NCT Number: NCT04337736
Effects of Physical Exercise on Cardio-vascular Efficiency and Quality of Life in Breast Cancer Survivors
To examine the effects of different physical exercise protocols (aerobic training and resistance training) on cardio-vascular efficiency and quality of life in a population of breast cancer survivors (BCS), not treated with chemotherapy.
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Conditions
Age range
Up to 65 year
Sex eligibility
Female
Study type
Interventional
Phase
Not applicable
About this study
The present study enrolled a population of BCS women who underwent surgical treatment for breast cancer at the "Ospedale G. Bernabeo" of Ortona, Chieti, Italy. The participants were randomized to the following physical exercise protocols: aerobic training, walking or Nordic walking; resistance training.
All the participants have been examined utilizing transthoracic echocardiography, carotid ultrasound and photo-plethysmographic method for the analysis of arterial stiffness, before and after the physical exercise protocol (T0-T1). The two-dimensional speckle-tracking analysis was performed with an offline, dedicated software from the apical 4-chambers-view. Moreover, ventricular-arterial coupling, epicardial fat thickness and intima-media thickness were also analyzed.
Quality of life was assessed using SF-36 score at T0, T1 and at a mean follow-up of 34 months. Moreover, at follow-up, we evaluated spontaneous physical activity and cardiovascular quality of life using IPAQ and SAQ-7 scores.
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- age < 65 years;
- history of breast cancer surgery in the previous 12 months;
- no history of chemotherapy;
- no ongoing radiotherapy;
- eventual hormonal therapy;
- cardiovascular and orthopedic eligibility.
Exclusion criteria
- adjuvant chemotherapy;
- any history of cardiovascular disease;
- abnormal exercise stress test at the screening;
- any systemic inflammatory disease or any orthopedic condition potentially limiting the physical training.
Treatment and study plan
Primary outcomes
-
Improvement of cardio-vascular efficiency
Time frame: 12-weeks (from the beginning of physical exercise training)
A composite of the improvement in the following parameters, from pre-treatment values: global longitudinal strain analysis, as assessed by speckle-traking echocardiography; ventricular-arterial coupling, as assessed by echocardiographic single beat method; arterial stiffness (pulse wave velocity, augmentation index), as assessed by photoplethysmographic method
Secondary outcomes
-
Epicardial fat thickness reduction
Time frame: 12-weeks (from the beginning of physical exercise training)
A reduction in epicardial fat thickness evaluated with echocardiographic method
-
Intima-media thickness reduction
Time frame: 12-weeks (from the beginning of physical exercise training)
A reduction in epicardial fat thickness evaluated with ultrasonographic method
-
Improvement of quality of life
Time frame: 12-weeks (from the beginning of physical exercise training); a mean of 34 months from the enrollment
An improvement of quality of life, from pre-treatment values, evaluated with the 36-Item Short Form Health Survey (minimum value: 0, associated with the worst quality of life; maximum value: 100, associated with the best quality of life)
-
Improvement of spontaneous physical activity
Time frame: a mean of 34 months from the enrollment
An improvement of spontaneous physical activity evaluated with International Physical Activity Questionnaire score (0-700 MET: low level of physical activity; 700-2519 MET: intermediate level of physical activity; > 2520 MET: high level of physical activity)
-
Improvement of cardiovascular quality of life
Time frame: a mean of 34 months from the enrollment
An improvement of quality of life evaluated with the Seattle Angina Questionnaire-7 score (minimum value: 0, associated with more symptoms and with the worst quality of life; maximum value: 100, associated with fewer symptoms and with the best quality of life) where higher scores indicate fewer symptoms and higher health-related quality of life
Sponsors and collaborators
Lead sponsor
ITAB - Institute for Advanced Biomedical Technologies
Other
Registry information
Official study title
The Impact of Different Physical Exercise Protocols on Cardio-vascular Efficiency and Quality of Life in Breast Cancer Survivors
Important dates
- Study start
- 2016
- Primary completion
- 2017
- Study completion
- 2020
- First posted
- Apr 8, 2020
- Registry last updated
- Apr 14, 2020
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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