Report in English with a Dutch summary (KCE reports 63A)
Report in English with a Dutch summary (KCE reports 63A)
Report in English with a Dutch summary (KCE reports 63A)
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118 Breast Cancer <strong>KCE</strong> <strong>reports</strong> 63<br />
Study ID Ref Search<br />
date<br />
McNeely ML<br />
2006<br />
Demark-<br />
Wahnefried W<br />
2006<br />
Physical exercise after treatment of breast cancer.<br />
[113] 2005 Women <strong>with</strong> early to<br />
later stage (Stage 0–III)<br />
breast cancer or who<br />
had undergone breast<br />
cancer surgery <strong>with</strong> or<br />
<strong>with</strong>out adjuvant<br />
cancer<br />
therapy<br />
[260] NA Locoregionally staged<br />
breast and prostate<br />
cancer patients, who<br />
were aged ≥ 65 years<br />
old and <strong>with</strong><strong>in</strong> 18<br />
months of diagnosis<br />
Population Intervention Ouctomes Results Comments Study<br />
type<br />
Exercise (def<strong>in</strong>ed as a form of<br />
leisure-time physical activity<br />
that was performed on a<br />
repeated basis over an<br />
extended period of time, <strong>with</strong><br />
the <strong>in</strong>tention of improv<strong>in</strong>g<br />
fitness, performance or<br />
health)<br />
Intervention (n = 89):<br />
telephone counsel<strong>in</strong>g and<br />
tailored pr<strong>in</strong>t materials aimed<br />
at <strong>in</strong>creased exercise and an<br />
improved overall diet<br />
(<strong>in</strong>creased diet diversity <strong>with</strong><br />
<strong>in</strong>creased F&Vs and whole<br />
gra<strong>in</strong>s; decreased total fat,<br />
saturated fat, and<br />
cholesterol; and adequate iron<br />
and calcium)<br />
Control (n = 93): general<br />
health counsel<strong>in</strong>g and materials.<br />
Both <strong>in</strong>terventions <strong>in</strong>cluded 12<br />
bimonthly 20- to 30-m<strong>in</strong>ute<br />
sessions over a 6-month<br />
period.<br />
Exercise led to statistically significant<br />
improvements <strong>in</strong> quality of life as assessed<br />
by the Functional<br />
Assessment of Cancer Therapy–General<br />
(WMD 4.58, 95%CI 0.35 to<br />
8.80) and Functional Assessment of Cancer<br />
Therapy–Breast (WMD 6.62, 95%CI 1.21<br />
to 12.03). Exercise also led to significant<br />
improvements <strong>in</strong> physical function<strong>in</strong>g and<br />
peak oxygen consumption and <strong>in</strong> reduc<strong>in</strong>g<br />
symptoms of fatigue.<br />
No significant differences between<br />
treatment groups<br />
14 RCTs <strong>in</strong>cluded (4 of<br />
high quality)<br />
Randomization poorly<br />
described<br />
SR High<br />
RCT Low<br />
Level of<br />
evidence