Protective effect of aerobic physical activity on sleep behavior in breast cancer survivors
Open accessAbstract
Hypotheses. Sleep disorders are associated with an increased risk of cancer, including breast cancer (BC). Physical activity (PA) can produce beneficial effects on sleep. Study design. We designed a randomized controlled trial to test the effect of 3 months of physical activity on sleep and circadian rhythm activity level evaluated by actigraphy. Methods. 40 BC women, aged 35-70 years, were randomized into an intervention (IG) and a control group (CG). IG performed a 3 month of aerobic exercise. At baseline and after 3 months, the following parameters were evaluated both for IG and CG: anthropometric and body composition measurements, energy expenditure and motion level; sleep parameters (Actual Sleep Time-AST, Actual Wake Time-AWT, Sleep Efficiency-SE, Sleep Latency-SL, Mean Activity Score-MAS, Movement and Fragmentation Index-MFI and Immobility Time-IT) and activity level circadian rhythm using the Actigraph Actiwatch. Results. The CG showed a deterioration of sleep, whereas the IG showed a stable pattern. In the CG the SE, AST and IT decreased and the AWT, SL, MAS and MFI increased. In the IG, the SE, IT, AWT, SL, and MAS showed no changes and AST and MFI showed a less pronounced change in the IG than in the CG. The rhythmometric analysis revealed a significant circadian rhythm in two groups. After 3 months of PA, IG showed reduced fat mass %, while CG had improved weight and BMI. Conclusion. Physical activity may be beneficial against sleep disruption. Indeed, PA prevented sleep worsening in IG. PA can represent an integrative intervention therapy able to modify sleep behaviour.
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Four recent RCTs not included in either systematic review show consistent evidence of small to moderate effect sizes on overall sleep quality for aerobic training, walking, and resistance training.
“Four recent RCTs not included in either systematic review have shown consistent evidence of small to moderate effect sizes on overall sleep quality for aerobic training(51), in addition to walking specifically(52, 53) and one study reported evidence of benefit for resistance training(31).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [51]
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- Authors
- Roveda, E., Vitale, J. A., Bruno, E., Montaruli, A., Pasanisi, P., Villarini, A., Gargano, G., Galasso, L., Berrino, F., Caumo, A., & Carandente, F.
- Affiliations
- University of Milan (IT)
- Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
- Corresponding author
- Roveda, Eliana
- ORCID
- Venue
- Integrative Cancer Therapies
- Publisher
- SAGE Publications
- Published
- 2016-06-01
- Volume
- 16
- Issue
- 1
- Pages
- 21-31
- ISSN
- 1534-7354 (ISSN-L)
- 1552-695X
- PMC
- PMC5736068
- OpenAlex
- W2409186606
- Cited by
- 78
- References
- 55
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 5 · 2023: 10 · 2022: 6 · 2021: 6 · 2020: 16 · 2019: 12 · 2018: 5 · 2017: 7 · 2016: 2
- FWCI
- 12.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Integrative Cancer Therapies (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- aerobic exercise, breast cancer survivors, sleep quality, sleep disruption, circadian rhythm, actigraphy, sleep efficiency, sleep latency, sleep fragmentation, physical activity interventions, body composition, fat mass
- MeSH terms
- Cancer Survivors, Adult, Aged, Breast Neoplasms, Circadian Rhythm, Female, Humans, Middle Aged, Motor Activity, Sleep, Sleep Wake Disorders, Exercise, Actigraphy
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