Reduction of health risk factors through an adapted physical activity program in patients with breast cancer
- 552 Downloads
After a breast cancer diagnosis, patients are at high risk of reducing their physical activity and gaining weight. Lack of physical activity and weight gain are known negative but modifiable prognostic factors. An observational study of a 3-month adapted physical activity (APA) program was performed to assess its effectiveness in improving physical activity level and reducing risk factors related to health during or after breast cancer treatments.
Height, weight, and waist circumference (WC) were measured at the beginning and end of the 26-session program. Body mass index (BMI) and WC to height ratio (WHtR) were calculated. Physical activity profile, aerobic capacity, and usual average daily energy expenditure were estimated. Median values were compared using nonparametric tests.
Sixty-one (61) voluntary breast cancer patients attended 80 % of the sessions. At baseline, median (minimum–maximum) BMI was 23.3 (16.1–36.8) kg.m−2 and WC and WHtR showed metabolic risks. After 3 months, anthropometric data remained stable. Moderate physical activity significantly improved (+13 min/day) and sedentary tended to decrease (−18 min/day).
A 3-month APA program allows patients to limit risk factors related to health such as physical inactivity and metabolic risks. This study reinforces the need to promote physical activity as early as possible in cancer patients' care.
KeywordsAdapted physical activity Breast cancer Health risk factors Sedentary
We are indebted to all participants for providing the data issued in this study and for their participation to the APA program. The APA program is being carried out with financial support from the Rhône Committee of the French National League against Cancer. The dietician was supported by the Direction Générale de Santé and the Lions Club of Bourg-en-Bresse and Pérouges. A-M Foucaut is supported by a doctoral grant from the French National Research Agency (CIFRE/ANRT no. 426/2010). A-M Foucaut is grateful to S Chabaud for statistical assistance and to D Binks for editing assistance.
Conflict of interest
The authors declare that they have no conflict of interest.
- 2.WCRF/AICR (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspectiveGoogle Scholar
- 4.Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, Gapstur S, Patel AV, Andrews K, Gansler T (2012) American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 62:30–67PubMedCrossRefGoogle Scholar
- 7.Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R (2003) Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study. Cancer 97:1746–1757PubMedCentralPubMedCrossRefGoogle Scholar
- 9.Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JK, Lane K, Yasui Y, McKenzie DC (2007) Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol 25:4396–4404PubMedCrossRefGoogle Scholar
- 15.Irwin ML, Varma K, Alvarez-Reeves M, Cadmus L, Wiley A, Chung GG, Dipietro L, Mayne ST, Yu H (2009) Randomized controlled trial of aerobic exercise on insulin and insulin-like growth factors in breast cancer survivors: the Yale Exercise and Survivorship study. Cancer Epidemiol Biomarkers Prev 18:306–313PubMedCentralPubMedCrossRefGoogle Scholar
- 19.PNNS (2011) Programme National nutrition santé 2011–15. -66Google Scholar
- 20.Lohman TG, Roche AF, Martorell R (1988) Anthropometric standardization reference manual. Human Kinetics Books, ChampaignGoogle Scholar
- 24.Péronnet F, Thibault G, Ledoux M, Brisson G. Le Marathon. Equilibre énergétique, alimentation et entraînement du coureur sur route, 2 ed. Paris: Vigot; 1991: -438Google Scholar
- 25.Cornet P, Masseboeuf N. Guide nutrition et santé, Vidal ed. Vidal; 2006: -480Google Scholar
- 26.INPES (2008) Baromètre santé nutrition 2008Google Scholar
- 33.Marques-Vidal P, Chiolero A, Paccaud F (2008) Large differences in the prevalence of normal weight obesity using various cut-offs for excess body fat. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 3: e159-e162Google Scholar
- 34.Charbonnier J, Levy A, Guichard JB, Garet M, Auberdiac P, Roche F, Malkoun N, Moncharmont C, Jacquin JP, de LG, Magne N (2012) Establishment of a pilot study of awareness retraining in physical activity in two selected populations of patients with breast cancer. Bull Cancer 99:753–759PubMedGoogle Scholar
- 37.Beasley JM, Kwan ML, Chen WY, Weltzien EK, Kroenke CH, Lu W, Nechuta SJ, Cadmus-Bertram L, Patterson RE, Sternfeld B, Shu XO, Pierce JP, Caan BJ (2012) Meeting the physical activity guidelines and survival after breast cancer: findings from the after breast cancer pooling project. Breast Cancer Res Treat 131:637–643PubMedCentralPubMedCrossRefGoogle Scholar
- 40.Beck F, Léon C, Léger D (2008) Troubles du sommeil:une approche exploratoire. In: Beck F, Guibert P, Gautier A (eds) Baromètre santé 2005:attitudes et comportements de santé. Inpes, Saint-Denis, pp 519–532Google Scholar