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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

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