:Area/PubMed/Corpus">001E75</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001E75</idno><idno type="wicri:Area/PubMed/Curation">001E75</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001E75</idno><idno type="wicri:Area/PubMed/Checkpoint">001E75</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001E75</idno><idno type="wicri:Area/Ncbi/Merge">005299</idno><idno type="wicri:Area/Ncbi/Curation">005299</idno><idno type="wicri:Area/Ncbi/Checkpoint">005299</idno><idno type="wicri:Area/Main/Merge">003659</idno><idno type="wicri:Area/Main/Curation">003652</idno><idno type="wicri:Area/Main/Exploration">003652</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer.</title><author><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia. sc.hayes@qut.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name></author><author><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name></author><author><name sortKey="Yates, Patsy" sort="Yates, Patsy" uniqKey="Yates P" first="Patsy" last="Yates">Patsy Yates</name></author><author><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name></author><author><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name></author><author><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name></author><author><name sortKey="Eakin, Elizabeth" sort="Eakin, Elizabeth" uniqKey="Eakin E" first="Elizabeth" last="Eakin">Elizabeth Eakin</name></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anxiety (therapy)</term><term>Breast Neoplasms (physiopathology)</term><term>Breast Neoplasms (psychology)</term><term>Breast Neoplasms (therapy)</term><term>Depression (therapy)</term><term>Exercise</term><term>Exercise Therapy</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pain Management</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anxiété ()</term><term>Dépression ()</term><term>Enquêtes et questionnaires</term><term>Exercice physique</term><term>Femelle</term><term>Gestion de la douleur</term><term>Humains</term><term>Membre supérieur (physiopathologie)</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (physiopathologie)</term><term>Tumeurs du sein (psychologie)</term><term>Études de faisabilité</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Membre supérieur</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Breast Neoplasms</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term><term>Breast Neoplasms</term><term>Depression</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Exercise</term><term>Exercise Therapy</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pain Management</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anxiété</term><term>Dépression</term><term>Enquêtes et questionnaires</term><term>Exercice physique</term><term>Femelle</term><term>Gestion de la douleur</term><term>Humains</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein</term><term>Études de faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Exercise for Health was a randomized, controlled trial designed to evaluate two modes of delivering (face-to-face [FtF] and over-the-telephone [Tel]) an 8-month translational exercise intervention, commencing 6-weeks post-breast cancer surgery (PS). Outcomes included quality of life (QoL), function (fitness and upper body) and treatment-related side effects (fatigue, lymphoedema, body mass index, menopausal symptoms, anxiety, depression and pain). Generalised estimating equation modelling determined time (baseline [5 weeks PS], mid-intervention [6 months PS], post-intervention [12 months PS]), group (FtF, Tel, Usual Care [UC]) and time-by-group effects. 194 women representative of the breast cancer population were randomised to the FtF (n = 67), Tel (n = 67) and UC (n = 60) groups. There were significant (p < 0.05) interaction effects on QoL, fitness and fatigue with differences being observed between the treatment groups and the UC group. Trends observed for the treatment groups were similar. The treatment groups reported improved QoL, fitness and fatigue over time and changes observed between baseline and post-intervention were clinically relevant. In contrast, the UC group experienced no change, or worsening QoL, fitness and fatigue, mid-intervention. Although improvements in the UC group occurred by 12-months post-surgery, the change did not meet the clinically relevant threshold. There were no differences in other treatment-related side effects between groups. This translational intervention trial, delivered either FtF or Tel, supports exercise as a form of adjuvant breast cancer therapy that can prevent declines in fitness and function during treatment and optimise recovery post-treatment.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><name sortKey="Eakin, Elizabeth" sort="Eakin, Elizabeth" uniqKey="Eakin E" first="Elizabeth" last="Eakin">Elizabeth Eakin</name><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name><name sortKey="Yates, Patsy" sort="Yates, Patsy" uniqKey="Yates P" first="Patsy" last="Yates">Patsy Yates</name></noCountry><country name="Australie"><noRegion><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. 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