Exercise intensity and cardiovascular health outcomes after 12 months of football fitness training in women treated for stage I-III breast cancer : Results from the football fitness After Breast Cancer (ABC) randomized controlled trial

Copyright © 2020 Elsevier Inc. All rights reserved..

PURPOSE: To examine the exercise intensity and impact of 12 months of twice-weekly recreational football training on cardiorespiratory fitness (CRF), blood pressure (BP), resting heart rate (HRrest), body fat mass, blood lipids, inflammation, and health-related quality of life in women treated for early-stage breast cancer (BC).

METHODS: Sixty-eight women who had received surgery for stage I-III BC and completed adjuvant chemo- and/or radiation therapy within 5 years were randomized in a 2:1 ratio to a Football Fitness group (FFG, n = 46) or a control group (CON, n = 22). Football Fitness sessions comprised a warm-up, drills and 3-4 × 7 min of small-sided games (SSG). Assessments were performed at baseline, 6 months and 12 months. Outcomes were peak oxygen uptake (VO2peak), blood pressure (BP), HRrest, total body fat mass, and circulating plasma lipids and hs-CRP, and the 36-Item Short Form Health Survey (SF36). Intention-to-treat (ITT) analyses were performed using linear mixed models. Data are means with SD or 95% confidence intervals.

RESULTS: Adherence to training in participants completing the 12-months follow-up (n = 33) was 47.1% (22.7), and HR during SSG was ≥80% of HRmax for 69.8% (26.5) of total playing time. At baseline, VO2peak was 28.5 (6.4) and 25.6 (5.9) ml O2/kg/min in FFG and CON, respectively, and no significant changes were observed at 6- or 12 months follow-up. Systolic BP (SBP) was 117.1 (16.4) and 116.9 (14.8) mmHg, and diastolic BP (DBP) was 72.0 (11.2) and 72.4 (8.5) mmHg in FFG and CON, respectively, at baseline, and a 9.4 mmHg decrease in SBP in CON at 12 months resulted in a between-group difference at 12 months of 8.7 mmHg (p = .012). Blood lipids and hs-CRP were within the normal range at baseline, and there were no differences in changes between groups over the 12 months. Similarly, no differences between groups were observed in HRrest and body fat mass at 6- and12-months follow-up. A between-group difference in mean changes of 23.5 (0.95-46.11) points in the role-physical domain of the SF36 survey favored FFG at 6 months.

CONCLUSION: Football Fitness training is an intense exercise form for women treated for breast cancer, and self-perceived health-related limitations on daily activities were improved after 6 months. However, 1 year of Football Fitness training comprising 1 weekly training session on average did not improve CRF, BP, blood lipids, fat mass, or HRrest.

TRIAL REGISTRATION NUMBER: The trial was registered at ClinicalTrials.gov with identifier NCT03284567.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Progress in cardiovascular diseases - 63(2020), 6 vom: 30. Nov., Seite 792-799

Sprache:

Englisch

Beteiligte Personen:

Uth, Jacob [VerfasserIn]
Fristrup, Bjørn [VerfasserIn]
Sørensen, Victor [VerfasserIn]
Helge, Eva Wulff [VerfasserIn]
Christensen, Maja Kjærgaard [VerfasserIn]
Kjærgaard, Julie Boye [VerfasserIn]
Møller, Trine Kjeldgaard [VerfasserIn]
Mohr, Magni [VerfasserIn]
Helge, Jørn Wulff [VerfasserIn]
Jørgensen, Niklas Rye [VerfasserIn]
Rørth, Mikael [VerfasserIn]
Vadstrup, Eva Soelberg [VerfasserIn]
Krustrup, Peter [VerfasserIn]

Links:

Volltext

Themen:

Blood lipids
Blood pressure
Breast cancer rehabilitation
Fitness
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Soccer
VO(2) max

Anmerkungen:

Date Completed 01.02.2021

Date Revised 01.02.2021

published: Print-Electronic

ClinicalTrials.gov: NCT03284567

Citation Status MEDLINE

doi:

10.1016/j.pcad.2020.08.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313754071