title: Do yoga and aerobic exercise training have impact on functional capacity, fatigue, peripheral muscle strength, and quality of life in breast cancer survivors?
abstract: OBJECTIVE
  The aim of the study was to compare the effects of aerobic exercise training and yoga on the functional capacity, peripheral muscle strength, quality of life (QOL), and fatigue in breast cancer survivors.
  
  
  METHODS
  A total of 52 patients with a diagnosis of breast cancer were included in the study. The patients were randomly assigned to 2 groups: aerobic exercise (n = 28) and yoga added to aerobic exercise (n = 24). Both groups participated in submaximal exercise 30 minutes/d, 3 d/wk for 6 weeks. The second group participated in a 1-hour yoga program in addition to aerobic exercise training. Functional capacity was assessed by the 6-Minute Walk Test (6MWT). Peripheral muscle strength was evaluated with a hand-held dynamometer. The fatigue severity level was assessed with the Fatigue Severity Scale (FSS). The QOL was determined by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire.
  
  
  RESULTS
  There were statistically significant increases in peripheral muscle strength, the 6MWT distance, and the perception of QOL in both groups (P < .05). Additionally, the group with aerobic exercise and yoga showed marked improvement compared with the aerobic exercise group in fatigue perception (P < .05).
  
  
  CONCLUSIONS
  According to the data from this study, aerobic exercise training and yoga improved the functional capacity and QOL of breast cancer patients. Aerobic exercise programs can be supported by body mind techniques, such as yoga, in the rehabilitation of cancer patients for improving functional recovery and psychosocial wellness.
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey naciyevardar@yahoo.com.
authors.forename: Naciye
authors.initials: N
authors.lastname: Vardar Yağlı
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey.
authors.forename: Gül
authors.initials: G
authors.lastname: Şener
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey.
authors.forename: Hülya
authors.initials: H
authors.lastname: Arıkan
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey.
authors.forename: Melda
authors.initials: M
authors.lastname: Sağlam
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey.
authors.forename: Deniz
authors.initials: D
authors.lastname: İnal İnce
authors.affiliation: Dokuz Eylul University, Department of Physiotherapy and Rehabilitation, İzmir, Turkey.
authors.forename: Sema
authors.initials: S
authors.lastname: Savcı
authors.affiliation: Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabiltation, Ankara, Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Çalık Kutukcu
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey.
authors.forename: Kadri
authors.initials: K
authors.lastname: Altundağ
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.
authors.forename: Ergun Barış
authors.initials: EB
authors.lastname: Kaya
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Pediatric Oncology, Ankara, Turkey.
authors.forename: Tezer
authors.initials: T
authors.lastname: Kutluk
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Özışık
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000534:rehabilitation*; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005221:Fatigue / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D053581:Muscle Strength Dynamometer; D011788:Quality of Life; D011795:Surveys and Questionnaires; D017741:Survivors; D015013:Yoga
keywords: aerobic exercise training; breast cancer; functional capacity; quality of life; yoga