The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients:a randomized controlled trial

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Abstract

Background

Breast cancer (BC) patients who undergo surgery followed by radiotherapy and chemotherapy have limitations on physical activity which will lead to a decreased quality of life and poor physical fitness level. The purpose of this study was to investigate the effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on postoperative breast cancer patients by evaluating their quality of life, muscle strength and cardiorespiratory capacity.

Methods

This study was a randomized control trial with an intervention period of 12 weeks. Sixty participants (30 in each group, 42–60 years old, female) were recruited through an outpatient department. Procedure of exercise in the intervention group included: via phone step-recording app, ask the individuals to complete the target number of steps within a specified period of exercise, four times per week; face-to-face remote video instruction of individuals on muscle training, three times per week; via social media apps daily push common knowledge of physical exercise BC rehabilitation. The control group received traditional treatment and rehabilitation according to daily specifications of the hospital. The primary outcome was quality of life and the secondary outcomes were muscle strength and cardiorespiratory capacity.

Results

Experiments using a Short Form 36 showed that the CEIBISMS yielded significantly better results than traditional methods, in vitality ( p = 0.009), mental health ( p = 0.001) and reported health transition ( p = 0.048) by week 12. The CEIBISMS resulted in significant improvement in the stand-up and sit-down chair test ( p < 0.0001), arm lifting test ( p = 0.017).

Conclusion

The CEIBISMS offered rehabilitative effects in quality of life (QOL) and muscle strength of postoperative patients with breast cancer (BC) in China.

Trial registration

ChiCTR-IPR-17012368. Trial registered on 14 August, 2017.

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Most cited references 54

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Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention.

William Angus Wallace (2001)

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Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial

Christina Dieli-Conwright, Kerry Courneya, Wendy Demark-Wahnefried … (2018)

Background Exercise is an effective strategy to improve quality of life and physical fitness in breast cancer survivors; however, few studies have focused on the early survivorship period, minorities, physically inactive and obese women, or tested a combined exercise program and measured bone health. Here, we report the effects of a 16-week aerobic and resistance exercise intervention on patient-reported outcomes, physical fitness, and bone health in ethnically diverse, physically inactive, overweight or obese breast cancer survivors. Methods One hundred breast cancer survivors within 6 months of completing adjuvant treatment were assessed at baseline, post-intervention, and 3-month follow-up (exercise group only) for physical fitness, bone mineral density, serum concentrations of bone biomarkers, and quality of life. The exercise intervention consisted of moderate-vigorous (65–85% heart rate maximum) aerobic and resistance exercise thrice weekly for 16 weeks. Differences in mean changes for outcomes were evaluated using mixed-model repeated measure analysis. Results At post-intervention, the exercise group was superior to usual care for quality of life (between group difference: 14.7, 95% CI: 18.2, 9.7; p < 0.001), fatigue (p < 0.001), depression (p < 0.001), estimated VO2max (p < 0.001), muscular strength (p < 0.001), osteocalcin (p = 0.01), and BSAP (p = 0.001). At 3-month follow-up, all patient-reported outcomes and physical fitness variables remained significantly improved compared to baseline in the exercise group (p < 0.01). Conclusions A 16-week combined aerobic and resistance exercise program designed to address metabolic syndrome in ethnically-diverse overweight or obese breast cancer survivors also significantly improved quality of life and physical fitness. Our findings further support the inclusion of supervised clinical exercise programs into breast cancer treatment and care. Trial registration This trial is registered on ClinicalTrials.gov: NCT01140282 as of June 9, 2010.

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Muscle strength, disability and mortality.

T. Rantanen (2003)

The aims of this review are to address (1) the role of muscle strength in the disablement process and (2) muscle strength as a predictor of length of life using data from prospective studies. Functional limitations, such as slow walking speed, predispose older people to disabilities. How much strength is needed for daily motor tasks such as walking varies according to other impairments present. For example, when postural balance is good, only minimum amount of strength is needed for walking. However, in the presence of balance impairment, having good level of strength may help to compensate for the deficit. Having strength well above the required level indicates reserve capacity. It was studied using data from the Honolulu Heart Program launched in 1965 among 8006 men initially aged 45-68 years, whether reserve of strength would be protective of development of future disability. All men with documented diseases at baseline were excluded from the analyses. Those men who were in the lowest third of the distribution of grip strength at baseline were at two to three times greater risk of developing disabilities assessed 25 years later compared to the highest third. It is possible that before they reach the disability level, those with greater reserve of strength may afford to lose more strength, for example following bed rest and inactivity associated with an illness. Midlife grip strength was also found to predict long-term total mortality: those with poorer strength at baseline were more likely to die over the follow-up period of 30 years. The association between muscle strength and disability is largely explained by biomechanical mechanisms. However, the mechanism explaining the association between muscle strength and mortality risk still remains to be explored.

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Author and article information

Contributors

Xiaosheng Dong: dxiaosheng@hotmail.com

Xiangren Yi: xrenyi@sdu.edu.cn

Dezong Gao: gaodezong1@163.com

Zan Gao: gaoz@umn.edu

Shuyuan Huang: 1433469089@qq.com

Mengyao Chao: 865351227@qq.com

Wenxin Chen: wenxin-chen@sdu.edu.cn

Meng Ding: +86-531-86182581 , dingmengpy@aliyun.com

Journal

Journal ID (nlm-ta): Health Qual Life Outcomes

Journal ID (iso-abbrev): Health Qual Life Outcomes

Title: Health and Quality of Life Outcomes

Publisher: BioMed Central (London )

ISSN (Electronic): 1477-7525

Publication date (Electronic): 26 June 2019

Publication date PMC-release: 26 June 2019

Publication date Collection: 2019

Volume: 17

Electronic Location Identifier: 109

Affiliations

[1 ]GRID grid.410585.d, College of Physical Education, , Shandong Normal University, ; 88 Wenhuaxi Road, Jinan, 250014 China

[2 ]ISNI 0000 0004 1761 1174, GRID grid.27255.37, College of Physical Education, , Shandong University, ; Jinan, 250011 China

[3 ]GRID grid.452704.0, The Department of Breast Surgery, , The Second Hospital of Shandong University, ; Jinan, 250033 China

[4 ]ISNI 0000000419368657, GRID grid.17635.36, School of Kinesiology, , University of Minnesota, ; Minneapolis, MN 55455 USA

Article

Publisher ID: 1183

DOI: 10.1186/s12955-019-1183-0

PMC ID: 6595606

PubMed ID: 31242926

SO-VID: 288330df-09b4-4e62-9c80-6846916761bc

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 4 July 2018

Date accepted : 18 June 2019

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ScienceOpen disciplines: Health & Social care

Keywords: combined exercise breast cancer quality of life muscle strength cardiorespiratory capacity

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ScienceOpen disciplines: Health & Social care

Keywords: combined exercise breast cancer quality of life muscle strength cardiorespiratory capacity

The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients:a randomized controlled trial

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Most cited references 54

Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention.

Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial

Muscle strength, disability and mortality.

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