Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial
Open accessAbstract
OBJECTIVES: To determine functional and psychological benefits of a 12 week supervised group exercise programme during treatment for early stage breast cancer, with six month follow-up. DESIGN: Pragmatic randomised controlled prospective open trial. SETTING: Three National Health Service oncology clinics in Scotland and community exercise facilities. PARTICIPANTS: 203 women entered the study; 177 completed the six month follow-up. INTERVENTIONS: Supervised 12 week group exercise programme in addition to usual care, compared with usual care. MAIN OUTCOME MEASURES: Functional assessment of cancer therapy (FACT) questionnaire, Beck depression inventory, positive and negative affect scale, body mass index, seven day recall of physical activity, 12 minute walk test, and assessment of shoulder mobility. RESULTS: Mixed effects models with adjustment for baseline values, study site, treatment at baseline, and age gave intervention effect estimates (intervention minus control) at 12 weeks of 129 (95% confidence interval 83 to 176) for metres walked in 12 minutes, 182 (75 to 289) for minutes of moderate intensity activity reported in a week, 2.6 (1.6 to 3.7) for shoulder mobility, 2.5 (1.0 to 3.9) for breast cancer specific subscale of quality of life, and 4.0 (1.8 to 6.3) for positive mood. No significant effect was seen for general quality of life (FACT-G), which was the primary outcome. At the six month follow-up, most of these effects were maintained and an intervention effect for breast cancer specific quality of life emerged. No adverse effects were noted. CONCLUSION: Supervised group exercise provided functional and psychological benefit after a 12 week intervention and six months later. Clinicians should encourage activity for their patients. Policy makers should consider the inclusion of exercise opportunities in cancer rehabilitation services. Trial registration Current controlled trials ISRCTN12587864 [controlled-trials.com].
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Breast cancer was the most investigated cancer type (n = 6), followed by prostate cancer (n = 2), and one trial included diverse cancer types.
“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 [29]
In the subgroup of multimodal exercise including aerobic exercise + resistance training + stretching, there was a significant reduction in cancer-related fatigue symptoms (SMD = −0.35; 95% CI −0.62 to −0.08; P = 0.01).
“With regard to mode of exercise, multimodal exercise interventions including aerobic exercise + resistance training + stretching were implemented by seven studies [24–30]; the pooled effect estimate for this subgroup showed significant reductions in CRF symptoms (SMD = −0.35, 95% CI −0.62 to −0.08), P = 0.01.”
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 [29]
Most included studies were performed during current cancer treatment, and chemotherapy was the most common treatment (n = 522).
“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 [29]
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- Authors
- Mutrie, N., Campbell, A. M., Whyte, F., McConnachie, A., Emslie, C., Lee, L., Kearney, N., Walker, A., & Ritchie, D.
- Affiliations
- University of Strathclyde (GB)
- University of Glasgow (GB)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- University of Stirling (GB)
- Beatson West of Scotland Cancer Centre (GB)
- Corresponding author
- Mutrie, Nanette
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2007-02-16
- Volume
- 334
- Issue
- 7592
- Pages
- 517
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC1819494
- OpenAlex
- W2133026620
- Cited by
- 440
- References
- 26
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 16 · 2023: 19 · 2022: 18 · 2021: 20 · 2020: 15 · 2019: 28 · 2018: 21 · 2017: 24 · 2016: 17 · 2015: 33 · 2014: 29 · 2013: 20 · 2012: 30
- FWCI
- 17.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (submittedVersion)
- Open Research (University of Surrey) (submittedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- supervised group exercise, early breast cancer, cancer rehabilitation, quality of life, physical activity, depression, mood, shoulder range of motion, walking distance, body mass index, women with cancer
- MeSH terms
- Aged, Breast Neoplasms, Exercise Therapy, Female, Humans, Middle Aged, Prospective Studies, Quality of Life, Treatment Outcome
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