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Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.

Identifieur interne : 002662 ( PubMed/Checkpoint ); précédent : 002661; suivant : 002663

Weight 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 Chittams

Source :

RBID : pubmed:21148134

Descripteurs français

English descriptors

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:


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pubmed:21148134

Le document en format XML

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<title xml:lang="en">Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.</title>
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<name sortKey="Cheville, Andrea" sort="Cheville, Andrea" uniqKey="Cheville A" first="Andrea" last="Cheville">Andrea Cheville</name>
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<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>
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<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>
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<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>
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<term>Survivants</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>
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<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>
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<ISSN IssnType="Electronic">1538-3598</ISSN>
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<Volume>304</Volume>
<Issue>24</Issue>
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<Year>2010</Year>
<Month>Dec</Month>
<Day>22</Day>
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<Title>JAMA</Title>
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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>
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<LastName>Schmitz</LastName>
<ForeName>Kathryn H</ForeName>
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<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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<Grant>
<GrantID>R01 CA106851</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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<Acronym>CA</Acronym>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<DescriptorName UI="D014891" MajorTopicYN="Y">Weight Lifting</DescriptorName>
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