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Strength Training for Older Breast Cancer Survivors

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

NCT00591747
050106
1836

Details and patient eligibility

About

Women aged 50 and older are disproportionately affected by breast cancer, not only in terms of new diagnoses, but also in terms of survivorship. Approximately 85% of women who receive a first diagnosis of breast cancer are aged 50 and over, thus older women constitute the largest group of breast cancer survivors. Yet, few studies have focused on evaluating whether physical activity and exercise interventions affect long-term symptoms, physical fitness and function, and body composition of older breast cancer survivors. Due to the combined effects of breast cancer, related treatments and aging it is likely that exercise is even more beneficial for older breast cancer survivors than for younger survivors. Along with the cancer-related symptom of fatigue common to cancer survivors, older survivors face age-related declines in bone and muscle mass, muscle strength, bone health and physical function (gait and balance) that are likely exacerbated by reduced physical activity in survivorship and side effects of adjuvant cancer treatment. All women, regardless of age, are at risk for breast cancer recurrence. Recent epidemiologic evidence suggests a link between exercise and reduced risk of cancer recurrence in breast cancer survivors. Strength training is specifically suited to reverse or slow age-related declines in bone, muscle, strength and function and has shown promise to reduce cancer-related fatigue. However, no controlled trials of strength training in older breast cancer survivors have been conducted.

Enrollment

106 patients

Sex

Female

Ages

50 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Diagnosed with early stage breast cancer at age of 50 or older
  • Completed adjuvant therapy, radiation +/- chemotherapy but selective estrogen receptor modulators (SERMS), (aromatase inhibitors (AIs) ok) at least 1 year prior to enrollment

Exclusion criteria

  • Cognitive difficulties that preclude answering the survey questions, participating in performance testing or giving informed consent
  • Diagnosed osteoporosis
  • Current regular participation in planned impact activities or resistance training (more than 2 times a week for 30 minutes at a time)
  • Medication that contraindicates participation in moderate intensity strength training or previous use of medications known to affect bone metabolism
  • Movement or neurologic disorder, not including chemo-induced peripheral neuropathy

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

106 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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