Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?
Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial
Most breast cancer survivors ( BCS ) are not meeting recommended physical activity guidelines . Here , we report the effects of the Better Exercise Adherence after Treatment for Cancer ( BEAT Cancer ) behavior change intervention on physical activity , aerobic fitness , and quality of life ( QoL ) . We r and omized 222 post- primary treatment BCS to the 3-month intervention ( BEAT Cancer ) or usual care ( UC ) . BEAT Cancer combined supervised exercise , face-to-face counseling , and group discussion s with tapering to home-based exercise . Assessment s at baseline , immediately post-intervention ( month 3 ; M3 ) , and 3 months post-intervention ( month 6 ; M6 ) included accelerometer and self-reported physical activity , submaximal treadmill test , and QoL [ Functional Assessment of Cancer Therapy (FACT)-Breast scale ] . Adjusted linear mixed-model analyses demonstrated significant effects of BEAT Cancer compared to UC on weekly minutes of ≥moderate intensity physical activity at M3 by accelerometer [ mean between group difference ( M ) = + 41 ; 95 % confidence interval ( CI ) = 10–73 ; p = 0.010 ] and self-report ( M = + 93 ; CI = 62–123 ; p < 0.001 ) . Statistical significance remained at M6 for self-reported physical activity ( M = + 74 ; CI = 43–105 ; p < 0.001 ) . BEAT  Cancer participants were significantly more likely to meet physical activity recommendations at both time points [ accelerometer M3 adjusted odds ratio ( OR ) = 2.2 ; CI = 1.0–4.8 and M6 adjusted OR = 2.4 ; CI = 1.1–5.3 ; self-report M3 adjusted OR = 5.2 ; CI = 2.6–10.4 and M6 adjusted OR = 4.8 ; CI = 2.3–10.0 ] . BEAT Cancer significantly improved fitness at M6 ( M = + 1.8 ml/kg/min ; CI = 0.8–2.8 ; p = 0.001 ) and QoL at M3 and M6 ( M = + 6.4 ; CI = 3.1–9.7 ; p < 0.001 and M = + 3.8 ; CI = 0.5–7.2 ; p = 0.025 , respectively ) . The BEAT Cancer intervention  significantly improved physical activity , fitness , and QoL with benefits continuing 3 months post-intervention
Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?