Synchronized Pedaling with Martial Arts Improves Quality of Life of Women with Breast Cancer

Abstract

Physical exercise improves the physical condition of women who have been undergone surgery for breast cancer. This study evaluated the effect of a new martial arts program that combined aerobic endurance and muscle strength exercises on improving upper limb function and aerobic performance of women who have undergone breast cancer surgery. Fifty-three women who had previously undergone breast cancer surgery with axillary lymph node dissection, radiotherapy and/or chemotherapy participated in the twelve-week program. Participants were randomly assigned to two groups; a study group (28 participants) in which participants carried out a synchronized pedaling with martial arts routine of 2 sessions per week, and a control group (22 participants) who received usual care. Study group participants demonstrated a significant increase in right hand and quadriceps strength, maximum oxygen consumption, max power-to-weight ratio, muscle mass percentage and a decrease in fat mass percentage (p≤0.05). A controlled training system like synchronized pedaling with martial arts, which combines aerobic and strength exercises, appears suitable for improving the muscle strength and aerobic capacity of these breast cancer participants.

Key words

exercise program - physical activity - mastectomy - axillary dissection - chemotherapy - lymphedema

• References

• 1 Battaglini CL, Mills RC, Phillips BL, Lee JT, Story CE, Nascimento MG, Hackney AC. Twenty-five years of research on the effects of exercise training in breast cancer survivors: A systematic review of the literature. World J Clin Oncol 2014; 5: 177-190
• 2 Bray F, McCarron P, Parkin DM. The changing global patterns of female breast cancer incidence and mortality. Breast Cancer Res 2004; 6: 229-239
• 3 Carrasco-Poyatos M, Martínez-González-Moro I, Vaquero-Abellán M. Cambios en la fuerza isométrica de mujeres postmenopáusicas tras el ejercicio acuático. Rev Int Med Cienc Act Fis Deporte 2013; 13: 73-86
• 4 Clemons M, Goss P. Estrogen and the risk of breast cancer. New Engl J Med 2001; 344: 276-285
• 5 Correa Figueira AC, Cortinhas A, Pinto Soares J, Leitao JC, Pinho Ferreira R, Duarte JA. Efficacy of exercise on breast cancer outcomes: A systematic review and meta-analysis of preclinical data. Int J Sports Med 2018; 39: 327-342
• 6 Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JK, Lane K, Yasui Y, McKenzie DC. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter, randomized trial. J Clin Oncol 2007; 25: 4396-4404
• 7 DiBlasio A, Morano T, Bucci I, DiSanto S, D’Arielli A, Gonzalez-Castro C, Cugusi L, Cianchetti E, Napolitano G. Physical exercises for breast cancer survivors: effects of 10 weeks of training on upper limb circumferences. J Phys Ther Sci 2016; 28: 2778-2784
• 8 Esparza F. Manual de Cineantropometría. Pamplona: Femede; 1993
• 9 Espejo-Reina A, Becerra E, Candel R, Cerezo MV, Martin R, Meza H, Santiago C, Navarro-Sanz A. Sincrobox como método para mejorar la capacidad funcional del hombro de pacientes intervenidas de cáncer de mama. XII Congreso Bienal SETRADE (Sociedad Española de Traumatología del Deporte). Mayo 2017. ISBN: 978-84-617-7677-1
• 10 Ferlay J, Bray F, Pisani P, Parkin DM. GLOBOCAN 2000: Cancer Incidence, Mortality and Prevalence Worldwide. IARC Cancer Base No. 5. Lyon, France: IARC; 2001;
• 11 Fletcher GF, Balady GJ. Vice Amsterdam EA, Chaitman B, Eckel R, Fleg J, Froelicher VF, Leon AS, Pina IL, Rodney R, Simons-Morton DG. Williams Bazzarre T. Exercise standards for testing and training. a statement for Healthcare Professionals from the American Heart Association. Circulation 2001; 104: 1694-1740
• 12 Friedenreich CM, Cust AE. Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects. Br J Sport Med 2008; 42: 636-647
• 13 Harriss DJ, Macsween A, Atkinson G. Standards for ethics in sport and exercise science research: 2018 Update. Int J Sports Med 2017; 38: 1126-1131
• 14 AJCC. Cancer Staging Manual. Sixth Edition New York: Springer-Verlag; 2002
• 15 Lauby-Secretan B, Schoccianti C, Loomis D, Benbrahim-Talla L, Bouvard V, Bianchini F, Straif K. Breast-cancer screening- Viewpoint of the IARC Working Group. N Engl J Med 2015; 372: 2353-2358
• 16 Leclerc AF, Foidart-Dessalle M, Tomasella M, Coucke P, Devos M, Bruyere O, Bury T, Deflandre D, Jerusalem G, Lifrange E, Kaux JF, Crielaard JM, Maquet D. Multidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life. Eur J Phys Rehabil Med 2017; 53: 633-642
• 17 Martínez-González E, Galán-Buznego M. Estudio de la influencia del ejercicio con levantamiento de pesos en pacientes con disección axilar. Rehabilitación 2015; 49: 162-171
• 18 Mayorga-Vega D, Merino-Marban R, Viciana J. Criterion-related validity of Sit-and-Reach Tests for estimating hamstring and lumbar extensibility: a meta-analysis. J Sports Sci Med 2014 13: 1-14 eCollection 2014;
• 19 Musanti R. A study of exercise modality and physical self-esteem in breast cancer survivors. Med Sci Sports Exerc 2012; 44: 352-361
• 20 Parkin DM, Whelan SL, Ferlay J, Raymond L, Young J. (eds) Cancer Incidence in Five Continents, Vol VIII. Lyon: IARC Press. 1997
• 21 Ramirez-Balas A, Olcina-Camacho G, Robles-Gil MC, Maynar-Mariño M. Efectos de un programa de actividad física sobre la condición física en mujeres menopaúsicas. Apunts. Educación Física y Deportes 2012; 109: 25-31
• 22 Santiago-Sánchez CE. Manual De Instrucciones Sincrobox Nivel I. Nº Expediente: MA-515-14 Nº Registro 201499901356483.2014
• 23 Sato F, Arinaga I, Sato N, Ishida T, Ohuchi N. The perioperative educational program for improving upper arm dysfunction in patients with breast cancer at 1-year follow-up: a prospective, controlled trial. J Exp Med 2016; 238: 229-236
• 24 Schmidt ME, Steinforf K, Mutschelknauss E, Slanger T, Kropp S, Obi N, Flesch-Janys D, Chang-Claude J. Physical activity and postmenopausal breast cancer: effect modification by breast cancer subtypes and effective periods in life. Cancer Epidemiol Biomarkers Prev 2008 17: 3402-3410
• 25 Schwartz AL. Fatigue mediates the effects of exercise on quality of life. Qual Life Res 1999; 8: 529-538
• 26 Siegel R, DeSantis C, Virgo K, Stein K, Mariotto A, Smith T, Cooper D, Gansler T, Lerro C, Fedewa S, Lin C, Lech C, Cannady RS, Cho H, Scoppa S, Hachey M, Kirch R, Jemal A, Ward E. Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin 2012; 62: 220-241
• 27 Winningham ML, Mac Vicar MG, Bondoc M, Anderson JL, Minton JP. Effect of aerobic exercise on body weight and composition in patients with breast cancer on adjuvant chemotherapy. Oncol Nurs Forum 1989; 16: 683-689
• 28 Winters-Stone KM, Dobek J, Nail L, Bennett JA, Leo MC, Naik A, Schwartz A. Strength training stops bone loss and builds muscle in postmenopausal breast cancer survivors: a randomized, controlled trial. Breast Cancer Res Treat 2011 127: 447-456
• 29 Zunura'in Z, Almardhiyah AR, Gan SH, Arifin WN, Sirajudeen K, Bhavaraju V, Shahar S, Jan JM. Anthropometric and reproductive factors among newly-diagnosed breast cancer patients and healthy women: A case-control study. Asian Pac J Cancer Prev 2016; 17: 4439-4444