Aerobic Training in Treatment for Breast Cancer
- Conditions
- Cancer of BreastHealthy
- Interventions
- Other: Aerobic Training PresentialOther: Aerobic Training Home-based
- Registration Number
- NCT03494400
- Lead Sponsor
- Universidade Estadual Paulista Júlio de Mesquita Filho
- Brief Summary
Introduction. Treatment with hormone therapy reduced the likelihood of tumor recurrence and metastasis in the patient. However, it has adverse effects such as: loss of bone mineral density, increase in body weight, metabolic changes and, consequently, lower quality of life. Physical training has been used as a means of reducing these and other adverse effects, but there is no definite protocol on which training model is effective, especially in patients who only use Tamoxifen or Aromatase Inhibitor as an adjuvant therapy for treatment of breast cancer.
Objective: To compare the effect of aerobic training on body composition, metabolic and inflammatory variables, physical activity level, sleep, anxiety, depression, body image, fatigue, strength, flexibility and quality of life of women undergoing breast cancer treatment use Tamoxifen and Aromatase Inhibitor and women without cancer.
Method. The sample will be formed by women without cancer and under treatment with hormone therapy being accompanied by the public service for treatment of breast cancer of the city of Presidente Prudente. A 24-week notification in which the face-to-face training group will undergo aerobic training three times a week on interspersed days and the group accompanied at a distance will perform as a preferred activity under a distance supervision of professionals every 14 days of return to attend the UNESP for the adequacy of the analysis and selection of attendance to the proposed activities. Evaluations of the variables of interest at the baseline of the intervention will be performed after 12 weeks and soon after the intervention. The investigators will analyze: biomarkers (TNFα, LDL, HDL, VLDL, as well as in the lipid profile (triglycerides, total cholesterol and LDL fractions ), glycemia, insulin, anthropometric measurements, physical activity level, sleep, pain, anxiety, depression, body image, fatigue, strength, flexibility. Trainings will be performed within the target zone of maximum heart rate. Comparisons between groups at each time point will be performed using Student's T-test for independent samples. The comparisons of the variables of interest at the initial moment and after 12 and 24 weeks will be made through the multivariate analysis, where the group effects, time and interaction of both will be compared. All analyzes will be performed in SPSS software version 24.0 and significance of 5%.
- Detailed Description
Introduction. Breast cancer is one of the leading causes of morbidity and mortality in the world.Treatment with hormone therapy reduced the likelihood of tumor recurrence and metastasis in the patient. However, it has adverse effects such as: loss of bone mineral density, increase in body weight, metabolic changes (lipid and low grade systemic inflammation) and, consequently, lower quality of life. Physical training has been used as a means of reducing these and other adverse effects, but there is no definite protocol on which training model is effective, especially in patients who only use Tamoxifen or Aromatase Inhibitor as an adjuvant therapy for treatment of breast cancer.
Objective: To compare the effect of aerobic training on body composition, metabolic and inflammatory variables, physical activity level, sleep, anxiety, depression, body image, fatigue, strength, flexibility and quality of life of women undergoing breast cancer treatment use Tamoxifen and Aromatase Inhibitor and women without cancer.
Method. The sample will be formed by women without cancer and under treatment with hormone therapy being accompanied by the public service for treatment of breast cancer of the city of Presidente Prudente. Where participants will be distributed in six groups submitted to intervention with aerobic training: Tamoxifen group with face-to-face training (GTP); Aromatase Inhibitor Group with face-to-face training (GIP); Tamoxifen training group by distance monitoring (GTA); Training group Aromatase inhibitor by distance monitoring (GIA); Group without training with cancer (GC) and Group training face-to-face without cancer (GTSC). A 24-week notification in which the face-to-face training group will undergo aerobic training three times a week on interspersed days and the group accompanied at a distance will perform as a preferred activity under a distance supervision of professionals every 14 days of return to attend the UNESP for the adequacy of the analysis and selection of attendance to the proposed activities. Evaluations of the variables of interest at the baseline of the intervention will be performed after 12 weeks and soon after the intervention. The investigators will analyze: biomarkers will analyze: biomarkers (Tumor Necrosis Factor-Alpha (TNFα), (LDL), High Density Lipoprotein (HDL), and Very Low Density Lipoprotein (VLDL), as well as in the lipid profile (triglycerides, total cholesterol and low density lipoprotein (LDL) fractions) ), glycemia, insulin, anthropometric measurements, physical activity level, sleep, pain, anxiety, depression, body image, fatigue, strength, flexibility. Trainings will be performed within the target zone of maximum heart rate. Comparisons between groups at each time point will be performed using Student's T-test for independent samples. The comparisons of the variables of interest at the initial moment and after 12 and 24 weeks will be made through the multivariate analysis, where the group effects, time and interaction of both will be compared. All analyzes will be performed in SPSS software version 24.0 and significance of 5%.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 6
- Diagnosis of breast cancer;
- Perform Tamoxifen or Aromatase Inhibitor Treatment;
- Being in stages 1 to 3 of breast cancer;
- Do not present physical limitations or any health problem that prevents the performance of the evaluations and the training;
- Have a medical certificate to perform the ergometric test and participate in physical training;
- Not practicing physical training in the last six months;
- Sign the Term of Free Consent and Clarification.
Inclusion Criteria for the group without cancer
- Do not use Tamoxifen or Aromatase Inhibitor;
- Not being diagnosed with any type of cancer.
- Accumulate three consecutive absences or four non-consecutive absences in presential training during the month;
- Failure to attend the scheduled bi-weekly activities in the case of the home-based training group;
- Do not send information about the activities carried out in the case of the home-based group
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Presential Aerobic Training with Hormone Therapy Aerobic Training Presential A group of women with breast cancer who use Tamoxifen or Aromatase Inhibitor and will perform presential aerobic training. Presential Aerobic Training without Breast Cancer Aerobic Training Presential A group of women without breast cancer who use Aromatase Inhibitor and will perform presential aerobic training. Home-based Aerobic Training without Breast Cancer Aerobic Training Home-based A group of women without breast cancer who use Aromatase Inhibitor and will perform aerobic training home-based. Home-based Aerobic Training with Hormone Therapy Aerobic Training Home-based A group of women with breast cancer who use Tamoxifen or Aromatase Inhibitor and will perform home-based aerobic training.
- Primary Outcome Measures
Name Time Method Evaluation of body composition by Bone Densitometry (DEXA) equipment 24 week Reduction of body mass and of increased fat free mass
- Secondary Outcome Measures
Name Time Method Evaluation inflammatory response by ELISA equipment 24 week Reduction of interleukin- IL 6
Evaluation of pain by questionnarie BPI. 24 week Reduction of pain intensity to increased of functional capacity
Nutritional evaluation by food register 24 week Increased of quality of food
Evaluation of quality of life by questionnarie EORTC-QLQ-30 24 week Increased of quality of life global
Evaluation of level of physical activity by triaxial accelerometer equipment 24 week Increased of level of physical activity
Trial Locations
- Locations (1)
Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho
🇧🇷Presidente Prudente, São Paulo, Brazil