Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial
To examine the effects of different doses and types of exercise on sleep quality in breast cancer patients receiving chemotherapy. A multicenter trial in Canada randomized 301 breast cancer patients between 2008 and 2011 to thrice weekly, supervised exercise during chemotherapy consisting of either...
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| Veröffentlicht in: | Breast cancer research and treatment 2014-04, Vol.144 (2), p.361-369 |
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| creator | Courneya, Kerry S. Segal, Roanne J. Mackey, John R. Gelmon, Karen Friedenreich, Christine M. Yasui, Yutaka Reid, Robert D. Jespersen, Diana Cook, Diane Proulx, Carolyn Trinh, Linda Dolan, Lianne B. Wooding, Evyanne Forbes, Cynthia C. McKenzie, Donald C. |
| description | To examine the effects of different doses and types of exercise on sleep quality in breast cancer patients receiving chemotherapy. A multicenter trial in Canada randomized 301 breast cancer patients between 2008 and 2011 to thrice weekly, supervised exercise during chemotherapy consisting of either a standard dose of 25–30 min of aerobic exercise (STAN;
n
= 96), a higher dose of 50–60 min of aerobic exercise (HIGH;
n
= 101), or a combined dose of 50–60 min of aerobic and resistance exercise (COMB;
n
= 104). The secondary sleep outcomes in the trial were assessed by the Pittsburgh Sleep Quality Index (PSQI) at baseline, twice during chemotherapy, and postchemotherapy. We analyzed the global PSQI and the component scores. Repeated measures analyses of variance indicated that the HIGH group was statistically superior to the STAN group for global sleep quality (mean group difference = −0.90; 95 % CI −0.05 to −1.76;
p
= 0.039) as well as subjective sleep quality (
p
= 0.028) and sleep latency (
p
= 0.049). The COMB group was borderline statistically superior to the STAN group for global sleep quality (mean group difference = −0.76; 95 % CI +0.11 to −1.62;
p
= 0.085) as well as sleep duration (
p
= 0.051); and statistically superior for sleep efficiency (
p
= 0.040), and percentage of poor sleepers (
p
= 0.045). Compared to a standard volume of aerobic exercise, higher volumes of both aerobic and combined exercise improved some aspects of sleep quality during breast cancer chemotherapy. Exercise may be an attractive option to manage sleep dysfunction in cancer patients during chemotherapy. |
| doi_str_mv | 10.1007/s10549-014-2883-0 |
| format | Article |
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n
= 96), a higher dose of 50–60 min of aerobic exercise (HIGH;
n
= 101), or a combined dose of 50–60 min of aerobic and resistance exercise (COMB;
n
= 104). The secondary sleep outcomes in the trial were assessed by the Pittsburgh Sleep Quality Index (PSQI) at baseline, twice during chemotherapy, and postchemotherapy. We analyzed the global PSQI and the component scores. Repeated measures analyses of variance indicated that the HIGH group was statistically superior to the STAN group for global sleep quality (mean group difference = −0.90; 95 % CI −0.05 to −1.76;
p
= 0.039) as well as subjective sleep quality (
p
= 0.028) and sleep latency (
p
= 0.049). The COMB group was borderline statistically superior to the STAN group for global sleep quality (mean group difference = −0.76; 95 % CI +0.11 to −1.62;
p
= 0.085) as well as sleep duration (
p
= 0.051); and statistically superior for sleep efficiency (
p
= 0.040), and percentage of poor sleepers (
p
= 0.045). Compared to a standard volume of aerobic exercise, higher volumes of both aerobic and combined exercise improved some aspects of sleep quality during breast cancer chemotherapy. Exercise may be an attractive option to manage sleep dysfunction in cancer patients during chemotherapy.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-014-2883-0</identifier><identifier>PMID: 24554388</identifier><identifier>CODEN: BCTRD6</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Analysis ; Breast cancer ; Breast Neoplasms - drug therapy ; Breast Neoplasms - physiopathology ; Breast Neoplasms - therapy ; Cancer ; Cancer patients ; Cancer research ; Cancer therapies ; Care and treatment ; Chemotherapy ; Chemotherapy, Adjuvant ; Clinical Trial ; Clinical trials ; Exercise ; Exercise - physiology ; Exercise Therapy - methods ; Female ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Oncology ; Quality of Life ; Sleep ; Sleep - physiology ; Sleep disorders ; Survivor</subject><ispartof>Breast cancer research and treatment, 2014-04, Vol.144 (2), p.361-369</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-31e8143da63fc6b8d7a1c1931d39aae3eec5f818a6e4c99b6512d17550ad0bd53</citedby><cites>FETCH-LOGICAL-c503t-31e8143da63fc6b8d7a1c1931d39aae3eec5f818a6e4c99b6512d17550ad0bd53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10549-014-2883-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-014-2883-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24554388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Courneya, Kerry S.</creatorcontrib><creatorcontrib>Segal, Roanne J.</creatorcontrib><creatorcontrib>Mackey, John R.</creatorcontrib><creatorcontrib>Gelmon, Karen</creatorcontrib><creatorcontrib>Friedenreich, Christine M.</creatorcontrib><creatorcontrib>Yasui, Yutaka</creatorcontrib><creatorcontrib>Reid, Robert D.</creatorcontrib><creatorcontrib>Jespersen, Diana</creatorcontrib><creatorcontrib>Cook, Diane</creatorcontrib><creatorcontrib>Proulx, Carolyn</creatorcontrib><creatorcontrib>Trinh, Linda</creatorcontrib><creatorcontrib>Dolan, Lianne B.</creatorcontrib><creatorcontrib>Wooding, Evyanne</creatorcontrib><creatorcontrib>Forbes, Cynthia C.</creatorcontrib><creatorcontrib>McKenzie, Donald C.</creatorcontrib><title>Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>To examine the effects of different doses and types of exercise on sleep quality in breast cancer patients receiving chemotherapy. A multicenter trial in Canada randomized 301 breast cancer patients between 2008 and 2011 to thrice weekly, supervised exercise during chemotherapy consisting of either a standard dose of 25–30 min of aerobic exercise (STAN;
n
= 96), a higher dose of 50–60 min of aerobic exercise (HIGH;
n
= 101), or a combined dose of 50–60 min of aerobic and resistance exercise (COMB;
n
= 104). The secondary sleep outcomes in the trial were assessed by the Pittsburgh Sleep Quality Index (PSQI) at baseline, twice during chemotherapy, and postchemotherapy. We analyzed the global PSQI and the component scores. Repeated measures analyses of variance indicated that the HIGH group was statistically superior to the STAN group for global sleep quality (mean group difference = −0.90; 95 % CI −0.05 to −1.76;
p
= 0.039) as well as subjective sleep quality (
p
= 0.028) and sleep latency (
p
= 0.049). The COMB group was borderline statistically superior to the STAN group for global sleep quality (mean group difference = −0.76; 95 % CI +0.11 to −1.62;
p
= 0.085) as well as sleep duration (
p
= 0.051); and statistically superior for sleep efficiency (
p
= 0.040), and percentage of poor sleepers (
p
= 0.045). Compared to a standard volume of aerobic exercise, higher volumes of both aerobic and combined exercise improved some aspects of sleep quality during breast cancer chemotherapy. Exercise may be an attractive option to manage sleep dysfunction in cancer patients during chemotherapy.</description><subject>Analysis</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - physiopathology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Chemotherapy, Adjuvant</subject><subject>Clinical Trial</subject><subject>Clinical trials</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Quality of Life</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep disorders</subject><subject>Survivor</subject><issn>0167-6806</issn><issn>1573-7217</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkl9rFDEUxQdR7Lb6AXyRgCB9mZo7mUwyvpVS_0DBF30O2cyd3ZRMMk0yxfXVL26WrdqKIoEbyP2dEw6cqnoB9AwoFW8SUN72NYW2bqRkNX1UrYALVosGxONqRaETdSdpd1Qdp3RNKe0F7Z9WR03LecukXFXfL8cRTU4kjAS_YjQ2IRlCGdoPJO9mJMGT5BBncrNoZ_OOWE_WEXXKxGhvMJJZZ4u-mEQ0aG-t3xCzxSnkLUY9794STabFZWsKVPBYrMNkv2H5IFrtnlVPRu0SPr-7T6ov7y4_X3yorz69_3hxflUbTlmuGaCElg26Y6Pp1nIQGgz0DAbWa40M0fBRgtQdtqbv1x2HZgDBOdUDXQ-cnVSnB985hpsFU1aTTQad0x7DkhTIXjDRtI38P8ppJ_qOUSjoqz_Q67BEX4LsKd62kgP_TW20Q2X9GHLUZm-qzpmkvBEMRKHO_kKVM-BkTfA42vL-QPD6nmCL2uVtCm7JNvj0EIQDaGJIKeKo5mgnHXcKqNqXSR3KpEqZ1L5MihbNy7tky3rC4ZfiZ3sK0ByAVFZ-g_Fe9H-6_gBrTNNB</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Courneya, Kerry S.</creator><creator>Segal, Roanne J.</creator><creator>Mackey, John R.</creator><creator>Gelmon, Karen</creator><creator>Friedenreich, Christine M.</creator><creator>Yasui, Yutaka</creator><creator>Reid, Robert D.</creator><creator>Jespersen, Diana</creator><creator>Cook, Diane</creator><creator>Proulx, Carolyn</creator><creator>Trinh, Linda</creator><creator>Dolan, Lianne B.</creator><creator>Wooding, Evyanne</creator><creator>Forbes, Cynthia C.</creator><creator>McKenzie, Donald C.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20140401</creationdate><title>Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial</title><author>Courneya, Kerry S. ; Segal, Roanne J. ; Mackey, John R. ; Gelmon, Karen ; Friedenreich, Christine M. ; Yasui, Yutaka ; Reid, Robert D. ; Jespersen, Diana ; Cook, Diane ; Proulx, Carolyn ; Trinh, Linda ; Dolan, Lianne B. ; Wooding, Evyanne ; Forbes, Cynthia C. ; McKenzie, Donald C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-31e8143da63fc6b8d7a1c1931d39aae3eec5f818a6e4c99b6512d17550ad0bd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analysis</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - physiopathology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Cancer research</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Chemotherapy, Adjuvant</topic><topic>Clinical Trial</topic><topic>Clinical trials</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Quality of Life</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Sleep disorders</topic><topic>Survivor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Courneya, Kerry S.</creatorcontrib><creatorcontrib>Segal, Roanne J.</creatorcontrib><creatorcontrib>Mackey, John R.</creatorcontrib><creatorcontrib>Gelmon, Karen</creatorcontrib><creatorcontrib>Friedenreich, Christine M.</creatorcontrib><creatorcontrib>Yasui, Yutaka</creatorcontrib><creatorcontrib>Reid, Robert D.</creatorcontrib><creatorcontrib>Jespersen, Diana</creatorcontrib><creatorcontrib>Cook, Diane</creatorcontrib><creatorcontrib>Proulx, Carolyn</creatorcontrib><creatorcontrib>Trinh, Linda</creatorcontrib><creatorcontrib>Dolan, Lianne B.</creatorcontrib><creatorcontrib>Wooding, Evyanne</creatorcontrib><creatorcontrib>Forbes, Cynthia C.</creatorcontrib><creatorcontrib>McKenzie, Donald C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Breast cancer research and treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Courneya, Kerry S.</au><au>Segal, Roanne J.</au><au>Mackey, John R.</au><au>Gelmon, Karen</au><au>Friedenreich, Christine M.</au><au>Yasui, Yutaka</au><au>Reid, Robert D.</au><au>Jespersen, Diana</au><au>Cook, Diane</au><au>Proulx, Carolyn</au><au>Trinh, Linda</au><au>Dolan, Lianne B.</au><au>Wooding, Evyanne</au><au>Forbes, Cynthia C.</au><au>McKenzie, Donald C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial</atitle><jtitle>Breast cancer research and treatment</jtitle><stitle>Breast Cancer Res Treat</stitle><addtitle>Breast Cancer Res Treat</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>144</volume><issue>2</issue><spage>361</spage><epage>369</epage><pages>361-369</pages><issn>0167-6806</issn><eissn>1573-7217</eissn><coden>BCTRD6</coden><abstract>To examine the effects of different doses and types of exercise on sleep quality in breast cancer patients receiving chemotherapy. A multicenter trial in Canada randomized 301 breast cancer patients between 2008 and 2011 to thrice weekly, supervised exercise during chemotherapy consisting of either a standard dose of 25–30 min of aerobic exercise (STAN;
n
= 96), a higher dose of 50–60 min of aerobic exercise (HIGH;
n
= 101), or a combined dose of 50–60 min of aerobic and resistance exercise (COMB;
n
= 104). The secondary sleep outcomes in the trial were assessed by the Pittsburgh Sleep Quality Index (PSQI) at baseline, twice during chemotherapy, and postchemotherapy. We analyzed the global PSQI and the component scores. Repeated measures analyses of variance indicated that the HIGH group was statistically superior to the STAN group for global sleep quality (mean group difference = −0.90; 95 % CI −0.05 to −1.76;
p
= 0.039) as well as subjective sleep quality (
p
= 0.028) and sleep latency (
p
= 0.049). The COMB group was borderline statistically superior to the STAN group for global sleep quality (mean group difference = −0.76; 95 % CI +0.11 to −1.62;
p
= 0.085) as well as sleep duration (
p
= 0.051); and statistically superior for sleep efficiency (
p
= 0.040), and percentage of poor sleepers (
p
= 0.045). Compared to a standard volume of aerobic exercise, higher volumes of both aerobic and combined exercise improved some aspects of sleep quality during breast cancer chemotherapy. Exercise may be an attractive option to manage sleep dysfunction in cancer patients during chemotherapy.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24554388</pmid><doi>10.1007/s10549-014-2883-0</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-6806 |
| ispartof | Breast cancer research and treatment, 2014-04, Vol.144 (2), p.361-369 |
| issn | 0167-6806 1573-7217 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Analysis Breast cancer Breast Neoplasms - drug therapy Breast Neoplasms - physiopathology Breast Neoplasms - therapy Cancer Cancer patients Cancer research Cancer therapies Care and treatment Chemotherapy Chemotherapy, Adjuvant Clinical Trial Clinical trials Exercise Exercise - physiology Exercise Therapy - methods Female Humans Medicine Medicine & Public Health Middle Aged Oncology Quality of Life Sleep Sleep - physiology Sleep disorders Survivor |
| title | Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial |
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