Physical Activity and Sleep Quality in Breast Cancer Survivors: A Randomized Trial
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PURPOSE: Data from large randomized controlled trials confirming sleep quality improvements with aerobic physical activity have heretofore been lacking for post-primary treatment breast cancer survivors. Our primary purpose for this report was to determine the effects of a physical activity behavior change intervention, previously reported to significantly increase physical activity behavior, on sleep quality in post-primary treatment breast cancer survivors. METHODS: Post-primary treatment breast cancer survivors (n = 222) were randomized to a 3-month physical activity behavior change intervention (Better Exercise Adherence after Treatment for Cancer [BEAT Cancer]) or usual care. Self-report (Pittsburgh Sleep Quality Index [PSQI]) and actigraphy (latency and efficiency) sleep outcomes were measured at baseline, 3 months (M3), and 6 months (M6). RESULTS: After adjusting for covariates, BEAT Cancer significantly improved PSQI global sleep quality when compared with usual care at M3 (mean between-group difference [M] = -1.4, 95% confidence interval [CI] = -2.1 to -0.7, P < 0.001) and M6 (M = -1.0, 95% CI = -1.7 to -0.2, P = 0.01). BEAT Cancer improved several PSQI subscales at M3 (sleep quality M = -0.3, 95% CI = -0.4 to -0.1, P = 0.002; sleep disturbances M = -0.2, 95% CI = -0.3 to -0.03, P = 0.016; daytime dysfunction M = -0.2, 95% CI = -0.4 to -0.02, P = 0.027) but not M6. A nonsignificant increase in percent of participants classified as good sleepers occurred. No significant between-group difference was noted for accelerometer latency or efficiency. CONCLUSION: A physical activity intervention significantly reduced perceived global sleep dysfunction at 3 and 6 months, primarily because of improvements in sleep quality aspects not detected with accelerometer.
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Two recent systematic reviews provided mixed evidence for overall sleep quality in cancer survivors, indicating either a positive effect of walking or no effect of exercise.
“Two recent systematic reviews in cancer survivors(49, 50) provided mixed evidence for overall sleep quality, indicating either a positive effect of walking(49), or no effect of exercise(50).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [49]
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- Authors
- ROGERS, L. Q., COURNEYA, K. S., OSTER, R. A., ANTON, P. M., ROBBS, R. S., FORERO, A., & MCAULEY, E.
- Affiliations
- Southern Illinois University Carbondale (US)
- University of Alberta (CA)
- University of Alabama at Birmingham (US)
- SIU Medicine (US)
- University of Illinois Urbana-Champaign (US)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2017-10
- Volume
- 49
- Issue
- 10
- Pages
- 2009-2015
- ISSN
- 0195-9131 (ISSN-L)
- PMC
- PMC5600650
- OpenAlex
- W2614361458
- Cited by
- 94
- References
- 39
- Citations by year
- 2026: 10 · 2025: 5 · 2024: 10 · 2023: 17 · 2022: 17 · 2021: 11 · 2020: 11 · 2019: 8 · 2018: 4 · 2017: 1
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA136859, U01CA136859, P30CA013148)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056336)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- breast cancer survivors, sleep quality, physical activity interventions, exercise adherence, sleep disorders, daytime dysfunction, actigraphy, accelerometer-measured sleep
- MeSH terms
- Cancer Survivors, Adolescent, Adult, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Sleep, Health Behavior, Exercise, Young Adult, Actigraphy
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