Community-based exercise program effectiveness and safety for cancer survivors
- 1k Downloads
Clinical trials have demonstrated the benefits of exercise for cancer survivors. This investigation determined the effectiveness and safety of a disseminated community-based exercise program for cancer survivors who had completed treatment.
Personal trainers from regional YMCAs received training in cancer rehabilitation and supervised twice-a-week, 12-week group exercise sessions for survivors. At baseline and post-program, validated measures assessed patient-reported outcomes (PRO) and physiologic measurements.
Data were collected from 221 survivors from 13 YMCA sites and 36 separate classes. All participants had data available at one time point, while matched baseline and post-program PRO and physiologic data were available for 85% (N = 187). Participants with matched data were largely female (82%), with mean age of 58 (range, 28–91 years). Time since diagnosis ranged from 1 to 48 (mean, 5.6 years), and mean time since last treatment was 3.0 (range, 1–33 years). Physiological improvements were significant in systolic (P < 0.001) and diastolic (P = 0.035) blood pressure, upper and lower body strength, the 6-min walk test (P = 0.004), and flexibility (P < 0.001). Participants reported improvements in overall health-related quality of life (P < 0.001), social support (P = 0.019), body pain (P = 0.016), fatigue (P < 0.001), insomnia (P < 0.001), and overall musculoskeletal symptoms (P = <0.001). Few injuries or lymphedema events occurred during classes.
Community-based exercise groups for cancer survivors of mixed diagnoses and ages, who have completed active treatment, have physiologic and psychosocial benefits, and are safe.
Implications for cancer survivors
Survivors may expect significant benefit from participating in a community-based exercise program tailored to meet their individual needs as a survivor.
KeywordsCancer survivors Exercise Physical activity Community YMCA
Support for this research was provided by the LIVESTRONG Foundation and the Amgen Foundation of Washington State. We thank the survivors participating in this study and each of the Exercise and Thrive personal trainers and sites participating in this project, including:
Northshore YMCA, Bothell, WA
Bellevue Family YMCA, Bellevue, WA
West Seattle Family YMCA, Seattle, WA
Downtown Seattle YMCA, Seattle, WA
Dale Turner Family YMCA, Shoreline, WA
Meredith Mathews-East Madison YMCA, Seattle, WA
Auburn Valley YMCA, Auburn, WA
Gig Harbor Family YMCA, Gig Harbor, WA
Marysville Family YMCA, Marysville, WA
University Family YMCA, Seattle, WA
Briggs Community YMCA, Olympia, WA
Olympia Downtown YMCA, Olympia, WA
Clallam County Family YMCA, Port Angeles, WA
- 1.Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W et al. SEER Cancer Statistics Review, 1975-2008, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2008/. Accessed 14 Nov 2011.
- 2.Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Waldron W et al. SEER Cancer Statistics Review, 1975-2008, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2008/. Accessed 14 Nov 2011.
- 3.Horner MJ, Ries LAG, Krapcho M, Neyman N, Aminou R, Howlader N et al. SEER Cancer Statistics Review, 1975-2006, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2006/. Accessed 14 Nov 2011.
- 13.Baker KS, Chow E, Steinberger J. Metabolic syndrome and cardiovascular risk in survivors after hematopoietic cell transplantation. Bone Marrow Transplant. 2011. doi: 10.1038/bmt.2011.118.
- 15.Sharma N, Hansen CH, O'Connor M, Walker J, Kleiboer A, Murray G, et al. Sleep problems in cancer patients: prevalence and association with distress and pain. Psycho-Oncol. 2011. doi: 10.1002/pon.2004.
- 20.Oerlemans S, Mols F, Nijziel MR, Lybeert M, van de Poll-Franse LV. The impact of treatment, socio-demographic and clinical characteristics on health-related quality of life among Hodgkin's and non-Hodgkin's lymphoma survivors: a systematic review. Ann Hematol. 2011;90:993–1004.PubMedCrossRefGoogle Scholar
- 40.Kirkegaard H, Johnsen NF, Christensen J, Frederiksen K, Overvad K, Tjønneland A. Association of adherence to lifestyle recommendations and risk of colorectal cancer: a prospective Danish cohort study. BMJ. 2010. doi: 10.1136/bmj.c5504.
- 47.American Thoracic Society. ATS Statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111–7.Google Scholar
- 49.Kraemer WJ, Fry AC. Strength testing: development and evaluation of methodology. In: Maud PJ, Foster C, editors. Physiological assessment of human fitness. Champaign, IL: Human Kinetics; 1995.Google Scholar
- 52.Wells KF, Dillon EK. The sit and reach. A test of back and leg flexibility. Res Q. 1952;23:115–8.Google Scholar
- 53.Ware JE, Kosinski M, Dewey JE. How to score version 2 of the SF-36 health survey. Lincoln, RI: QualityMetric Incorporated; 2000.Google Scholar
- 58.Pagoto S, Schneider KL, Oleski JL, Luciani JM, Bodenlos JS, Whited MC. Male inclusion in randomized controlled trials of lifestyle weight loss interventions. Obesity. 2011. doi: 10.1038/oby.2011.140.