Randomized controlled trial of weight training and lymphedema in breast cancer survivors
Identifieur interne : 000509 ( PascalFrancis/Checkpoint ); précédent : 000508; suivant : 000510Randomized controlled trial of weight training and lymphedema in breast cancer survivors
Auteurs : Rehana L. Ahmed [États-Unis] ; William Thomas ; Douglas Yee ; Kathryn H. SchmitzSource :
- Journal of clinical oncology [ 0732-183X ] ; 2006.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Purpose Lymphedema is a common condition that breast cancer survivors face. Despite a lack of supporting evidence from prospective observational studies, occupational and leisure time physical activity are feared to be possible risk factors for lymphedema onset or exacerbation. We examined effects of supervised upper- and lower-body weight training on the incidence and symptoms of lymphedema in 45 breast cancer survivors who participated in the Weight Training for Breast Cancer Survivors study. Methods Participants were on average 52 years old, 4 to 36 months post-treatment, and had axillary dissection as part of their treatment. Thirteen women had prevalent lymphedema at baseline. The intervention was twice-a-week weight training over a period of 6 months. Lymphedema was monitored at baseline and 6 months by measuring the circumference of each arm, and by self-report of symptoms and clinical diagnosis. Results None of the intervention-group participants experienced a change in arm circumferences ≥ 2.0 cm after a 6-month exercise intervention. Self-reported incidence of a clinical diagnosis of lymphedema or symptom changes over 6 months did not vary by intervention status (P =.40 and P =.22, respectively). Conclusion This is the largest randomized controlled trial to examine associations between exercise and lymphedema in breast cancer survivors. The results of this study support the hypotheses that a 6-month intervention of resistance exercise did not increase the risk for or exacerbate symptoms of lymphedema. These results herald the need to start reevaluating common clinical guidelines that breast cancer survivors avoid upper body resistance activity for fear of increasing risk of lymphedema.
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Ahmed</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Epidemiology and Community Health</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Division of Epidemiology and Community Health</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Biostatistics Division, School of Public Health</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Biostatistics Division, School of Public Health</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University of Minnesota Cancer Center</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Minnesota Cancer Center</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>University of Minnesota</s1><s2>Minneapolis, MN</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Thomas, William" sort="Thomas, William" uniqKey="Thomas W" first="William" last="Thomas">William Thomas</name></author><author><name sortKey="Yee, Douglas" sort="Yee, Douglas" uniqKey="Yee D" first="Douglas" last="Yee">Douglas Yee</name></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. 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Ahmed</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Epidemiology and Community Health</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Division of Epidemiology and Community Health</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Biostatistics Division, School of Public Health</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Biostatistics Division, School of Public Health</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University of Minnesota Cancer Center</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Minnesota Cancer Center</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>University of Minnesota</s1><s2>Minneapolis, MN</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Thomas, William" sort="Thomas, William" uniqKey="Thomas W" first="William" last="Thomas">William Thomas</name></author><author><name sortKey="Yee, Douglas" sort="Yee, Douglas" uniqKey="Yee D" first="Douglas" last="Yee">Douglas Yee</name></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name></author></analytic><series><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term><term>Cancerology</term><term>Lymphedema</term><term>Randomised controlled trial</term><term>Survivor</term><term>Weight</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Poids</term><term>Survivant</term><term>Cancérologie</term><term>Essai randomisé contrôlé</term><term>Cancer sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose Lymphedema is a common condition that breast cancer survivors face. Despite a lack of supporting evidence from prospective observational studies, occupational and leisure time physical activity are feared to be possible risk factors for lymphedema onset or exacerbation. We examined effects of supervised upper- and lower-body weight training on the incidence and symptoms of lymphedema in 45 breast cancer survivors who participated in the Weight Training for Breast Cancer Survivors study. Methods Participants were on average 52 years old, 4 to 36 months post-treatment, and had axillary dissection as part of their treatment. Thirteen women had prevalent lymphedema at baseline. The intervention was twice-a-week weight training over a period of 6 months. Lymphedema was monitored at baseline and 6 months by measuring the circumference of each arm, and by self-report of symptoms and clinical diagnosis. Results None of the intervention-group participants experienced a change in arm circumferences ≥ 2.0 cm after a 6-month exercise intervention. Self-reported incidence of a clinical diagnosis of lymphedema or symptom changes over 6 months did not vary by intervention status (P =.40 and P =.22, respectively). Conclusion This is the largest randomized controlled trial to examine associations between exercise and lymphedema in breast cancer survivors. The results of this study support the hypotheses that a 6-month intervention of resistance exercise did not increase the risk for or exacerbate symptoms of lymphedema. These results herald the need to start reevaluating common clinical guidelines that breast cancer survivors avoid upper body resistance activity for fear of increasing risk of lymphedema.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0732-183X</s0></fA01><fA03 i2="1"><s0>J. clin. oncol.</s0></fA03><fA05><s2>24</s2></fA05><fA06><s2>18</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Randomized controlled trial of weight training and lymphedema in breast cancer survivors</s1></fA08><fA11 i1="01" i2="1"><s1>AHMED (Rehana L.)</s1></fA11><fA11 i1="02" i2="1"><s1>THOMAS (William)</s1></fA11><fA11 i1="03" i2="1"><s1>YEE (Douglas)</s1></fA11><fA11 i1="04" i2="1"><s1>SCHMITZ (Kathryn H.)</s1></fA11><fA14 i1="01"><s1>Division of Epidemiology and Community Health</s1><s3>USA</s3></fA14><fA14 i1="02"><s1>Biostatistics Division, School of Public Health</s1><s3>USA</s3></fA14><fA14 i1="03"><s1>University of Minnesota Cancer Center</s1><s3>USA</s3></fA14><fA14 i1="04"><s1>University of Minnesota</s1><s2>Minneapolis, MN</s2><s3>USA</s3></fA14><fA14 i1="05"><s1>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</s1><s2>Philadelphia, PA</s2><s3>USA</s3></fA14><fA20><s1>2765-2772</s1></fA20><fA21><s1>2006</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20094</s2><s5>354000142358660150</s5></fA43><fA44><s0>0000</s0><s1>© 2006 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>38 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>06-0334339</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of clinical oncology</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Purpose Lymphedema is a common condition that breast cancer survivors face. Despite a lack of supporting evidence from prospective observational studies, occupational and leisure time physical activity are feared to be possible risk factors for lymphedema onset or exacerbation. We examined effects of supervised upper- and lower-body weight training on the incidence and symptoms of lymphedema in 45 breast cancer survivors who participated in the Weight Training for Breast Cancer Survivors study. Methods Participants were on average 52 years old, 4 to 36 months post-treatment, and had axillary dissection as part of their treatment. Thirteen women had prevalent lymphedema at baseline. The intervention was twice-a-week weight training over a period of 6 months. Lymphedema was monitored at baseline and 6 months by measuring the circumference of each arm, and by self-report of symptoms and clinical diagnosis. Results None of the intervention-group participants experienced a change in arm circumferences ≥ 2.0 cm after a 6-month exercise intervention. Self-reported incidence of a clinical diagnosis of lymphedema or symptom changes over 6 months did not vary by intervention status (P =.40 and P =.22, respectively). Conclusion This is the largest randomized controlled trial to examine associations between exercise and lymphedema in breast cancer survivors. The results of this study support the hypotheses that a 6-month intervention of resistance exercise did not increase the risk for or exacerbate symptoms of lymphedema. 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Schmitz</name><name sortKey="Thomas, William" sort="Thomas, William" uniqKey="Thomas W" first="William" last="Thomas">William Thomas</name><name sortKey="Yee, Douglas" sort="Yee, Douglas" uniqKey="Yee D" first="Douglas" last="Yee">Douglas Yee</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name></noRegion><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. 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