Open Access Peer-reviewed Review

A review of home-based physical activity interventions for breast cancer survivors

Main Article Content

Steven S. Coughlin corresponding author
Lee Caplan
Rebecca Stone
Jessica Stewart

Abstract

As breast cancer relative survival continues to increase, many breast cancer patients face many issues, including recurrence of cancer and cancer-related side effects that impact several aspects of their quality of life. With breast cancer patients living longer, there is more of a concern for negative breast cancer outcomes. Although physical activity is an affordable and relatively convenient way to improve breast cancer outcomes, only about one-third of breast cancer survivors engage in the recommended level of physical activity. This article reviews articles published to date to examine whether home-based physical activity interventions are effective in improving physical activity and other outcomes among breast cancer survivors who have completed primary therapy for the disease. The present review is based upon bibliographic searches in PubMed and CINAHL and relevant search terms. Articles published in English from 1980 through February 28, 2019 were identified. A total of 360 article citations were identified in PubMed and non-duplicates in CINAHL. After screening the abstracts or full texts of these articles and reviewing the references of previous review articles, 20 studies that met the eligibility criteria. Three of the studies were pre-/post-test trials and 17 were randomized controlled trials. Home-based exercise programs are effective in improving physical activity among breast cancer survivors who have completed primary therapy for the disease. Home-based exercise programs such as walking programs offer a convenient and affordable option for women who wish to increase their physical activity and maintain a healthy lifestyle.

Keywords
breast cancer survivors, physical activity, women

Article Details

How to Cite
Coughlin, S., Caplan, L., Stone, R., & Stewart, J. (2019). A review of home-based physical activity interventions for breast cancer survivors. Current Cancer Reports, 1(1), 6-12. https://doi.org/10.25082/CCR.2019.01.002

References

  1. American Cancer Society. Cancer Facts&Figures 2019. Atlanta: American Cancer Society, 2019.
  2. Zhang X, Li Y and Liu D. Effects of exercise on the quality of life in breast cancer patients: a systematic review of randomized controlled trials. Supportive Care in Cancer, 2019, 27(1): 9-21. https://doi.org/10.1007/s00520-018-4363-2
  3. World Cancer Research Fund Report “Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective”. 2007, 1(10): 464-469. https://doi.org/10.1007/s12082-007-0105-4
  4. Vance V, Mourtzakis M, McCargar L, et al. Weight gain in breast cancer survivors: prevalence, pattern and health consequences. Obesity Reviews, 2011, 12(4): 282-94. https://doi.org/10.1111/j.1467-789X.2010.00805.x
  5. Rock CL and Demark-Wahnefried W. Nutrition and Survival after the Diagnosis of Breast Cancer: A Review of the Evidence. Journal of Clinical Oncology, 2002, 20(15): 3302-3316. https://doi.org/10.1200/JCO.2002.03.008
  6. Knobf MT, Thompson SA, Fennie K, et al. The Effect of a Community-Based Exercise Intervention on Symptoms and Quality of Life. Cancer Nursing, 2014, 37(2): E43-E50. https://doi.org/10.1097/NCC.0b013e318288d40e
  7. Smith SA, Ansa BE, Yoo W, et al. Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: impliations for an intervention approach. Ethnicity & Health, 2018, 23(2): 194-206. https://doi.org/10.1080/13557858.2016.1256376
  8. Coughlin SS and Smith SA. The insulin-like growth factor axis adipokines, physical activity, and obesity in relation to breast cancer incidence and recurrence. Cancer and Clinical Oncology, 2015, 4(2): 24-31. https://doi.org/10.5539/cco.v4n2p24
  9. Schmidt T, vanMackelenbergh M,Wesche D, et al. Physical activity influences the immune system of breast cancer patients. Journal of Cancer Research and Therapeutics, 2017, 13(3): 392-398. https://doi.org/10.4103/0973-1482.150356
  10. Pinto BM, Frierson M, Rabin C, et al. Home-based physical activity intervention for breast cancer patients. Journal of Clinical Oncology, 2005, 23(15): 3577-3587. https://doi.org/10.1200/JCO.2005.03.080
  11. Wilson DB, Porter JS, Parker G, et al. Anthropometric changes using a walking intervention in African American breast cancer survivors: a pilot study. Preventing Chronic Disease, 2005, 2(2): 1-7. https://www.cdc.gov/pcd/issues/2005/apr/04_0112.htm
  12. Vallance KH, Courneya KS , Plotnikoff RC, et al. Randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. Journal of Clinical Oncology, 2007, 25(17): 2352-2359. https://doi.org/10.1200/JCO.2006.07.9988
  13. Matthews CE, Wilcox S, Hanby CL, et al. Evaluation of a 12-week home-based walking intervention for breast cancer survivors. Supportive Care in Cancer, 2007, 15(2): 203-211. https://doi.org/10.1007/s00520-006-0122-x
  14. Yuen HK and Sword D. Home-based exercise to alleviate fatigue and improve functional capacity among breast cancer survivors. Journal of allied health, 2007, 36(4): e257-275.
  15. Payne JK, Held J, Thorpe J, et al. Effect of exercise on biomarkers, fatigue, sleep disturbances, and depressive symptoms in older women with breast cancer receiving hormonal therapy. Oncology Nursing Forum, 2008, 35(4): 635- 642. https://doi.org/10.1188/08.ONF.635-642
  16. Yang CY, Tsai JC, Huang YC, et al. Effects of a home-based walking program on perceived symptom and mood status in post-operative breast cancer women receiving adjuvant chemotherapy. Journal of Advanced Nursing, 2011, 67(1): 158-168. https://doi.org/10.1111/j.1365-2648.2010.05492.x
  17. Kim SH, Shin MS, Lee HS, et al. Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncology Nursing Forum, 2011, 38(2): E97-E106. https://doi.org/10.1188/11.ONF.E97-E106
  18. Hatchett A, Hallam JS and Ford MA. Evaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancer. Psycho-Oncology, 2013, 22(4): 829-836. https://doi.org/10.1002/pon.3082
  19. Spector D, Deal AM, Amos KD, et al. A pilot study of a home-based motivational exercise program for African American breast cancer survivors: clinical and quality-oflife outcomes. Integrative Cancer Therapies, 2014, 13(2): 121-132. https://doi.org/10.1177/1534735413503546
  20. Denysschen CA, Burton H, Ademuyiwa F, et al. Exercise intervention in breast cancer patients with aromatase inhibitor-associated arthralgia: a pilot study. European Journal of Cancer Care, 2014, 23(4): 493-501. https://doi.org/10.1111/ecc.12155
  21. Baruth M, Wilcox S, Der Ananian C, et al. Effects of home-based walking on quality of life and fatigue outcomes in early stage breast cancer survivors a 12-week pilot study. Journal of Physical Activity and Health, 2015, 12(s1): S110-S118. https://doi.org/10.1123/jpah.2012-0339
  22. Lahart IM, Metsios GS, Nevill AM, et al. Randomized controlled trial of a home-based physical activity intervention in breast cancer survivors. BMC Cancer, 2016, 16: 234. https://doi.org/10.1186/s12885-016-2258-5
  23. Knobf MT, Jeon S, Smith B, et al. Effect of a randomized controlled exercise trial on bone outcomes: influence of adjuvant endocrine therapy. Breast Cancer Research and Treatment, 2016, 155(3): 491-500. https://doi.org/10.1007/s10549-016-3693-3
  24. Nyrop KA, Callahan LF, Cleveland RJ, et al. Randomized controlled trial of a home-based walking program to reduce moderate to severe aromatase inhibitor-associated arthralgia in breast cancer survivors. The Oncologist, 2017, 22(10): 1238-1248. https://doi.org/10.1634/theoncologist.2017-0174
  25. Valle CG, Deal AM and Tate DF. Preventing weight gain in African American breast cancer survivors using smart scales and activity trackers: a randomized controlled pilot study. Journal of Cancer Survivorship, 2017, 11(1): 133-148. https://doi.org/10.1007/s11764-016-0571-2
  26. Westphal T, Rinnerthaler G, Gampenrieder SP, et al. Supervised versus autonomous exercise training in breast cancer patients: a multicenter randomized clinical trial. Cancer Medicine, 2018, 7(12): 5962-5972. https://doi.org/10.1002/cam4.1851
  27. Hirschey R, Kimmick G, Hockenberry M, et al. A randomized phase II trial of MOVING ON: An intervention to increase exercise outcome expectations among breast cancer survivors. Psycho-Oncology, 2018, 27(10): 2450-2457. https://doi.org/10.1002/pon.4849
  28. Bail JR, Fruge AD, Cases MG, et al. A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors. Cancer, 2018, 124(16): 3427-3435. https://doi.org/10.1002/cncr.31559
  29. Lahart IM, Carmichael AR, Nevill AM, et al. The effects of a home-based physical activity intervention on cardiorespiratory fitness in breast cancer survivors; a randomised controlled trial. Journal of Sports Sciences, 2018, 36(10): 1077- 1086. https://doi.org/10.1080/02640414.2017.1356025