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Exercise and the lymphatic system : Implications for breast-cancer survivors

Identifieur interne : 000573 ( PascalFrancis/Corpus ); précédent : 000572; suivant : 000574

Exercise and the lymphatic system : Implications for breast-cancer survivors

Auteurs : Kirstin Lane ; Dan Worsley ; Don Mckenzie

Source :

RBID : Pascal:05-0308001

Descripteurs français

English descriptors

Abstract

This article summarises the current research on the lymphatic system related to exercise and critically evaluates the implications for exercise performance by breast-cancer survivors. The primary role of the lymphatic system during exercise is to assist in the regulation of tissue volume and pressure by carrying fluid and plasma proteins that have leaked into the interstitial space from tissues back to the cardiovascular system. During steady-state exercise in humans, lymph flow has been shown to increase to levels approximately 2- to 3-fold higher than at rest. Although the lymphatic system does not typically limit exercise performance in the normal population, the function of this system can be impaired in 27-49% of women who have survived breast cancer. Breast cancer-related lymphoedema (BCRL) is a chronic swelling that can occur in the ipsilateral hand or arm of women treated for breast cancer and results in a number of physical and psychological sequelae. Exercise was once believed to be a factor in the development of BCRL as it was thought that the damage to the axillary lymphatics from breast-cancer treatment resulted in a primary obstruction to lymph flow. However, the exact aetiology and pathophysiology of BCRL appears to be multi-factorial and not as simple as a 'stop-cock' effect. Furthermore, recent studies have shown that participating in vigorous, upper-body exercise is not related to an increase in arm volume, which would indicate the development of BCRL. It is still not known, though, how long-term exercise affects lymphatic system function in breast-cancer survivors with and without BCRL.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
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A02 01      @0 SPMEE7
A03   1    @0 Sports med. : (Auckl.)
A05       @2 35
A06       @2 6
A08 01  1  ENG  @1 Exercise and the lymphatic system : Implications for breast-cancer survivors
A11 01  1    @1 LANE (Kirstin)
A11 02  1    @1 WORSLEY (Dan)
A11 03  1    @1 MCKENZIE (Don)
A14 01      @1 School of Human Kinetics, University of British Columbia @2 Vancouver, British Columbia @3 CAN @Z 1 aut. @Z 3 aut.
A14 02      @1 Department of Radiology, University of British Columbia @2 Vancouver, British Columbia @3 CAN @Z 2 aut.
A14 03      @1 Division of Sports Medicine, University of British Columbia @2 Vancouver, British Columbia @3 CAN @Z 3 aut.
A20       @1 461-471
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 21412 @5 354000132207110010
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 55 ref.
A47 01  1    @0 05-0308001
A60       @1 P
A61       @0 A
A64 01  1    @0 Sports medicine : (Auckland)
A66 01      @0 NZL
C01 01    ENG  @0 This article summarises the current research on the lymphatic system related to exercise and critically evaluates the implications for exercise performance by breast-cancer survivors. The primary role of the lymphatic system during exercise is to assist in the regulation of tissue volume and pressure by carrying fluid and plasma proteins that have leaked into the interstitial space from tissues back to the cardiovascular system. During steady-state exercise in humans, lymph flow has been shown to increase to levels approximately 2- to 3-fold higher than at rest. Although the lymphatic system does not typically limit exercise performance in the normal population, the function of this system can be impaired in 27-49% of women who have survived breast cancer. Breast cancer-related lymphoedema (BCRL) is a chronic swelling that can occur in the ipsilateral hand or arm of women treated for breast cancer and results in a number of physical and psychological sequelae. Exercise was once believed to be a factor in the development of BCRL as it was thought that the damage to the axillary lymphatics from breast-cancer treatment resulted in a primary obstruction to lymph flow. However, the exact aetiology and pathophysiology of BCRL appears to be multi-factorial and not as simple as a 'stop-cock' effect. Furthermore, recent studies have shown that participating in vigorous, upper-body exercise is not related to an increase in arm volume, which would indicate the development of BCRL. It is still not known, though, how long-term exercise affects lymphatic system function in breast-cancer survivors with and without BCRL.
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C03 02  X  ENG  @0 Female @5 02
C03 02  X  SPA  @0 Hembra @5 02
C03 03  X  FRE  @0 Glande mammaire @5 03
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C03 03  X  SPA  @0 Glándula mamaria @5 03
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C03 04  X  ENG  @0 Survival @5 04
C03 04  X  SPA  @0 Sobrevivencia @5 04
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C03 05  X  ENG  @0 Physical exercise @5 05
C03 05  X  SPA  @0 Ejercicio físico @5 05
C03 06  X  FRE  @0 Système lymphatique @5 06
C03 06  X  ENG  @0 Lymphatic system @5 06
C03 06  X  SPA  @0 Sistema linfático @5 06
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C03 07  X  ENG  @0 Complication @5 07
C03 07  X  SPA  @0 Complicación @5 07
C03 08  X  FRE  @0 Membre supérieur @5 08
C03 08  X  ENG  @0 Upper limb @5 08
C03 08  X  SPA  @0 Miembro superior @5 08
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C03 09  X  SPA  @0 Glándula mamaria patología @2 NM @5 09
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C03 11  X  ENG  @0 Malignant tumor @5 12
C03 11  X  SPA  @0 Tumor maligno @5 12
C03 12  X  FRE  @0 Cancer sein @4 CD @5 96
C03 12  X  ENG  @0 Breast cancer @4 CD @5 96
C03 12  X  SPA  @0 Cáncer del pecho @4 CD @5 96
C07 01  X  FRE  @0 Appareil circulatoire pathologie @5 20
C07 01  X  ENG  @0 Cardiovascular disease @5 20
C07 01  X  SPA  @0 Aparato circulatorio patología @5 20
C07 02  X  FRE  @0 Lymphatique pathologie @5 21
C07 02  X  ENG  @0 Lymphatic vessel disease @5 21
C07 02  X  SPA  @0 Linfático patología @5 21
N21       @1 213

Format Inist (serveur)

NO : PASCAL 05-0308001 INIST
ET : Exercise and the lymphatic system : Implications for breast-cancer survivors
AU : LANE (Kirstin); WORSLEY (Dan); MCKENZIE (Don)
AF : School of Human Kinetics, University of British Columbia/Vancouver, British Columbia/Canada (1 aut., 3 aut.); Department of Radiology, University of British Columbia/Vancouver, British Columbia/Canada (2 aut.); Division of Sports Medicine, University of British Columbia/Vancouver, British Columbia/Canada (3 aut.)
DT : Publication en série; Niveau analytique
SO : Sports medicine : (Auckland); ISSN 0112-1642; Coden SPMEE7; Nouvelle-Zélande; Da. 2005; Vol. 35; No. 6; Pp. 461-471; Bibl. 55 ref.
LA : Anglais
EA : This article summarises the current research on the lymphatic system related to exercise and critically evaluates the implications for exercise performance by breast-cancer survivors. The primary role of the lymphatic system during exercise is to assist in the regulation of tissue volume and pressure by carrying fluid and plasma proteins that have leaked into the interstitial space from tissues back to the cardiovascular system. During steady-state exercise in humans, lymph flow has been shown to increase to levels approximately 2- to 3-fold higher than at rest. Although the lymphatic system does not typically limit exercise performance in the normal population, the function of this system can be impaired in 27-49% of women who have survived breast cancer. Breast cancer-related lymphoedema (BCRL) is a chronic swelling that can occur in the ipsilateral hand or arm of women treated for breast cancer and results in a number of physical and psychological sequelae. Exercise was once believed to be a factor in the development of BCRL as it was thought that the damage to the axillary lymphatics from breast-cancer treatment resulted in a primary obstruction to lymph flow. However, the exact aetiology and pathophysiology of BCRL appears to be multi-factorial and not as simple as a 'stop-cock' effect. Furthermore, recent studies have shown that participating in vigorous, upper-body exercise is not related to an increase in arm volume, which would indicate the development of BCRL. It is still not known, though, how long-term exercise affects lymphatic system function in breast-cancer survivors with and without BCRL.
CC : 002B20E02; 002B12B04
FD : Homme; Femelle; Glande mammaire; Survie; Exercice physique; Système lymphatique; Complication; Membre supérieur; Glande mammaire pathologie; Lymphoedème; Tumeur maligne; Cancer sein
FG : Appareil circulatoire pathologie; Lymphatique pathologie
ED : Human; Female; Mammary gland; Survival; Physical exercise; Lymphatic system; Complication; Upper limb; Mammary gland diseases; Lymphedema; Malignant tumor; Breast cancer
EG : Cardiovascular disease; Lymphatic vessel disease
SD : Hombre; Hembra; Glándula mamaria; Sobrevivencia; Ejercicio físico; Sistema linfático; Complicación; Miembro superior; Glándula mamaria patología; Linfedema; Tumor maligno; Cáncer del pecho
LO : INIST-21412.354000132207110010
ID : 05-0308001

Links to Exploration step

Pascal:05-0308001

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<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Lymphoedème</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Lymphedema</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Linfedema</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Cancer sein</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Breast cancer</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Cáncer del pecho</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>20</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>20</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>20</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>21</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>21</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>21</s5>
</fC07>
<fN21>
<s1>213</s1>
</fN21>
</pA>
</standard>
<server>
<NO>PASCAL 05-0308001 INIST</NO>
<ET>Exercise and the lymphatic system : Implications for breast-cancer survivors</ET>
<AU>LANE (Kirstin); WORSLEY (Dan); MCKENZIE (Don)</AU>
<AF>School of Human Kinetics, University of British Columbia/Vancouver, British Columbia/Canada (1 aut., 3 aut.); Department of Radiology, University of British Columbia/Vancouver, British Columbia/Canada (2 aut.); Division of Sports Medicine, University of British Columbia/Vancouver, British Columbia/Canada (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Sports medicine : (Auckland); ISSN 0112-1642; Coden SPMEE7; Nouvelle-Zélande; Da. 2005; Vol. 35; No. 6; Pp. 461-471; Bibl. 55 ref.</SO>
<LA>Anglais</LA>
<EA>This article summarises the current research on the lymphatic system related to exercise and critically evaluates the implications for exercise performance by breast-cancer survivors. The primary role of the lymphatic system during exercise is to assist in the regulation of tissue volume and pressure by carrying fluid and plasma proteins that have leaked into the interstitial space from tissues back to the cardiovascular system. During steady-state exercise in humans, lymph flow has been shown to increase to levels approximately 2- to 3-fold higher than at rest. Although the lymphatic system does not typically limit exercise performance in the normal population, the function of this system can be impaired in 27-49% of women who have survived breast cancer. Breast cancer-related lymphoedema (BCRL) is a chronic swelling that can occur in the ipsilateral hand or arm of women treated for breast cancer and results in a number of physical and psychological sequelae. Exercise was once believed to be a factor in the development of BCRL as it was thought that the damage to the axillary lymphatics from breast-cancer treatment resulted in a primary obstruction to lymph flow. However, the exact aetiology and pathophysiology of BCRL appears to be multi-factorial and not as simple as a 'stop-cock' effect. Furthermore, recent studies have shown that participating in vigorous, upper-body exercise is not related to an increase in arm volume, which would indicate the development of BCRL. It is still not known, though, how long-term exercise affects lymphatic system function in breast-cancer survivors with and without BCRL.</EA>
<CC>002B20E02; 002B12B04</CC>
<FD>Homme; Femelle; Glande mammaire; Survie; Exercice physique; Système lymphatique; Complication; Membre supérieur; Glande mammaire pathologie; Lymphoedème; Tumeur maligne; Cancer sein</FD>
<FG>Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Human; Female; Mammary gland; Survival; Physical exercise; Lymphatic system; Complication; Upper limb; Mammary gland diseases; Lymphedema; Malignant tumor; Breast cancer</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Hombre; Hembra; Glándula mamaria; Sobrevivencia; Ejercicio físico; Sistema linfático; Complicación; Miembro superior; Glándula mamaria patología; Linfedema; Tumor maligno; Cáncer del pecho</SD>
<LO>INIST-21412.354000132207110010</LO>
<ID>05-0308001</ID>
</server>
</inist>
</record>

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