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Optimizing Body Composition & Health After Breast Cancer

OHSU Knight Cancer Institute logo

OHSU Knight Cancer Institute

Status

Completed

Conditions

Breast Neoplasm
Osteoporosis, Postmenopausal

Treatments

Behavioral: Flexibility Training
Behavioral: Resistance Exercise

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The purpose of this study is to conduct a 12-month randomized controlled trial comparing the effects of strength training exercise to stretching and relaxation exercise (control) on body composition (bone, muscle and fat mass), energy balance, bone turnover, and physical function (strength, power, gait, balance and self-report physical function and symptoms) in women who experienced premature menopause from chemotherapy for breast cancer.

Full description

As a result of treatment, breast cancer survivors typically experience unhealthy changes in body composition (bone, muscle and fat). Treatments disrupt normal bone and energy balance resulting in bone and muscle wasting and fat gain. Premenopausal women are at greatest risk for these declines because most are thrust into early menopause from chemotherapy. Hormone manipulation therapy (i.e., tamoxifen or arimidex) may further affect these tissues. Exercise can prevent bone and muscle loss and promote fat loss. However, the ability of exercise to reverse unfavorable changes in all components of body composition in women experiencing early menopause from breast cancer treatment has not been specifically studied.

Enrollment

71 patients

Sex

Female

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Diagnosed breast cancer stage I-IIIa
  • Completion of a chemotherapy regimen within the previous 5 years
  • Premenopausal status (9-12 menstrual cycles/year) at the initiation of chemotherapy
  • Complete absence of menstrual cycles for at least 6 months and within one year after starting chemotherapy OR confirmed menopause by blood tests conducted in the last 12 months prior to enrollment.

Exclusion criteria

  • Presence of any known metastases
  • Clinically defined osteoporosis
  • Current or previous use of medications known to affect bone metabolism
  • Current regular participation (>2x/wk for at least 30 min/session) in planned impact activities (i.e., volleyball, basketball), or resistance training
  • A medical condition, disorder, or medication that contraindicates participation in moderate intensity impact or resistance exercise

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

71 participants in 2 patient groups

1
Experimental group
Description:
Progressive resistance training program 3 times a week for 12 months
Treatment:
Behavioral: Resistance Exercise
2
Active Comparator group
Description:
Flexibility training 3 times a week for 12 months
Treatment:
Behavioral: Flexibility Training

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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