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Effects of concurrent aerobic and strength training in women diagnosed with non-metastatic breast cancer: a systematic review and meta-analysis

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Abstract

Purpose

To investigate the potential impact of concurrent aerobic and strength training (CT) on women diagnosed with breast cancer.

Methods

Articles published in English and indexed in the PubMed, Web of Science, SPORTDiscus, The Cochrane Library, PsycINFO, EMBASE, and CINAHL Plus databases from their inception to 12 December 2023 were searched. Eligible studies were randomized controlled trials that involved CT and assessed cardiorespiratory fitness, cancer-related fatigue, and quality of life (QoL) using specialized tools. Subgroup analyses were conducted as per treatment status and characteristics. Risk of bias was evaluated with the Cochrane risk-of-bias tool (RoB 2.0).

Results

This study included 29 studies involving 2071 participants. CT was found to significantly improve patients’ cardiorespiratory fitness (weighted mean difference = 4.24 mL/kg/min, 95% confidence interval (CI) = 1.93–6.55, P < 0.001), cancer-related fatigue (standardized mean difference (SMD) =  − 0.74, 95% CI =  − 1.05 to − 0.44, P < 0.001), and QoL (SMD = 0.76, 95% CI = 0.50–1.01, P < 0.001). The analysis of secondary outcomes found that CT could significantly improve patients’ body composition, anxiety, pain, sleep disorders, and anorexia and enhance upper and lower limb muscle strength, but was ineffective on depression.

Conclusion

For women with breast cancer, CT significantly enhances cardiorespiratory fitness, alleviates cancer-related fatigue, and improves QoL. The health benefits of CT are inferior in the postmenopausal cohort compared to the overall study population.

Implications for Cancer Survivors

CT is advisable for female breast cancer survivors due to its significant effectiveness in mitigating cancer-related fatigue, enhancing cardiorespiratory fitness, and improving the QoL.

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Data availability

Data generated or analyzed during this study are provided in full within the article.

References

  1. Nolan E, Lindeman GJ, Visvader JE. Deciphering breast cancer: from biology to the clinic.[J]. Cell. 2023;186(8):1708–28.

    Article  CAS  PubMed  Google Scholar 

  2. Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.[J]. CA: A Cancer J Clin. 2024;74(3):229–63.

    Google Scholar 

  3. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.[J]. CA: A Cancer J Clin. 2021;71(3):209–49.

    Google Scholar 

  4. Davis LE, Bubis LD, Mahar AL, et al. Patient-reported symptoms after breast cancer diagnosis and treatment: a retrospective cohort study.[J]. Eur J Cancer (Oxford, England : 1990). 2018;101:1–11.

    Article  Google Scholar 

  5. Fox RS, Ancoli-Israel S, Roesch SC, et al. Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy.[J]. Support Care Cancer : Off J Multinatl Assoc Support Care Cancer. 2020;28(2):845–55.

    Article  Google Scholar 

  6. Christiansen SR, Autier P, Støvring H. Change in effectiveness of mammography screening with decreasing breast cancer mortality: a population-based study.[J]. Eur J Public Health. 2022;32(4):630–5.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hajj A, Chamoun R, Salameh P, et al. Fatigue in breast cancer patients on chemotherapy: a cross-sectional study exploring clinical, biological, and genetic factors.[J]. BMC Cancer. 2022;22(1):16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Al-Hilli Z, Wilkerson A. Breast surgery: management of postoperative complications following operations for breast cancer.[J]. Surg Clin N Am. 2021;101(5):845–63.

    Article  PubMed  Google Scholar 

  9. Roberto M, Barchiesi G, Resuli B, et al. Sarcopenia in breast cancer patients: a systematic review and meta-analysis.[J]. Cancers. 2024;16(3):596. https://doi.org/10.3390/cancers16030596.

  10. Maass SWMC, Roorda C, Berendsen AJ, et al. The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: a systematic review.[J]. Maturitas. 2015;82(1):100–8.

    Article  CAS  PubMed  Google Scholar 

  11. Christensen RAG, Knight JA, Sutradhar R, et al. Association between estimated cardiorespiratory fitness and breast cancer: a prospective cohort study.[J]. Br J Sports Med. 2023;57(19):1238–47.

    Article  PubMed  Google Scholar 

  12. Jones LW, Courneya KS, Mackey JR, et al. Cardiopulmonary function and age-related decline across the breast cancer survivorship continuum.[J]. J Clin Oncol : Off J Am Soc Clin Oncol. 2012;30(20):2530–7.

    Article  Google Scholar 

  13. Ma Z, Yao S, Shi Y, et al. Effect of aerobic exercise on cardiotoxic outcomes in women with breast cancer undergoing anthracycline or trastuzumab treatment: a systematic review and meta-analysis.[J]. Support Care Cancer : Off J Multinatl Assoc Support Care Cancer. 2022;30(12):10323–34.

    Article  Google Scholar 

  14. Darby SC, Ewertz M, McGale P, et al. Risk of ischemic heart disease in women after radiotherapy for breast cancer.[J]. N Engl J Med. 2013;368(11):987–98.

    Article  CAS  PubMed  Google Scholar 

  15. Mostarda C, Castro-Filha J, Reis AD, et al. Short-term combined exercise training improves cardiorespiratory fitness and autonomic modulation in cancer patients receiving adjuvant therapy.[J]. J Exerc Rehabil. 2017;13(5):599–607.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Berger AM, Gerber LH, Mayer DK. Cancer-related fatigue: implications for breast cancer survivors.[J]. Cancer. 2012;118(8 Suppl):2261–9.

    Article  PubMed  Google Scholar 

  17. Neo J, Fettes L, Gao W, et al. Disability in activities of daily living among adults with cancer: a systematic review and meta-analysis.[J]. Cancer Treat Rev. 2017;61:94–106.

    Article  PubMed  Google Scholar 

  18. Phillips SM, Awick EA, Conroy DE, et al. Objectively measured physical activity and sedentary behavior and quality of life indicators in survivors of breast cancer.[J]. Cancer. 2015;121(22):4044–52.

    Article  PubMed  Google Scholar 

  19. Rock CL, Thomson CA, Sullivan KR, et al. American Cancer Society nutrition and physical activity guideline for cancer survivors.[J]. CA: A Cancer J Clin. 2022;72(3):230–62.

    Google Scholar 

  20. Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable.[J]. Med Sci Sports Exerc. 2019;51(11):2375–90.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Charati FG, Shojaee L, Haghighat S, et al. Motor exercises effect on improving shoulders functioning, functional ability, quality of life, depression and anxiety for women with breast cancer.[J]. Clin Breast Cancer. 2022;22(7):666–73.

    Article  PubMed  Google Scholar 

  22. Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, et al. Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial.[J]. Breast Cancer Res : BCR. 2018;20(1):124.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Casla S, López-Tarruella S, Jerez Y, et al. Supervised physical exercise improves VO2max, quality of life, and health in early stage breast cancer patients: a randomized controlled trial.[J]. Breast Cancer Res Treat. 2015;153(2):371–82.

    Article  PubMed  Google Scholar 

  24. Huang X, Zhao X, Li B, et al. Comparative efficacy of various exercise interventions on cognitive function in patients with mild cognitive impairment or dementia: a systematic review and network meta-analysis.[J]. J Sport Health Sci. 2022;11(2):212–23.

    Article  PubMed  Google Scholar 

  25. Schumann M, Rønnestad BR. Concurrent aerobic and strength training. Switzerland: Springer Nature, 2019.

  26. van Waart H, Stuiver MM, van Harten WH, et al. Effect of low-intensity physical activity and moderate- to high-intensity physical exercise during adjuvant chemotherapy on physical fitness, fatigue, and chemotherapy completion rates: results of the PACES randomized clinical trial.[J]. J Clin Oncol : Off J Am Soc Clin Oncol. 2015;33(17):1918–27.

    Article  Google Scholar 

  27. Bruce J, Mazuquin B, Canaway A, et al. Exercise versus usual care after non-reconstructive breast cancer surgery (UK PROSPER): multicentre randomised controlled trial and economic evaluation.[J]. BMJ (Clinical research ed). 2021;375:e66542.

    Google Scholar 

  28. Chung W, Yang H, Hsu Y, et al. Real-time exercise reduces impaired cardiac function in breast cancer patients undergoing chemotherapy: a randomized controlled trial.[J]. Ann Phys Rehabil Med. 2022;65(2):101485.

    Article  PubMed  Google Scholar 

  29. Mok J, Brown M, Akam EC, et al. The lasting effects of resistance and endurance exercise interventions on breast cancer patient mental wellbeing and physical fitness.[J]. Sci Rep. 2022;12(1):3504.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Kong L, Gao R. Aerobic exercise combined with resistance exercise training improves cardiopulmonary function and blood lipid of patients with breast cancer: a systematic review and meta-analysis.[J]. Medicine. 2022;101(51):e32391.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement[J]. Syst Rev. 2015;4:1.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Higgins JPT, Thomas J, Chandler J, et al. Cochrane handbook for systematic reviews of interventions version 6.4 (updated August 2023). Cochrane, 2023. https://www.training.cochrane.org/handbook. Accessed 10 Jun 2024.

  33. Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials.[J]. BMJ (Clinical research ed). 2019;366:l4898.

    PubMed  Google Scholar 

  34. Ergun M, Eyigor S, Karaca B, et al. Effects of exercise on angiogenesis and apoptosis-related molecules, quality of life, fatigue and depression in breast cancer patients.[J]. Eur J Cancer Care. 2013;22(5):626–37.

    Article  CAS  Google Scholar 

  35. Milne HM, Wallman KE, Gordon S, et al. Effects of a combined aerobic and resistance exercise program in breast cancer survivors: a randomized controlled trial.[J]. Breast Cancer Res Treat. 2008;108(2):279–88.

    Article  PubMed  Google Scholar 

  36. Herrero F, San Juan AF, Fleck SJ, et al. Combined aerobic and resistance training in breast cancer survivors: a randomized, controlled pilot trial.[J]. Int J Sports Med. 2006;27(7):573–80.

    Article  CAS  PubMed  Google Scholar 

  37. Do J, Cho Y, Jeon J. Effects of a 4-week multimodal rehabilitation program on quality of life, cardiopulmonary function, and fatigue in breast cancer patients.[J]. J Breast Cancer. 2015;18(1):87–96.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Hayes SC, Rye S, Disipio T, et al. Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer.[J]. Breast Cancer Res Treat. 2013;137(1):175–86.

    Article  PubMed  Google Scholar 

  39. Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, et al. Telehealth system: a randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors.[J]. Cancer. 2016;122(20):3166–74.

    Article  PubMed  Google Scholar 

  40. Rogers LQ, Vicari S, Trammell R, et al. Biobehavioral factors mediate exercise effects on fatigue in breast cancer survivors.[J]. Med Sci Sports Exerc. 2014;46(6):1077–88.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Mijwel S, Backman M, Bolam KA, et al. Adding high-intensity interval training to conventional training modalities: optimizing health-related outcomes during chemotherapy for breast cancer: the OptiTrain randomized controlled trial.[J]. Breast Cancer Res Treat. 2018;168(1):79–93.

    Article  PubMed  Google Scholar 

  42. de Paulo TRS, Winters-Stone KM, Viezel J, et al. Effects of resistance plus aerobic training on body composition and metabolic markers in older breast cancer survivors undergoing aromatase inhibitor therapy.[J]. Exp Gerontol. 2018;111:210–7.

    Article  PubMed  Google Scholar 

  43. De Luca V, Minganti C, Borrione P, et al. Effects of concurrent aerobic and strength training on breast cancer survivors: a pilot study.[J]. Public Health. 2016;136:126–32.

    Article  PubMed  Google Scholar 

  44. Baglia ML, Lin I, Cartmel B, et al. Endocrine-related quality of life in a randomized trial of exercise on aromatase inhibitor-induced arthralgias in breast cancer survivors.[J]. Cancer. 2019;125(13):2262–71.

    Article  CAS  PubMed  Google Scholar 

  45. Campbell A, Mutrie N, White F, et al. A pilot study of a supervised group exercise programme as a rehabilitation treatment for women with breast cancer receiving adjuvant treatment.[J]. Eur J Oncol Nurs : Off J Eur Oncol Nurs Soc. 2005;9(1):56–63.

    Article  Google Scholar 

  46. Cornette T, Vincent F, Mandigout S, et al. Effects of home-based exercise training on VO2 in breast cancer patients under adjuvant or neoadjuvant chemotherapy (SAPA): a randomized controlled trial.[J]. Eur J Phys Rehabil Med. 2016;52(2):223–32.

    PubMed  Google Scholar 

  47. Mostafaei F, Azizi M, Jalali A, et al. Effect of exercise on depression and fatigue in breast cancer women undergoing chemotherapy: a randomized controlled trial.[J]. Heliyon. 2021;7(7):e7657.

    Article  Google Scholar 

  48. Dong X, Yi X, Gao D, et al. The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients:a randomized controlled trial.[J]. Health Qual Life Outcomes. 2019;17(1):109.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Eakin EG, Lawler SP, Winkler EAH, et al. A randomized trial of a telephone-delivered exercise intervention for non-urban dwelling women newly diagnosed with breast cancer: exercise for health.[J]. Ann Behav Med : A Publ Soc Behav Med. 2012;43(2):229–38.

    Article  Google Scholar 

  50. Ozkan EE, Soyupek F, Turen Z. The psychological and physical benefits of the supervised individual exercise program during radiotherapy in breast cancer patients: a randomized prospective study.[J]. Med J SDU. 2022;29(4):541–52.

  51. Husebø AML, Dyrstad SM, Mjaaland I, et al. Effects of scheduled exercise on cancer-related fatigue in women with early breast cancer.[J]. TheScientificWorldJournal. 2014;2014:271828.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Mutrie N, Campbell AM, Whyte F, et al. Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial.[J]. BMJ (Clinical research ed). 2007;334(7592):517.

    Article  PubMed  Google Scholar 

  53. Nuri R, Kordi MR, Moghaddasi M, et al. Effect of combination exercise training on metabolic syndrome parameters in postmenopausal women with breast cancer.[J]. J Cancer Res Ther. 2012;8(2):238–42.

    Article  PubMed  Google Scholar 

  54. Waked IS, Attalla AF, Deghidi AHN. High intensity physical training exercise program in improving breast cancer related fatigue[J]. Int J Physiother. 2016;3(1):29–34.

    Article  Google Scholar 

  55. Antunes P, Joaquim A, Sampaio F, et al. Exercise training benefits health-related quality of life and functional capacity during breast cancer chemotherapy: an RCT.[J]. Med Sci Sports Exerc. 2023;56(4):600–11.

  56. Owusu C, Margevicius S, Nock NL, et al. A randomized controlled trial of the effect of supervised exercise on functional outcomes in older African American and non-Hispanic White breast cancer survivors: are there racial differences in the effects of exercise on functional outcomes?[J]. Cancer. 2022;128(12):2320–38.

    Article  PubMed  Google Scholar 

  57. Rogers LQ, Fogleman A, Trammell R, et al. Effects of a physical activity behavior change intervention on inflammation and related health outcomes in breast cancer survivors: pilot randomized trial.[J]. Integr Cancer Ther. 2013;12(4):323–35.

    Article  CAS  PubMed  Google Scholar 

  58. Navarro-Sanz A, Espejo-Reina A, Cerezo-Guzman MV, et al. Synchronized pedaling with martial arts improves quality of life of women with breast cancer.[J]. Int J Sports Med. 2018;39(13):978–83.

    Article  PubMed  Google Scholar 

  59. Mueller S, Winzer EB, Duvinage A, et al. Effect of high-intensity interval training, moderate continuous training, or guideline-based physical activity advice on peak oxygen consumption in patients with heart failure with preserved ejection fraction: a randomized clinical trial.[J]. JAMA. 2021;325(6):542–51.

    Article  PubMed  PubMed Central  Google Scholar 

  60. **e L, Gou B, Bai S, et al. Unsupervised cluster analysis reveals distinct subgroups in healthy population with different exercise responses of cardiorespiratory fitness.[J]. J Exerc Sci Fitness. 2023;21(1):147–56.

    Article  Google Scholar 

  61. Dong B, Qi Y, Lin L, et al. Which exercise approaches work for relieving cancer-related fatigue? A network meta-analysis.[J]. J Orthop Sports Phys Ther. 2023;53(6):343–52.

    Article  PubMed  Google Scholar 

  62. Kidwell KM, Harte SE, Hayes DF, et al. Patient-reported symptoms and discontinuation of adjuvant aromatase inhibitor therapy.[J]. Cancer. 2014;120(16):2403–11.

    Article  PubMed  Google Scholar 

  63. Berger AM, Mooney K, Alvarez-Perez A, et al. Cancer-related fatigue, version 2.2015.[J]. J Natl Compr Cancer Netw : JNCCN. 2015;13(8):1012–39.

    Article  PubMed  Google Scholar 

  64. Higham SM, Mendham AE, Rosenbaum S, et al. Effects of concurrent exercise training on body composition, systemic inflammation, and components of metabolic syndrome in inactive academics: a randomised controlled trial.[J]. Eur J Appl Physiol. 2023;123(4):809–20.

    Article  CAS  PubMed  Google Scholar 

  65. Haraldstad K, Wahl A, Andenæs R, et al. A systematic review of quality of life research in medicine and health sciences.[J]. Qual Life Res : An Int J Qual Life Asp Treat Care Rehabil. 2019;28(10):2641–50.

    Article  CAS  Google Scholar 

  66. Gliemann L, Hellsten Y. The exercise timing hypothesis: can exercise training compensate for the reduction in blood vessel function after menopause if timed right?[J]. J Physiol. 2019;597(19):4915–25.

    Article  CAS  PubMed  Google Scholar 

  67. Sun M, Liu C, Lu Y, et al. Effects of physical activity on quality of life, anxiety and depression in breast cancer survivors: a systematic review and meta-analysis.[J]. Asian Nurs Res. 2023;17(5):276–85.

    Article  Google Scholar 

  68. Noetel M, Sanders T, Gallardo-Gómez D, et al. Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials.[J]. BMJ (Clinical research ed). 2024;384:e75847.

    Google Scholar 

  69. Fuller JT, Hartland MC, Maloney LT, et al. Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analyses of clinical trials.[J]. Br J Sports Med. 2018;52(20):1311.

    Article  PubMed  Google Scholar 

  70. Jochem C, Leitzmann M, Volaklis K, et al. Association between muscular strength and mortality in clinical populations: a systematic review and meta-analysis.[J]. J Am Med Dir Assoc. 2019;20(10):1213–23.

    Article  PubMed  Google Scholar 

  71. Ghodrat L, RazeghianJahromi I, KoushkieJahromi M, et al. Effect of performing high-intensity interval training and resistance training on the same day vs. different days in women with type 2 diabetes.[J]. Eur J Appl Physiol. 2022;122(9):2037–47.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We extend our heartfelt gratitude to the authors and researchers of all the original studies that have contributed to this meta-analysis. Their invaluable work forms the foundation upon which our analysis is built, and their dedication to advancing knowledge in our field is deeply appreciated. Without their rigorous efforts and pioneering research, this comprehensive synthesis of evidence would not have been possible.

Funding

This work was supported by the National Key R&D Program of China (Grant numbers 2022YFC2010201).

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Authors and Affiliations

  1. School of Sports Medicine and Rehabilitation, Bei**g Sport University, Bei**g, China

    Bing Han, Yaya Duan, Peizhen Zhang, Liqing Zeng & Peng Pi

  2. School of Physical Education, Shandong University, **an, China

    Guoli Du & Ji** Chen

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  1. Bing Han
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Contributions

All authors contributed substantially to this paper. Bing Han and Peizhen Zhang involved in conceptualization, methodology, and writing—original draft; Bing Han, Yaya Duan, and Peizhen Zhang involved in writing—review and editing; Bing Han, Yaya Duan, and Guoli Du involved in data curation and investigation; Bing Han and Ji** Chen involved in formal analysis; Peizhen Zhang involved in supervision, validation, funding acquisition, and project administration; Bing Han, Peng Pi, and Liqing Zeng involved in software; Bing Han and Yaya Duan involved in visualization and resources. All authors have read and approved the manuscript for publication.

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Correspondence to Peizhen Zhang.

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Han, B., Duan, Y., Zhang, P. et al. Effects of concurrent aerobic and strength training in women diagnosed with non-metastatic breast cancer: a systematic review and meta-analysis. J Cancer Surviv (2024). https://doi.org/10.1007/s11764-024-01634-y

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