LymphedemaV1, Main, Exploration, bibRecord, 005E59

Weight Lifting for Women at Risk for Breast Cancer-Related Lymphedema: A Randomized Trial

Identifieur interne : 005E59 ( Main/Exploration ); précédent : 005E58; suivant : 005E60

Weight Lifting for Women at Risk for Breast Cancer-Related Lymphedema: A Randomized Trial

Auteurs : Kathryn H. Schmitz [États-Unis] ; Rehana L. Ahmed [États-Unis] ; Andrea B. Troxel [États-Unis] ; Andrea Cheville [États-Unis] ; Lorita Lewis-Grant [États-Unis] ; Rebecca Smith [États-Unis] ; Cathy J. Bryan [États-Unis] ; Catherine T. Williams-Smith [États-Unis] ; Jesse Chittams [États-Unis]

Source :

JAMA, the journal of the American Medical Association [ 0098-7484 ] ; 2010.

RBID : Pascal:11-0040626

Descripteurs français

Pascal (Inist)
- Tumeur maligne, Poids, Femme, Cancer du sein, Femelle, Lymphoedème, Adulte, Glande mammaire, Essai clinique, Randomisation, Médecine, Traitement, Comportement à risque, Lifting.
Wicri :
- topic : Femme, Adulte, Médecine.

English descriptors

KwdEn :
- Adult, Breast cancer, Clinical trial, Female, Lifting, Lymphedema, Malignant tumor, Mammary gland, Medicine, Randomization, Treatment, Weight, Woman.

Abstract

Context Clinical guidelines for breast cancer survivors without lymphedema advise against upper body exercise, preventing them from obtaining established health benefits of weight lifting. Objective To evaluate lymphedema onset after a 1-year weight lifting intervention vs no exercise (control) among survivors at risk for breast cancer-related lymphedema (BCRL). Design, Setting, and Participants A randomized controlled equivalence trial (Physical Activity and Lymphedema trial) in the Philadelphia metropolitan area of 154 breast cancer survivors 1 to 5 years postunilateral breast cancer, with at least 2 lymph nodes removed and without clinical signs of BCRL at study entry. Participants were recruited between October 1, 2005, and February 2007, with data collection ending in August 2008. Intervention Weight lifting intervention included a gym membership and 13 weeks of supervised instruction, with the remaining 9 months unsupervised, vs no exercise. Main Outcome Measures Incident BCRL determined by increased arm swelling during 12 months (≥5% increase in interlimb difference). Clinician-defined BCRL onset was also evaluated. Equivalence margin was defined as doubling of lyphedema incidence. Results A total of 134 participants completed follow-up measures at 1 year. The proportion of women who experienced incident BCRL onset was 11 % (8 of 72) in the weight lifting intervention group and 17% (13 of 75) in the control group (cumulative incidence difference [CID], -6.0%; 95% confidence interval [CI], -17.2% to 5.2%; P for equivalence=.04). Among women with 5 or more lymph nodes removed, the proportion who experienced incident BCRL onset was 7% (3 of 45) in the weight lifting intervention group and 22% (11 of 49) in the control group (CID, -15.0%; 95% CI, -18.6% to -11.4%; P for equivalence=.003). Clinician-defined BCRL onset occurred in 1 woman in the weight lifting intervention group and 3 women in the control group (1.5% vs 4.4%, P for equivalence=.12). Conclusion In breast cancer survivors at risk for lymphedema, a program of slowly progressive weight lifting compared with no exercise did not result in increased incidence of lymphedema.

Affiliations:

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Breast cancer</term>
<term>Clinical trial</term>
<term>Female</term>
<term>Lifting</term>
<term>Lymphedema</term>
<term>Malignant tumor</term>
<term>Mammary gland</term>
<term>Medicine</term>
<term>Randomization</term>
<term>Treatment</term>
<term>Weight</term>
<term>Woman</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Tumeur maligne</term>
<term>Poids</term>
<term>Femme</term>
<term>Cancer du sein</term>
<term>Femelle</term>
<term>Lymphoedème</term>
<term>Adulte</term>
<term>Glande mammaire</term>
<term>Essai clinique</term>
<term>Randomisation</term>
<term>Médecine</term>
<term>Traitement</term>
<term>Comportement à risque</term>
<term>Lifting</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Femme</term>
<term>Adulte</term>
<term>Médecine</term>
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<front><div type="abstract" xml:lang="en">Context Clinical guidelines for breast cancer survivors without lymphedema advise against upper body exercise, preventing them from obtaining established health benefits of weight lifting. Objective To evaluate lymphedema onset after a 1-year weight lifting intervention vs no exercise (control) among survivors at risk for breast cancer-related lymphedema (BCRL). Design, Setting, and Participants A randomized controlled equivalence trial (Physical Activity and Lymphedema trial) in the Philadelphia metropolitan area of 154 breast cancer survivors 1 to 5 years postunilateral breast cancer, with at least 2 lymph nodes removed and without clinical signs of BCRL at study entry. Participants were recruited between October 1, 2005, and February 2007, with data collection ending in August 2008. Intervention Weight lifting intervention included a gym membership and 13 weeks of supervised instruction, with the remaining 9 months unsupervised, vs no exercise. Main Outcome Measures Incident BCRL determined by increased arm swelling during 12 months (≥5% increase in interlimb difference). Clinician-defined BCRL onset was also evaluated. Equivalence margin was defined as doubling of lyphedema incidence. Results A total of 134 participants completed follow-up measures at 1 year. The proportion of women who experienced incident BCRL onset was 11 % (8 of 72) in the weight lifting intervention group and 17% (13 of 75) in the control group (cumulative incidence difference [CID], -6.0%; 95% confidence interval [CI], -17.2% to 5.2%; P for equivalence=.04). Among women with 5 or more lymph nodes removed, the proportion who experienced incident BCRL onset was 7% (3 of 45) in the weight lifting intervention group and 22% (11 of 49) in the control group (CID, -15.0%; 95% CI, -18.6% to -11.4%; P for equivalence=.003). Clinician-defined BCRL onset occurred in 1 woman in the weight lifting intervention group and 3 women in the control group (1.5% vs 4.4%, P for equivalence=.12). Conclusion In breast cancer survivors at risk for lymphedema, a program of slowly progressive weight lifting compared with no exercise did not result in increased incidence of lymphedema.</div>
</front>
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<li>Pennsylvanie</li>
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<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name>
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<name sortKey="Williams Smith, Catherine T" sort="Williams Smith, Catherine T" uniqKey="Williams Smith C" first="Catherine T." last="Williams-Smith">Catherine T. Williams-Smith</name>
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   |clé=     Pascal:11-0040626
   |texte=   Weight Lifting for Women at Risk for Breast Cancer-Related Lymphedema: A Randomized Trial
}}

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Weight Lifting for Women at Risk for Breast Cancer-Related Lymphedema: A Randomized Trial

Weight Lifting for Women at Risk for Breast Cancer-Related Lymphedema: A Randomized Trial

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