Ovarian Cancer Clinical Trial
Official title:
Impact of Exercise on Ovarian Cancer Prognosis
Despite an increase in longevity, surviving ovarian cancer often brings an array of unpleasant side effects and compromises in QOL. Our proposed trial will be the first study to test whether exercise compared with attention control has a beneficial impact on quality of life, fitness and surrogate markers of ovarian cancer. Our trial could suggest a unique and important role for exercise in ovarian cancer care given that physical and functional aspects of QOL are often the most compromised in ovarian cancer patients.
Currently, the American Cancer Society recommends a physically active lifestyle for cancer
survivors to increase disease-free survival from cancer and other chronic diseases, and to
improve quality of life. Studies of a strong benefit of physical activity on improving QOL
following other types of cancer treatment, e.g., breast cancer, are well documented in the
literature; yet very few studies of physical activity and QOL after a diagnosis of ovarian
cancer have been published. Therefore, clinical trials of exercise on common physical and
psychological consequences of ovarian cancer and its treatments are warranted.
The primary aims of our study are to examine, in 230 women who have completed treatment for
Stage I-IV ovarian cancer, the impact of a moderate-intensity aerobic exercise intervention
vs. attention control on:
- Quality of Life
- Body Composition (weight, BMI, total and % body fat, waist and hip circumference)
- Hormones possibly associated with physical activity and ovarian cancer prognosis
(insulin, IGF-I, IGF-II, IGF binding protein-3, CRP, leptin, estrone, estradiol, free
estradiol, and sex-hormone binding globulin, osteopontin, MIF, prolactin, and CA-125)
- Cardiorespiratory Fitness - an objective measure of functional capacity and adherence to
exercise.
Hypotheses: Women randomized to exercise will experience improvements in quality of life,
body composition, hormone levels, and cardiorespiratory fitness compared to women randomized
to usual care.
Our trial could suggest a unique and important role for exercise in ovarian cancer care given
that physical and functional aspects of QOL are often the most compromised in ovarian cancer
patients.
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