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The effect of resistance training on muscle strength and physical function in older, postmenopausal breast cancer survivors: a randomized controlled trial
Open accessAbstract
Introduction Older breast cancer survivors (BCS) report more falls and functional limitations than women with no cancer history. Exercise training could reduce risk factors for future falls and disability.Methods We conducted a randomized, controlled trial in 106 early-stage, postmenopausal BCS who were ≥50 years old at diagnosis and post-treatment. Women were randomly assigned to a 1-year resistance + impact exercise program or a stretching placebo program. Endpoints were one repetition maximum bench press and leg press strength, timed five chair stands, 4 m usual walk speed, timed stance tests, handgrip strength, self-report physical function, and fatigue. We also examined the influence of age, adjuvant hormone therapy use, and exercise adherence on study outcomes.Results Women in the resistance + impact training program significantly improved maximal leg (p <0 .02) and bench (p <0 .02) press strength compared to the stretching group. Women who attended 50% or more of prescribed resistance training sessions had significantly better changes in maximal strength measures compared to less adherent women.Conclusions Resistance + impact exercise is superior to stretching at improving maximal muscle strength and exercise adherence contributes to the degree of improvement.Implications for cancer survivors Older BCS can safely engage in resistance exercise that improves lower and upper body strength, thereby reducing a risk factor for falls and future disability. However, the ability of resistance training to shift other indices of fall and disability risk, i.e., balance and function, is unclear. Strategies to promote adherence to resistance training could lead to greater improvements in strength.
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“Breast cancer was the most investigated cancer type (n = 6) [25–30, 32], followed by prostate cancer (n = 2) [28, 31], and one trial included diverse types of cancer [24].”
From Effects of Supervised Multimodal Exercise Interventions on Cancer-Related Fatigue: Systematic Review and Meta-Analysis of Randomized Controlled Trials (2015) · cites this paper as [31]
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“Regarding cancer treatment stage, most studies were performed during current treatment [24, 25, 28–31]; the most common treatment was chemotherapy (n = 522).”
From Effects of Supervised Multimodal Exercise Interventions on Cancer-Related Fatigue: Systematic Review and Meta-Analysis of Randomized Controlled Trials (2015) · cites this paper as [31]
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“The POWIR was able to improve aspects such as muscle strength, walking speed, stand up from the chair, among others, showing to be an efficient and safe option for climacteric women, including the ones who had diseases like cancer [31].”
BackgroundExercise and the Older Cancer Survivor
Mustian, K. M., Lin, P., Cole, C. L., Loh, K. P., & Magnuson, A. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-44870-1_12-1 · Cited by 1
Kang, D., Wilson, R. L., Encabo, P. G., Norris, M. K., Hans, M., Tahbaz, M., Dawson, J., Nguyen, D., Normann, A. J., Yunker, A. G., et al. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.896995 · Cited by 1
Valeriano, R. D. O. (2015) · RIUnB Institutional Repository (University of Brasília) · doi:10.26512/2015.07.d.18927 · Cited by 1
Exercise Safety, Feasibility and the Role of Fitbits Among Women with Stage II+ Breast Cancer
Singh, B. (2019) · Queensland University of Technology · doi:10.5204/thesis.eprints.127026 · Cited by 1
Schneider, J., Schlüter, K., Rosenberger, F., & Wiskemann, J. (2022) · Research Square · doi:10.21203/rs.3.rs-2165112/v1 · Cited by 1
Reesman, K., Rust, L., Bohde, E., Doherty, D. J., & Drouin, J. S. (2015)
Fyysisen aktiivisuuden yhteys rintasyövän erilaistumisasteeseen postmenopausaalisilla naisilla
Ketolainen, H. (2015) · Jyväskylä University Digital Archive (University of Jyväskylä)
Resistance Exercise Interventions across the Cancer Control Continuum
Focht, B. C., Lucas, A. R., & Clinton, S. K. (2013) · CRC Press eBooks · doi:10.1201/b15527-5
Manikowske, T. L. (2016) · Scholarship & Creative Works - Digital UNC a service of University Libraries (University of Northern Colorado)
Lee, M. (2013) · eCommons (Cornell University)
Exercise Rehabilitation for Older Breast Cancer Survivors
Haykowsky, M. J., Beaudry, R. I., & Tucker, W. J. (2018) · Handbooks in health, work, and disability · doi:10.1007/978-3-030-03916-5_19
Biafore, C. L. (2017) · YorkSpace (York University)
Effects of a Physical Exercise Program in Quality of Life of Breast Cancer Survivors
(2019) · Case Medical Research · doi:10.31525/ct1-nct04024280
Dantas, C. K. D., Fuzari, H. K. B., Dantas, D. D. S., & Ferreira, C. W. S. (2022) · Research Society and Development · doi:10.33448/rsd-v11i4.27018
Baumann, F. T., Beulertz, J., Streckmann, F., Zimmer, P., & Zopf, E. M. (2015) · Elsevier eBooks · doi:10.1016/b978-3-437-24275-5.00011-7
Effect of resistance training on persistent pain after breast cancer treatment
Rasmussen, G. H. F. (2022) · VBN Forskningsportal (Aalborg Universitet) · doi:10.54337/aau488129639
Calderón, R. S., Muñoz, S. P., & Lago‐Fuentes, C. (2023) · MLS Sport Research · doi:10.54716/mlssr.v3i2.1745
Skiba, M. B., Miller, D., Stratton, D., Hall, C., Filer, P., McKenna, S., Blair, C. K., & Demark‐Wahnefried, W. (2024) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2024.101290
“Self-report activity will be measured using the Community Health Activities Model Program for Seniors (CHAMPS) questionnaire [59], a 41-item measure that is a reliable measure of physical activity among cancer survivors [60,61].”
MethodTreinamento resistido e mulheres sobreviventes de câncer de mama: uma revisão integrativa
Pereira, M. F., Rosa, G., Sodré, R. D. S., Rambal, L. P. P., Cavalheiro-Costa, M., Fernandes-Silva, C., & Bentes, C. M. (2024) · Revista de Educação Física / Journal of Physical Education · doi:10.37310/ref.v93i3.3013
Functional balance and quality of life in breast cancer survivors
Kavak, S. K., & Aktekin, L. (2024) · Journal of Medicine and Palliative Care · doi:10.47582/jompac.1538133
Metadata
- Authors
- Winters-Stone, K. M., Dobek, J., Bennett, J. A., Nail, L. M., Leo, M. C., & Schwartz, A.
- Affiliations
- Oregon Health & Science University (US)
- Idaho State University (US)
- Venue
- Journal of Cancer Survivorship
- Published
- 2011-12-23
- Volume
- 6
- Issue
- 2
- Pages
- 189-199
- ISSN
- 1932-2259 (ISSN-L)
- 1932-2267
- PMC
- PMC3488606
- OpenAlex
- W2045462605
- Cited by
- 211
- References
- 81
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 17 · 2023: 9 · 2022: 16 · 2021: 17 · 2020: 15 · 2019: 14 · 2018: 16 · 2017: 22 · 2016: 16 · 2015: 17 · 2014: 16 · 2013: 11 · 2012: 5
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Cancer Survivorship (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Susan G. Komen
- Institut National de la Santé et de la Recherche Médicale
- National Institutes of Health (UL1TR000128)
- Oregon Clinical and Translational Research Institute
- National Cancer Institute (R01CA120123)
- National Center for Research Resources (UL1RR024140)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Keywords
- resistance training, impact exercise, breast cancer survivors, postmenopausal women, older adults, muscle strength, physical function, exercise adherence, fall risk, balance, grip strength, walking speed, fatigue, stretching, adjuvant endocrine therapy
- MeSH terms
- Aged, Aged, 80 and over, Breast Neoplasms, Exercise Therapy, Female, Humans, Middle Aged, Neoplasm Staging, Prognosis, Single-Blind Method, Postmenopause, Survivors, Hand Strength, Muscle Strength, Resistance Training
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