Exercise improves body fat, lean mass, and bone mass in breast cancer survivors.
Given the negative effects of a breast cancer diagnosis and its treatments on body weight and bone mass, we investigated the effects of a 6-month randomized controlled aerobic exercise intervention vs. usual care on body composition in breast cancer survivors. Secondary aims were to examine the effects stratified by important prognostic and physiologic variables. Seventy-five physically inactive postmenopausal breast cancer survivors were recruited through the Yale-New Haven Hospital Tumor Registry and randomly assigned to an exercise (n = 37) or usual care (n = 38) group. The exercise group participated in 150 min/week of supervised gym- and home-based moderate-intensity aerobic exercise. The usual care group was instructed to maintain their current physical activity level. Body composition was assessed at baseline and 6-months through dual-energy X-ray absorptiometry (DXA) by one radiologist blinded to the intervention group of the participants. On an average, exercisers increased moderate-intensity aerobic exercise by 129 min/week over and above baseline levels compared with 45 min/week among usual care participants (P < 0.001). Exercisers experienced decreases in percent body fat (P = 0.0022) and increases in lean mass (P = 0.047) compared with increases in body fat and decreases in lean mass in usual care participants. Bone mineral density (BMD) was also maintained among exercisers compared with a loss among usual care participants (P = 0.043). In summary, moderate-intensity aerobic exercise, such as brisk walking, produces favorable changes in body composition that may improve breast cancer prognosis.
Irwin
Melinda L
ML
Yale School of Medicine, New Haven, Connecticut, USA. melinda.irwin@yale.edu
Alvarez-Reeves
Marty
M
Cadmus
Lisa
L
Mierzejewski
Eileen
E
Mayne
Susan T
ST
Yu
Herbert
H
Chung
Gina G
GG
Jones
Beth
B
Knobf
M Tish
MT
DiPietro
Loretta
L
D015502:Absorptiometry, Photon; D000273:Adipose Tissue; D000328:Adult; D000368:Aged; D000886:Anthropometry / Q000379:methods; D001823:Body Composition; D015992:Body Mass Index; D015519:Bone Density / Q000502:physiology*; D001943:Breast Neoplasms / Q000473:pathology* / Q000628:therapy*; D003720:Densitometry / Q000379:methods; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017698:Postmenopause