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 ?
The effect of a varied exercise program (VEP) on shoulder function and lymphedema (LE) in breast cancer survivors (BCs): A pilot study.
82 Background : A common physical sequel after adjuvant therapy is a decrease in shoulder movement of the upper-limb of the affected side and the development of LE . Resistance exercise is known to be safe and does not increase the risk of LE . The objective of this study is to evaluate the effect of a VEP on shoulder range of motion and upper-limb LE after adjuvant therapy in BCs . METHODS 22 BCs treated with surgery and adjuvant therapy  were r and omly assigned to the VEP ( n=12 ) or the control ( n=10 ) . The VEP aim ed at improving aerobic endurance , joint mobility and muscle strength . The frequency of the VEP was 2 times a week , during 3 months , with a total of 30 sessions . Primary endpoints included the range shoulder motion and arm volumes of both arms . The secondary outcome was quality of life ( QoL ) as measured by the EORTC QLQ-C30 . All outcome measures were assessed at baseline and after 3 months . RESULTS After ending the VEP , in the exercise group , the movements such as abduction ( p=0.04 ) , external rotation ( p=0.02 ) , extension ( p=0.03 ) and flexion ( p=0.01 ) of the affected arm increased significantly but there was no change for internal rotation ( 0.27 ) . No significant changes in arm volume ( p=0.06 ) were found after 3 months compared to baseline , whereas the quality of life did improve significantly ( p=0.01 ) . After 3 months the range of motion of the shoulder of the affected arm ( sum of abduction , external rotation , extension and flexion ) in the exercise group tended to be better although this was not significant ( p=0.50 ) . The arm volume difference between the two groups was not significant ( p=0.10 ) but it was for the QoL ( p=0.02 ) . CONCLUSIONS A VEP lead to significant specific improvements in arm mobility compared to baseline . These BCs also compared favourably to the control cohort , but this was not significant . The study confirms that exercising the ipsilateral arm and shoulder has no detrimental effect on LE and has a positive impact on the QoL. St and ard guidelines concerning physical therapy to ameliorate shoulder function and LE are not available . Additional patients will be enrolled to develop st and ard recommendations for physical therapy to improve shoulder and limb function in BCs
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 ?