Breast Cancer Clinical Trial
Official title:
Randomised Controlled Trial of a Home-based Physical Activity Intervention in Breast Cancer Survivors
The aim of this current study was to investigate the effects of a pragmatic home-based physical activity programme on primarily physical activity levels and secondarily weight maintenance, health-related quality of life (HRQoL), insulin resistance (IR) and lipid concentrations in post-adjuvant therapy breast cancer survivors.
Due to the prevalence of treatment-related health concerns and increased risk of developing
metabolic syndrome, recurrence and cardiovascular disease, breast cancer survivors may
require diagnostic, therapeutic, supportive or palliative services for many years
post-diagnosis. Encouraging breast cancer survivors to adopt a healthy lifestyle
post-treatment may reduce the healthcare burden resulting from treatment-related sequelae
and improve survival. In particular, higher levels of physical activity (PA) may positively
influence some of these side-effects of treatment, enhance quality of life and reduce risk
of recurrence and all-cause and breast cancer-related mortality. However, PA levels are
generally low among breast cancer survivors and many women decrease their PA following
diagnosis. Therefore, interventions are required to improve the post-diagnosis PA levels of
breast cancer survivors.
Randomised controlled trials (RCTs) have found improvements in cardiorespiratory fitness,
HRQoL, fatigue and weight maintenance in breast cancer survivors participating in PA
interventions compared with control groups. However, most of these RCTs utilised
facility-based interventions, which may limit their patients who have trouble accessing
exercise facilities due to transportation or time-related difficulties. To overcome these
problems home-based PA interventions have been investigated and have generally reported good
adherence and positive effects on health, fitness and HRQoL outcomes. However, there is a
lack of relevant interventions in the United Kingdom.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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