Progressive resistance training in breast cancer: a systematic review of clinical trials

被引:144
作者
Cheema, Bobby [1 ]
Gaul, Catherine A. [2 ]
Lane, Kirstin [3 ]
Singh, Maria A. Fiatarone [4 ,5 ,6 ,7 ]
机构
[1] Massey Univ, Inst Food Nut & Human Hlth, Te Kura Hangarua o Kai Oranga a Tangata, Wellington, New Zealand
[2] Univ Victoria, Sch Phys Educ, Victoria, BC, Canada
[3] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada
[4] Univ Sydney, Sch Exercise & Sport Sci, Sydney, NSW 2006, Australia
[5] Univ Sydney, Fac Med, Sydney, NSW 2006, Australia
[6] Hebrew SeniorLife, Boston, MA USA
[7] Tufts Univ, Jean Mayer USDA Human Nutr Ctr Aging, Boston, MA USA
关键词
women; upper body; exercise; quality of life; lymphedema;
D O I
10.1007/s10549-007-9638-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Background Progressive resistance training (PRT) may be effective for targeting the sequelae of breast cancer and its treatment given the unique anabolic nature of this exercise modality. Therefore, our objectives were: (1) to systematically review studies that have prescribed PRT after breast cancer surgery, (2) to summarize the efficacy of PRT in this cohort, and (3) to delineate areas for future investigations. Method A systematic review using computerized databases was performed. Results The systematic review located 10 trials: Four uncontrolled trials, one controlled trial and five randomized controlled trials (RCTs). PRT was prescribed with aerobic training in 8/10 trials reviewed, and in isolation in 2/10 trials reviewed. Upper body PRT was prescribed in 7/10 trials, including 4/5 RCTs. No exacerbation of objectively measured or subjectively reported lymphedema symptoms was reported in any of these trials. Adverse events were rare, generally musculoskeletal in nature, and were managed effectively by conservative means. Overall, the studies we reviewed suggest that women surgically treated for breast cancer can derive health-related and clinical benefits by performing PRT after breast cancer surgery. Further research may be required to stimulate greater advocacy for PRT among oncologists, and in community care settings. Conclusions Robustly designed RCTs prescribing targeted PRT regimens throughout various phases of breast cancer treatment are warranted. RCTs with thorough, standardized reporting of interventions and adverse events are required to establish the efficacy of this intervention for the post-treatment management of breast cancer patients and survivors as a means to improve health status and quality of life.
引用
收藏
页码:9 / 26
页数:18
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