Support and Rehabilitation Protocol for Non Metastatic Breast Cancer Patients in Complete Remission After Chemotherapy
- Conditions
- Non Metastatic Breast Cancer
- Interventions
- Behavioral: dietaty education, physical training, physiotherapy and SPA cares
- Registration Number
- NCT01563588
- Lead Sponsor
- Centre Jean Perrin
- Brief Summary
Many breast cancer patients (BCP) will gain weight during chemotherapy and about 10% of them are able to find back to their initial weight after all treatments are finished. Other studies have shown that overweight at diagnosis was associated to a twice higher risk of relapse while a weight gain during treatments increased by 30% to 50% the risk of relapse. In western countries, 75% of BCP have insufficient physical activity. Dietary and activity programs seem to be able to significantly reduce the mortality risk after breast cancer.
The investigators performed a prospective randomized trial consisting in dietary counseling, physical training and physiotherapy in hydrothermal centers. Intervention were delivered in small group session lasting 12 days. SPA cares were offered to patients. Patients in the control group also received dietary counseling given by a dietetician inside anticancer hospital, and were asked to perform more physical activities. Main endpoints of the trial addressed quality of life (SF36) one year after inclusion, weight reduction, anxiety/depression (HAD), sleep quality and long term compliance to instructions. An economic study was associated to the protocol, for volunteers only.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- Female
- Target Recruitment
- 251
- breast cancer
- treatment including a chemotherapy
- in complete remission
- last treatment in the last 9 months before inclusion
- signed consent
- metastatic disease
- relapse
- women enable to have physical activity
- heart disease or any pathology preventing physical activity
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description dietary and physical training dietaty education, physical training, physiotherapy and SPA cares 12 days session of physical training, dietary education, physiotherapy and SPA cares in small group (less than 12 women) delivered in hydrothermal centers
- Primary Outcome Measures
Name Time Method Quality of life (SF36) one year after inclusion Quality of life was measured with the SF36 questionnaire before randomization, at 6, 12, 18, 24 and 36 months. The difference at one year was the main endpoint.
- Secondary Outcome Measures
Name Time Method economic figures during 2 years after inclusion health related costs, health insurance costs, social costs
Anxiety/depression scores (HAD) inclusion, 6, 12, 18, 24, 36 months HAD questionnaire is a validated instrument that complete the SF36 QoL questionnaire.
Weight and morphometric measures inclusion, 6, 12, 18, 24, 36 months Weight(kg), impedancemetry, hip/waist circumference are needed to characterize eventual weight changes in both allocation groups
Sleep quality inclusion, 6, 12, 18, 24, 36 months 6 questions are asked: it rates the delay before sleep onset, the lenght of sleep, the number of awakening, the lenght of wake periods during the night, the concentration/alertness after sleep, and the fatigue in the morning.
Trial Locations
- Locations (2)
Centre Jean Perrin
🇫🇷Clermont-Ferrand, Puy de Dome, France
Pole Santé-République
🇫🇷Clermont-Ferrand, Puy de Dome, France