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Journal of Cancer Survivorship

, Volume 9, Issue 4, pp 612–619 | Cite as

Exercise training intensity prescription in breast cancer survivors: validity of current practice and specific recommendations

  • Friederike Scharhag-RosenbergerEmail author
  • Rea Kuehl
  • Oliver Klassen
  • Kai Schommer
  • Martina E. Schmidt
  • Cornelia M. Ulrich
  • Joachim Wiskemann
  • Karen Steindorf
Article

Abstract

Purpose

Cancer survivors are recommended to perform 150 min/week of moderate or 75 min/week of vigorous aerobic exercise, but it remains unclear how moderate and vigorous intensities can be prescribed. Therefore, it was investigated whether and how intensity prescriptions for healthy adults by the American College of Sports Medicine (ACSM) need to be adapted for breast cancer survivors.

Methods

Fifty-two breast cancer survivors (stage 0–III, age 52 ± 9 years, BMI 25.4 ± 3.5 kg/m2) performed cardiopulmonary exercise tests at the end of primary therapy. Intensity classes defined as percentages of maximal heart rate (HRmax), heart rate reserve (HRR), and maximal oxygen uptake (VO2max) were compared to the ACSM’s intensity classes using oxygen uptake reserve as reference.

Results

The prescriptions for moderate and vigorous exercise intensities were significantly different between breast cancer survivors and healthy adults when using VO2max (moderate 50–66 vs. 46–63 and vigorous 67–91 vs. 64–90 % VO2max) or HRR (moderate 26–50 vs. 40–59 and vigorous 51–88 vs. 60–89 % HRR), but not when using HRmax (moderate 65–76 vs. 64–76 and vigorous 77–94 vs. 77–95 % HRmax).

Conclusions

In breast cancer survivors, intensity prescriptions for healthy adults result in considerably too intense training if HRR is used as guiding factor. Prescriptions using VO2max result in a slightly too low exercise intensity, whereas recommendations in percentages of HRmax appear valid.

Implications for Cancer Survivors

Cancer survivors should not uncritically adopt exercise intensity prescriptions for healthy adults. Specific prescriptions for the studied population are provided.

Keywords

Cancer patients Supportive therapy Physical activity Endurance training Aerobic training Aerobic exercise 

Notes

Acknowledgments and Funding Information

The BEST study was funded by the Interdisciplinary Research Funding Program (intramural) of the National Center for Tumor Diseases (NCT) Heidelberg and supported by the Foundation “Stiftung Leben mit Krebs.” Dr. Wiskemann was personally supported by the Manfred-Lautenschlaeger-Foundation.

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Friederike Scharhag-Rosenberger
    • 1
    • 2
    Email author
  • Rea Kuehl
    • 1
    • 2
  • Oliver Klassen
    • 2
  • Kai Schommer
    • 3
  • Martina E. Schmidt
    • 2
  • Cornelia M. Ulrich
    • 2
    • 4
  • Joachim Wiskemann
    • 1
    • 2
  • Karen Steindorf
    • 2
  1. 1.Department of Medical Oncology, National Center for Tumor Diseases (NCT) HeidelbergHeidelberg University HospitalHeidelbergGermany
  2. 2.Department of Preventive Oncology, National Center for Tumor Diseases (NCT) HeidelbergGerman Cancer Research Center (DKFZ)HeidelbergGermany
  3. 3.First Department of Medicine, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
  4. 4.Population SciencesHuntsman Cancer InstituteSalt Lake CityUSA

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