Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.
Identifieur interne : 002662 ( PubMed/Checkpoint ); précédent : 002661; suivant : 002663Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.
Auteurs : Kathryn H. Schmitz [États-Unis] ; Rehana L. Ahmed ; Andrea B. Troxel ; Andrea Cheville ; Lorita Lewis-Grant ; Rebecca Smith ; Cathy J. Bryan ; Catherine T. Williams-Smith ; Jesse ChittamsSource :
- JAMA [ 1538-3598 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lymphadénectomie.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Femelle, Haltérophilie, Humains, Lymphoedème, Risque, Résultat thérapeutique, Sujet âgé, Survivants, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Lymphedema.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Aged, Female, Humans, Middle Aged, Risk, Survivors, Treatment Outcome, Weight Lifting.
Abstract
Clinical guidelines for breast cancer survivors without lymphedema advise against upper body exercise, preventing them from obtaining established health benefits of weight lifting.
DOI: 10.1001/jama.2010.1837
PubMed: 21148134
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:21148134Le document en format XML
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<author><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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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Risk</term>
<term>Survivors</term>
<term>Treatment Outcome</term>
<term>Weight Lifting</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Haltérophilie</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Risque</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Survivants</term>
<term>Tumeurs du sein ()</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Risk</term>
<term>Survivors</term>
<term>Treatment Outcome</term>
<term>Weight Lifting</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Haltérophilie</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Risque</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Survivants</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Clinical guidelines for breast cancer survivors without lymphedema advise against upper body exercise, preventing them from obtaining established health benefits of weight lifting.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21148134</PMID>
<DateCreated><Year>2010</Year>
<Month>12</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>12</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>10</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1538-3598</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>304</Volume>
<Issue>24</Issue>
<PubDate><Year>2010</Year>
<Month>Dec</Month>
<Day>22</Day>
</PubDate>
</JournalIssue>
<Title>JAMA</Title>
<ISOAbbreviation>JAMA</ISOAbbreviation>
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<ArticleTitle>Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.</ArticleTitle>
<Pagination><MedlinePgn>2699-705</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1001/jama.2010.1837</ELocationID>
<Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Clinical guidelines for breast cancer survivors without lymphedema advise against upper body exercise, preventing them from obtaining established health benefits of weight lifting.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="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).</AbstractText>
<AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Weight lifting intervention included a gym membership and 13 weeks of supervised instruction, with the remaining 9 months unsupervised, vs no exercise.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">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 lymphedema incidence.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">clinicaltrials.gov Identifier: NCT00194363.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schmitz</LastName>
<ForeName>Kathryn H</ForeName>
<Initials>KH</Initials>
<AffiliationInfo><Affiliation>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine and Abramson Cancer Center, Philadelphia, PA 19104-6021, USA. schmitz@mail.med.upenn.edu</Affiliation>
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<Author ValidYN="Y"><LastName>Ahmed</LastName>
<ForeName>Rehana L</ForeName>
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<Author ValidYN="Y"><LastName>Troxel</LastName>
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<Author ValidYN="Y"><LastName>Cheville</LastName>
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<Author ValidYN="Y"><LastName>Chittams</LastName>
<ForeName>Jesse</ForeName>
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<Language>eng</Language>
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<Agency>NCRR NIH HHS</Agency>
<Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName>
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<MeshHeading><DescriptorName UI="D017741" MajorTopicYN="N">Survivors</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D014891" MajorTopicYN="Y">Weight Lifting</DescriptorName>
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