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Exercise after breast cancer treatment: current perspectives

Identifieur interne : 001272 ( Pmc/Checkpoint ); précédent : 001271; suivant : 001273

Exercise after breast cancer treatment: current perspectives

Auteurs : Christina M. Dieli-Conwright [États-Unis] ; Breanna Z. Orozco [États-Unis]

Source :

RBID : PMC:4622557

Abstract

Over the past 2 decades, great strides have been made in the field of exercise-oncology research, particularly with breast cancer. This area of research is particularly important since there are >2.8 million breast cancer survivors who are in need of an intervention that can offset treatment-related side effects. Noticeable reductions in physical fitness (ie, cardiopulmonary fitness and muscular strength), negative changes in body composition (ie, increase in body mass, decrease in lean body mass, and increase in fat mass), increased fatigue, depression, or anxiety are some of the common side effects of cancer treatments that negatively impact overall quality of life and increase the risk for the development of comorbidities. Exercise plays a vital role in improving cardiopulmonary function, psychological events, muscular strength, and endurance in breast cancer survivors, and thus should be considered as a key factor of lifestyle intervention to reverse negative treatment-related side effects. The purpose of this review is to address current perspectives on the benefits of aerobic and resistance exercise after breast cancer treatments. This review is focused on the well-established benefits of exercise on physical and emotional well-being, bone health, lymphedema management, and the postulated benefits of exercise on risk reduction for recurrence of breast cancer.


Url:
DOI: 10.2147/BCTT.S82039
PubMed: 26543382
PubMed Central: 4622557


Affiliations:


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PMC:4622557

Le document en format XML

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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Breast Cancer (Dove Med Press)</journal-id>
<journal-id journal-id-type="iso-abbrev">Breast Cancer (Dove Med Press)</journal-id>
<journal-id journal-id-type="publisher-id">Breast Cancer: Targets and Therapy</journal-id>
<journal-title-group>
<journal-title>Breast Cancer : Targets and Therapy</journal-title>
</journal-title-group>
<issn pub-type="epub">1179-1314</issn>
<publisher>
<publisher-name>Dove Medical Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26543382</article-id>
<article-id pub-id-type="pmc">4622557</article-id>
<article-id pub-id-type="doi">10.2147/BCTT.S82039</article-id>
<article-id pub-id-type="publisher-id">bctt-7-353</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Exercise after breast cancer treatment: current perspectives</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Dieli-Conwright</surname>
<given-names>Christina M</given-names>
</name>
<xref ref-type="aff" rid="af1-bctt-7-353"></xref>
<xref ref-type="corresp" rid="c1-bctt-7-353"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Orozco</surname>
<given-names>Breanna Z</given-names>
</name>
<xref ref-type="aff" rid="af1-bctt-7-353"></xref>
</contrib>
</contrib-group>
<aff id="af1-bctt-7-353">Division of Biokinesiology and Physical Therapy, Women’s Health and Exercise Laboratory, University of Southern California, Los Angeles, CA, USA</aff>
<author-notes>
<corresp id="c1-bctt-7-353">Correspondence: Christina M Dieli-Conwright, Division of Biokinesiology and Physical Therapy, Women’s Health and Exercise Laboratory, University of Southern California, 1540 E. Alcazar St., CHP 155, Los Angeles, CA 90033, USA, Email
<email>Cdieli@usc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>10</month>
<year>2015</year>
</pub-date>
<volume>7</volume>
<fpage>353</fpage>
<lpage>362</lpage>
<permissions>
<copyright-statement>© 2015 Dieli-Conwright and Orozco. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License</copyright-statement>
<copyright-year>2015</copyright-year>
<license>
<license-p>The full terms of the License are available at
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.</license-p>
</license>
</permissions>
<abstract>
<p>Over the past 2 decades, great strides have been made in the field of exercise-oncology research, particularly with breast cancer. This area of research is particularly important since there are >2.8 million breast cancer survivors who are in need of an intervention that can offset treatment-related side effects. Noticeable reductions in physical fitness (ie, cardiopulmonary fitness and muscular strength), negative changes in body composition (ie, increase in body mass, decrease in lean body mass, and increase in fat mass), increased fatigue, depression, or anxiety are some of the common side effects of cancer treatments that negatively impact overall quality of life and increase the risk for the development of comorbidities. Exercise plays a vital role in improving cardiopulmonary function, psychological events, muscular strength, and endurance in breast cancer survivors, and thus should be considered as a key factor of lifestyle intervention to reverse negative treatment-related side effects. The purpose of this review is to address current perspectives on the benefits of aerobic and resistance exercise after breast cancer treatments. This review is focused on the well-established benefits of exercise on physical and emotional well-being, bone health, lymphedema management, and the postulated benefits of exercise on risk reduction for recurrence of breast cancer.</p>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>breast cancer</kwd>
<kwd>exercise</kwd>
<kwd>physical well-being</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<table-wrap id="t1-bctt-7-353" position="float">
<label>Table 1</label>
<caption>
<p>Effects of exercise on physical well-being</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" rowspan="1" colspan="1">Study</th>
<th valign="top" align="left" rowspan="1" colspan="1">Mode of exercise, supervised vs home based, group or individual</th>
<th valign="top" align="left" rowspan="1" colspan="1">Duration</th>
<th valign="top" align="left" rowspan="1" colspan="1">Intensity</th>
<th valign="top" align="left" rowspan="1" colspan="1">Outcomes</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Irwin et al
<xref rid="b16-bctt-7-353" ref-type="bibr">16</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, group and individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 months; 3×/wk supervised; 2×/wk at home; 15–30 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">Moderate; 50%–80% maximal heart rate</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ % body fat, ↑ lean body mass</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Saarto et al
<xref rid="b19-bctt-7-353" ref-type="bibr">19</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">12 months; 1×/wk supervised; 2×/wk home based</td>
<td valign="top" align="left" rowspan="1" colspan="1">Step aerobics: 150–180 jumps (10 cm benches); pace at 118 bpm</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ lean body mass</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Brdareski et al
<xref rid="b20-bctt-7-353" ref-type="bibr">20</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">3 weeks; 2×/wk; 20 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">45%–65% VO
<sub>2max</sub>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ VO
<sub>2max</sub>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Guinan et al
<xref rid="b21-bctt-7-353" ref-type="bibr">21</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">8 weeks; 2×/wk, 21–42 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">40%–65% heart rate reserve</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ waist circumference</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Benton et al
<xref rid="b24-bctt-7-353" ref-type="bibr">24</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">8 weeks, 2×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body progressive; 10–12 reps, three sets</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ muscular strength</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Winters-Stone et al
<xref rid="b25-bctt-7-353" ref-type="bibr">25</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised and home based, group and individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">1 year; 2×/wk supervised, 1×/wk at home</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body progressive; three sets at 30%–80% 1-RM</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ muscular strength</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Cormie et al
<xref rid="b22-bctt-7-353" ref-type="bibr">22</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">3 months; 2×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body progressive; 2–4 sets; 12–8 RM load</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ lean body mass,</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Waltman et al
<xref rid="b26-bctt-7-353" ref-type="bibr">26</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">24 months, 2×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body progressive; two sets; 8–12 reps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ muscular strength,</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Scott et al
<xref rid="b17-bctt-7-353" ref-type="bibr">17</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C with diet restriction, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 months; 3×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 30 min; 65%–85% max HR RE: 10–15 min of resistance band exercises</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ waist circumference, ↓ wait/hip ratio, ↓ resting diastolic BP, ↑ VO
<sub>2max</sub>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Milne et al
<xref rid="b27-bctt-7-353" ref-type="bibr">27</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">12 weeks; 3×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 20 min/session
<break></break>
RE: whole-body progressive, two sets of 10–15 reps (intensity not defined)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ aerobic fitness (aerobic power index cycle test)
<break></break>
↑ muscular strength</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Heim et al
<xref rid="b30-bctt-7-353" ref-type="bibr">30</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">8 months; 2×/wk AE; 3×/wk RE</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: walking program; 30 min (intensity not defined)
<break></break>
RE: intensity not defined</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ muscular strength, ↑ aerobic capacity</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Mills et al
<xref rid="b29-bctt-7-353" ref-type="bibr">29</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">5 months; 3×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 10–20 min; 40%–75% VO
<sub>2max</sub>
, 8–12 reps
<break></break>
RE: whole-body progressive; 1–3 sets at an RPE of 3–7 on the modified Borg Scale</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ % body fat, ↑ fat-free mass, ↑ VO
<sub>2max</sub>
, ↑ meanarterial pressure</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-bctt-7-353">
<p>
<bold>Notes:</bold>
↑, increase; ↓, decrease.</p>
</fn>
<fn id="tfn2-bctt-7-353">
<p>
<bold>Abbreviations:</bold>
AE, aerobic exercise; wk, week; min, minutes; VO
<sub>2max</sub>
, maximal oxygen consumption; RE, resistance exercise; RPE, rate of perceived exertion; bpm, beats per minute; reps, repetitions; RM, repetition maximum; max, maximal; HR, heart rate; C, combined aerobic and resistance exercise; BP, blood pressure.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="t2-bctt-7-353" position="float">
<label>Table 2</label>
<caption>
<p>Effects of exercise on emotional well-being</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" rowspan="1" colspan="1">Study</th>
<th valign="top" align="left" rowspan="1" colspan="1">Mode of exercise, supervised vs home based, group or individual</th>
<th valign="top" align="left" rowspan="1" colspan="1">Duration</th>
<th valign="top" align="left" rowspan="1" colspan="1">Intensity</th>
<th valign="top" align="left" rowspan="1" colspan="1">Outcomes</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Cadmus et al
<xref rid="b37-bctt-7-353" ref-type="bibr">37</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 months, 5×/wk, 30 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">60%–80% of predicted max HR</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ QOL, ↑ improved social functioning</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Fillion et al
<xref rid="b38-bctt-7-353" ref-type="bibr">38</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">4 wks, 1×/wk, 1 h/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">Walking (intensity not specified)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ fatigue, ↑ energy level, ↓ emotional distress</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Courneya et al
<xref rid="b39-bctt-7-353" ref-type="bibr">39</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">15 wks, 3×/wks, 15–45 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">70%–75% of VO
<sub>2max</sub>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL (FACT-B)</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Murtezani et al
<xref rid="b41-bctt-7-353" ref-type="bibr">41</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">10 wks, 3×/wk, 25–45 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">50%–75% max HR</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL (FACT-G)</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Mehnert et al
<xref rid="b42-bctt-7-353" ref-type="bibr">42</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">10 wks, 2×/wk, 20 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">60% of VO
<sub>2max</sub>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ psychosocial well-being, ↑ individual body image</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Rogers et al
<xref rid="b43-bctt-7-353" ref-type="bibr">43</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">3 months, 3×/wk, 15–25 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">40%–59% HR reserve</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ emotional well-being, ↑ functional well-being</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Benton et al
<xref rid="b24-bctt-7-353" ref-type="bibr">24</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">8 wks, 2×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body progressive, three sets of 8–12 reps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Ohira et al
<xref rid="b44-bctt-7-353" ref-type="bibr">44</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised and home based, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 months, 2×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole-body (intensity not specified)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL, ↔ depressive symptom score</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Milne et al
<xref rid="b27-bctt-7-353" ref-type="bibr">27</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">12 wks, 3×/wk</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 20 min/session
<break></break>
RE: whole-body progressive, two sets of 10–15 reps (intensity not defined)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Heim et al
<xref rid="b30-bctt-7-353" ref-type="bibr">30</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, group and individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">8 months; 2×/wk AE; 3×/wk RE</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: walking program; 30 min (intensity not defined)
<break></break>
RE: intensity not defined</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL (FACT-G)
<break></break>
↓ cancer-relatedfatigue</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Hayes et al
<xref rid="b36-bctt-7-353" ref-type="bibr">36</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 wks, 4×/wk, 45 min/session (2×/wk of AE and 2×/wk of RE)</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: low to moderate to high intensity (specific AE and RE intensity not defined)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL ↓ fatigue</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Midtgaard et al
<xref rid="b40-bctt-7-353" ref-type="bibr">40</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, group</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 wks, 9 h/wk total</td>
<td valign="top" align="left" rowspan="1" colspan="1">Intensity not defined (ball games, aerobics, heavy resistance training, and cycling)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ mental health, ↑ social functioning, ↑ emotional functioning</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Spector et al
<xref rid="b45-bctt-7-353" ref-type="bibr">45</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">16 wks</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 150 min/wk; 40%–65% HR reserve
<break></break>
RE: whole body; 12–15 reps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↑ QOL (FACT-B)</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Sprod et al
<xref rid="b46-bctt-7-353" ref-type="bibr">46</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">C, supervised, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">3 months or 6 months, 2–3×/wk, 60 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE: 40 min; 30%–55% HR reserve RE: whole-body, intensity not defined</td>
<td valign="top" align="left" rowspan="1" colspan="1">↓ fatigue</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-bctt-7-353">
<p>
<bold>Notes:</bold>
↑, increase; ↓, decrease; ↔, no change.</p>
</fn>
<fn id="tfn4-bctt-7-353">
<p>
<bold>Abbreviations:</bold>
AE, aerobic exercise; min, minutes; max, maximum; QOL, quality of life; h, hour; FACT-B, Functional Assessment of Cancer Therapy – Breast; FACT-G, Functional Assessment of Cancer Therapy – General; RE, resistance exercise; VO
<sub>2max</sub>
, maximal oxygen consumption; HR, heart rate; C, combined aerobic and resistance exercise; wk, week.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="t3-bctt-7-353" position="float">
<label>Table 3</label>
<caption>
<p>Effects of exercise on bone mineral density</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" rowspan="1" colspan="1">Study</th>
<th valign="top" align="left" rowspan="1" colspan="1">Mode of exercise, supervised vs home based, group or individual</th>
<th valign="top" align="left" rowspan="1" colspan="1">Duration</th>
<th valign="top" align="left" rowspan="1" colspan="1">Intensity</th>
<th valign="top" align="left" rowspan="1" colspan="1">Outcomes</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Saarto et al
<xref rid="b19-bctt-7-353" ref-type="bibr">19</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">12 months; 1×/wk supervised; 2×/wk home based</td>
<td valign="top" align="left" rowspan="1" colspan="1">Step aerobics: 150–180 jumps (10 cm benches); pace at 118 bpm + circuit training (150–180 steps with a 40:60 s training/rest ratio)</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ femoral neck BMD</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Irwin et al
<xref rid="b16-bctt-7-353" ref-type="bibr">16</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">AE, supervised and home based, group and individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">6 months; 3×/wk supervised; 2×/wk at home; 15–30 min/session</td>
<td valign="top" align="left" rowspan="1" colspan="1">Moderate; 50%–80% maximal heart rate</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ total BMD</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Winter-Stone et al
<xref rid="b67-bctt-7-353" ref-type="bibr">67</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">1 year, 2×/week supervised + 1×/wk home based</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole body; 60%–70% 1-RM for 1–3 sets of 8–12 reps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ lumbar spine BMD</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Dobek et al
<xref rid="b68-bctt-7-353" ref-type="bibr">68</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">1 year, 2×/wk + 1×/wk home exercise</td>
<td valign="top" align="left" rowspan="1" colspan="1">Whole body; two sets of 8–12 reps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ lumbar spine BMD</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Winter-Stone et al
<xref rid="b73-bctt-7-353" ref-type="bibr">73</xref>
</td>
<td valign="top" align="left" rowspan="1" colspan="1">RE, supervised and home based, individual</td>
<td valign="top" align="left" rowspan="1" colspan="1">12 months, 2×/wk + 1×/wk at home</td>
<td valign="top" align="left" rowspan="1" colspan="1">Body weight loaded vest at 8–15 reps of two footed jumps</td>
<td valign="top" align="left" rowspan="1" colspan="1">↔ lumbar spine BMD</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn5-bctt-7-353">
<p>
<bold>Notes:</bold>
↑, increase; ↓, decrease; ↔, no change.</p>
</fn>
<fn id="tfn6-bctt-7-353">
<p>
<bold>Abbreviations:</bold>
AE, aerobic exercise; s, second; min, minutes; wk, week; BMD, bone mineral density; RE, resistance exercise; bpm, beats per minute; reps, replications.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Californie</li>
</region>
<settlement>
<li>Los Angeles</li>
</settlement>
<orgName>
<li>Université de Californie du Sud</li>
</orgName>
</list>
<tree>
<country name="États-Unis">
<region name="Californie">
<name sortKey="Dieli Conwright, Christina M" sort="Dieli Conwright, Christina M" uniqKey="Dieli Conwright C" first="Christina M" last="Dieli-Conwright">Christina M. Dieli-Conwright</name>
</region>
<name sortKey="Orozco, Breanna Z" sort="Orozco, Breanna Z" uniqKey="Orozco B" first="Breanna Z" last="Orozco">Breanna Z. Orozco</name>
</country>
</tree>
</affiliations>
</record>

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