Effects of combined supervised intermittent aerobic, muscle strength and home-based walking training programs on cardiorespiratory responses in women with breast cancer

Bull Cancer. 2019 Jun;106(6):527-537. doi: 10.1016/j.bulcan.2019.03.014. Epub 2019 May 20.

Abstract

Background: The aim of this investigation was to study the effects of supervised combined intermittent aerobic, muscle strength and home-based walking training programs on cardiorespiratory fitness in women with breast cancer during adjuvant chemotherapy treatment.

Methods: Thirty-two women with breast cancer undertaking adjuvant chemotherapy participated in the study (trained group n=20 and control group n=12). The trained group carried out 6weeks of supervised intermittent cycling aerobic, muscle strength and home-based walking training programs. The self-selected walking speed (WS), walking distance covered (WD), heart rate (rHR), blood lactate ([La]b) concentration and rating of perceived exertion (RPE) were assessed in the two groups during the 6-min walking test before and after the training period.

Results: Compared to controls, a significant increase in the WS (P<0.01) and the WD (P<0.01) accompanied by a significant decrease in resting rHR (P<0.01), exercising HR6' (P<0.01), [La]b (P<0.05), HR6'/WS (P<0.01) and [La]b/WS ratios (P<0.01) was reported in the trained group. However, a significant decrease both in WD (P<0.01) and WS (P<0.01) has been observed in the controls. No significant difference was observed in resting HR, exercising HR6', [La]b, HR6'/WS, and [La]b/WS ratios were observed in the control group. A significant improvement was observed for RPE in training group (P<0.05). However, no difference was shown in controls.

Conclusion: Combined training based on intermittent aerobic exercise, muscle strength and walking improve cardiorespiratory responses and reduce the perception of fatigue in women with breast cancer.

Keywords: Breast cancer; Cancer du sein; Cardiorespiratory responses; Exercice aérobie intermittent; Fatigue; Force musculaire; Intermittent aerobic exercise; Marche; Muscle strength; Réponses cardiorespiratoires; Walking.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bicycling
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / rehabilitation*
  • Breast Neoplasms / surgery
  • Cardiorespiratory Fitness*
  • Chemotherapy, Adjuvant
  • Cyclophosphamide / administration & dosage
  • Docetaxel / administration & dosage
  • Epirubicin / administration & dosage
  • Exercise Test
  • Exercise*
  • Female
  • Fluorouracil / administration & dosage
  • Heart Rate
  • Home Care Services / organization & administration
  • Humans
  • Lactates / blood
  • Middle Aged
  • Physical Exertion
  • Program Evaluation
  • Resistance Training*
  • Walking*

Substances

  • Lactates
  • Docetaxel
  • Epirubicin
  • Cyclophosphamide
  • Fluorouracil