Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial
Purpose The aim of this study was to compare the effects of different exercise modes (aerobic, resistance) and intensity prescriptions (standard, polarized, undulating) on patient-reported outcomes (PROs) in cancer survivors. Methods 107 breast or prostate cancer survivors (52% females, age 58 ± 10 ...
Gespeichert in:
| Veröffentlicht in: | Supportive care in cancer 2023-05, Vol.31 (5), p.315, Article 315 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 5 |
| container_start_page | 315 |
| container_title | Supportive care in cancer |
| container_volume | 31 |
| creator | Pelzer, Fabian Leisge, Kai Schlüter, Kathrin Schneider, Justine Wiskemann, Joachim Rosenberger, Friederike |
| description | Purpose
The aim of this study was to compare the effects of different exercise modes (aerobic, resistance) and intensity prescriptions (standard, polarized, undulating) on patient-reported outcomes (PROs) in cancer survivors.
Methods
107 breast or prostate cancer survivors (52% females, age 58 ± 10 years, 6–52 weeks after primary therapy) performed one out of four training programs, two sessions/week, over 12 weeks: work rate-matched vigorous intensity aerobic training (AT
Standard
,
n
= 28) and polarized intensity aerobic training (AT
Polarized
,
n
= 26) as well as volume-matched moderate intensity resistance training (RT
Standard
,
n
= 26) and daily undulating intensity resistance training (RT
Undulating
,
n
= 27). Health-related quality of life (HRQoL, EORTC-QLQ-C30) and cancer-related fatigue (CRF, MFI-20) were assessed at baseline, at the end of intervention and after a 12-week follow-up without further prescribed exercise.
Results
Over the intervention period, HRQoL-function-scales of the EORTC-QLQ-C30 improved over time (
p
= .007), but no group*time interaction was observed (
p
= .185). Similarly, CRF values of the MFI-20 improved over time (
p
= .006), but no group*time interaction was observed (
p
= .663). When including the follow-up period and pooling the AT and the RT groups, HRQoL-function-scales developed differently between groups (
p
= .022) with further improvements in RT and a decline in AT. For CRF no significant interaction was found, but univariate analyses showed a non-significant trend of more sustainable effects in RT.
Conclusions
AT and RT with different work rate-/volume-matched intensity prescriptions elicits positive effects on HRQoL and CRF, without one regimen being significantly superior to another over the intervention period. However, RT might result in more sustainable effects compared to AT over a follow-up period without any further exercise prescription.
Clinical trial registration
The study was registered at clinicaltrials.gov (NCT02883699). |
| doi_str_mv | 10.1007/s00520-023-07757-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10154283</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A747895804</galeid><sourcerecordid>A747895804</sourcerecordid><originalsourceid>FETCH-LOGICAL-c542t-e15d0994ae4285460906cdc0257692f8be64cb3896d64a95d71f44ef6cac480d3</originalsourceid><addsrcrecordid>eNp9kk1rFTEUhgdR7LX6B1xIwI2bqfmcJG6klGqFghtdh9zMyTVlJrkmmYv996b31n6ISBaBnOd9c87h7brXBJ8QjOX7grGguMeU9VhKIXv9pFsRzlgvGdNPuxXWnPScCXHUvSjlCmPSMPq8O2KSUD0ouep2596DqwUlj-AXZBcKoDmNgGwcUYgVYgn1GqWItrYGiLXPsE25wojSUl2aoTQMORsdZFSWvAu7lMsHZJFPS-5tnvc2ede0odnUHOz0snvm7VTg1e193H3_dP7t7KK__Pr5y9npZe8Ep7UHIkasNbfAqRJ8wBoPbnSYCjlo6tUaBu7WTOlhHLjVYpTEcw5-cNZxhUd23H08-G6X9Qyjaz1kO5ltDrPN1ybZYB5XYvhhNmlnCCatA8Waw7tbh5x-LlCqmUNxME02QlqKoQoroRRmtKFv_0Kv2gZim29PNTs5PKA2dgITok_tY3djak4ll0oLhXmjTv5BtTPCHFyK4EN7fySgB4HLqZQM_m5Igs1NXMwhLqbFxezjYnQTvXm4njvJn3w0gB2A0kpxA_l-pP_Y_gZg6sun</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2808428762</pqid></control><display><type>article</type><title>Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Pelzer, Fabian ; Leisge, Kai ; Schlüter, Kathrin ; Schneider, Justine ; Wiskemann, Joachim ; Rosenberger, Friederike</creator><creatorcontrib>Pelzer, Fabian ; Leisge, Kai ; Schlüter, Kathrin ; Schneider, Justine ; Wiskemann, Joachim ; Rosenberger, Friederike</creatorcontrib><description>Purpose
The aim of this study was to compare the effects of different exercise modes (aerobic, resistance) and intensity prescriptions (standard, polarized, undulating) on patient-reported outcomes (PROs) in cancer survivors.
Methods
107 breast or prostate cancer survivors (52% females, age 58 ± 10 years, 6–52 weeks after primary therapy) performed one out of four training programs, two sessions/week, over 12 weeks: work rate-matched vigorous intensity aerobic training (AT
Standard
,
n
= 28) and polarized intensity aerobic training (AT
Polarized
,
n
= 26) as well as volume-matched moderate intensity resistance training (RT
Standard
,
n
= 26) and daily undulating intensity resistance training (RT
Undulating
,
n
= 27). Health-related quality of life (HRQoL, EORTC-QLQ-C30) and cancer-related fatigue (CRF, MFI-20) were assessed at baseline, at the end of intervention and after a 12-week follow-up without further prescribed exercise.
Results
Over the intervention period, HRQoL-function-scales of the EORTC-QLQ-C30 improved over time (
p
= .007), but no group*time interaction was observed (
p
= .185). Similarly, CRF values of the MFI-20 improved over time (
p
= .006), but no group*time interaction was observed (
p
= .663). When including the follow-up period and pooling the AT and the RT groups, HRQoL-function-scales developed differently between groups (
p
= .022) with further improvements in RT and a decline in AT. For CRF no significant interaction was found, but univariate analyses showed a non-significant trend of more sustainable effects in RT.
Conclusions
AT and RT with different work rate-/volume-matched intensity prescriptions elicits positive effects on HRQoL and CRF, without one regimen being significantly superior to another over the intervention period. However, RT might result in more sustainable effects compared to AT over a follow-up period without any further exercise prescription.
Clinical trial registration
The study was registered at clinicaltrials.gov (NCT02883699).</description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-023-07757-9</identifier><identifier>PMID: 37129687</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aerobics ; Aged ; Analysis ; Breast cancer ; Cancer ; Cancer Survivors ; Clinical outcomes ; Exercise ; Exercise Therapy ; Fatigue ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Patient outcomes ; Patient Reported Outcome Measures ; Physical fitness ; Prostate cancer ; Prostatic Neoplasms ; Quality of Life ; Rehabilitation Medicine ; Strength training ; Training ; Weight training</subject><ispartof>Supportive care in cancer, 2023-05, Vol.31 (5), p.315, Article 315</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-e15d0994ae4285460906cdc0257692f8be64cb3896d64a95d71f44ef6cac480d3</citedby><cites>FETCH-LOGICAL-c542t-e15d0994ae4285460906cdc0257692f8be64cb3896d64a95d71f44ef6cac480d3</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/s00520-023-07757-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-023-07757-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37129687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pelzer, Fabian</creatorcontrib><creatorcontrib>Leisge, Kai</creatorcontrib><creatorcontrib>Schlüter, Kathrin</creatorcontrib><creatorcontrib>Schneider, Justine</creatorcontrib><creatorcontrib>Wiskemann, Joachim</creatorcontrib><creatorcontrib>Rosenberger, Friederike</creatorcontrib><title>Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The aim of this study was to compare the effects of different exercise modes (aerobic, resistance) and intensity prescriptions (standard, polarized, undulating) on patient-reported outcomes (PROs) in cancer survivors.
Methods
107 breast or prostate cancer survivors (52% females, age 58 ± 10 years, 6–52 weeks after primary therapy) performed one out of four training programs, two sessions/week, over 12 weeks: work rate-matched vigorous intensity aerobic training (AT
Standard
,
n
= 28) and polarized intensity aerobic training (AT
Polarized
,
n
= 26) as well as volume-matched moderate intensity resistance training (RT
Standard
,
n
= 26) and daily undulating intensity resistance training (RT
Undulating
,
n
= 27). Health-related quality of life (HRQoL, EORTC-QLQ-C30) and cancer-related fatigue (CRF, MFI-20) were assessed at baseline, at the end of intervention and after a 12-week follow-up without further prescribed exercise.
Results
Over the intervention period, HRQoL-function-scales of the EORTC-QLQ-C30 improved over time (
p
= .007), but no group*time interaction was observed (
p
= .185). Similarly, CRF values of the MFI-20 improved over time (
p
= .006), but no group*time interaction was observed (
p
= .663). When including the follow-up period and pooling the AT and the RT groups, HRQoL-function-scales developed differently between groups (
p
= .022) with further improvements in RT and a decline in AT. For CRF no significant interaction was found, but univariate analyses showed a non-significant trend of more sustainable effects in RT.
Conclusions
AT and RT with different work rate-/volume-matched intensity prescriptions elicits positive effects on HRQoL and CRF, without one regimen being significantly superior to another over the intervention period. However, RT might result in more sustainable effects compared to AT over a follow-up period without any further exercise prescription.
Clinical trial registration
The study was registered at clinicaltrials.gov (NCT02883699).</description><subject>Aerobics</subject><subject>Aged</subject><subject>Analysis</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer Survivors</subject><subject>Clinical outcomes</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Fatigue</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Patient outcomes</subject><subject>Patient Reported Outcome Measures</subject><subject>Physical fitness</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms</subject><subject>Quality of Life</subject><subject>Rehabilitation Medicine</subject><subject>Strength training</subject><subject>Training</subject><subject>Weight training</subject><issn>0941-4355</issn><issn>1433-7339</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kk1rFTEUhgdR7LX6B1xIwI2bqfmcJG6klGqFghtdh9zMyTVlJrkmmYv996b31n6ISBaBnOd9c87h7brXBJ8QjOX7grGguMeU9VhKIXv9pFsRzlgvGdNPuxXWnPScCXHUvSjlCmPSMPq8O2KSUD0ouep2596DqwUlj-AXZBcKoDmNgGwcUYgVYgn1GqWItrYGiLXPsE25wojSUl2aoTQMORsdZFSWvAu7lMsHZJFPS-5tnvc2ede0odnUHOz0snvm7VTg1e193H3_dP7t7KK__Pr5y9npZe8Ep7UHIkasNbfAqRJ8wBoPbnSYCjlo6tUaBu7WTOlhHLjVYpTEcw5-cNZxhUd23H08-G6X9Qyjaz1kO5ltDrPN1ybZYB5XYvhhNmlnCCatA8Waw7tbh5x-LlCqmUNxME02QlqKoQoroRRmtKFv_0Kv2gZim29PNTs5PKA2dgITok_tY3djak4ll0oLhXmjTv5BtTPCHFyK4EN7fySgB4HLqZQM_m5Igs1NXMwhLqbFxezjYnQTvXm4njvJn3w0gB2A0kpxA_l-pP_Y_gZg6sun</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Pelzer, Fabian</creator><creator>Leisge, Kai</creator><creator>Schlüter, Kathrin</creator><creator>Schneider, Justine</creator><creator>Wiskemann, Joachim</creator><creator>Rosenberger, Friederike</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230501</creationdate><title>Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial</title><author>Pelzer, Fabian ; Leisge, Kai ; Schlüter, Kathrin ; Schneider, Justine ; Wiskemann, Joachim ; Rosenberger, Friederike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-e15d0994ae4285460906cdc0257692f8be64cb3896d64a95d71f44ef6cac480d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aerobics</topic><topic>Aged</topic><topic>Analysis</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer Survivors</topic><topic>Clinical outcomes</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Fatigue</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Patient outcomes</topic><topic>Patient Reported Outcome Measures</topic><topic>Physical fitness</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms</topic><topic>Quality of Life</topic><topic>Rehabilitation Medicine</topic><topic>Strength training</topic><topic>Training</topic><topic>Weight training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pelzer, Fabian</creatorcontrib><creatorcontrib>Leisge, Kai</creatorcontrib><creatorcontrib>Schlüter, Kathrin</creatorcontrib><creatorcontrib>Schneider, Justine</creatorcontrib><creatorcontrib>Wiskemann, Joachim</creatorcontrib><creatorcontrib>Rosenberger, Friederike</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</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>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</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>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pelzer, Fabian</au><au>Leisge, Kai</au><au>Schlüter, Kathrin</au><au>Schneider, Justine</au><au>Wiskemann, Joachim</au><au>Rosenberger, Friederike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>31</volume><issue>5</issue><spage>315</spage><pages>315-</pages><artnum>315</artnum><issn>0941-4355</issn><issn>1433-7339</issn><eissn>1433-7339</eissn><abstract>Purpose
The aim of this study was to compare the effects of different exercise modes (aerobic, resistance) and intensity prescriptions (standard, polarized, undulating) on patient-reported outcomes (PROs) in cancer survivors.
Methods
107 breast or prostate cancer survivors (52% females, age 58 ± 10 years, 6–52 weeks after primary therapy) performed one out of four training programs, two sessions/week, over 12 weeks: work rate-matched vigorous intensity aerobic training (AT
Standard
,
n
= 28) and polarized intensity aerobic training (AT
Polarized
,
n
= 26) as well as volume-matched moderate intensity resistance training (RT
Standard
,
n
= 26) and daily undulating intensity resistance training (RT
Undulating
,
n
= 27). Health-related quality of life (HRQoL, EORTC-QLQ-C30) and cancer-related fatigue (CRF, MFI-20) were assessed at baseline, at the end of intervention and after a 12-week follow-up without further prescribed exercise.
Results
Over the intervention period, HRQoL-function-scales of the EORTC-QLQ-C30 improved over time (
p
= .007), but no group*time interaction was observed (
p
= .185). Similarly, CRF values of the MFI-20 improved over time (
p
= .006), but no group*time interaction was observed (
p
= .663). When including the follow-up period and pooling the AT and the RT groups, HRQoL-function-scales developed differently between groups (
p
= .022) with further improvements in RT and a decline in AT. For CRF no significant interaction was found, but univariate analyses showed a non-significant trend of more sustainable effects in RT.
Conclusions
AT and RT with different work rate-/volume-matched intensity prescriptions elicits positive effects on HRQoL and CRF, without one regimen being significantly superior to another over the intervention period. However, RT might result in more sustainable effects compared to AT over a follow-up period without any further exercise prescription.
Clinical trial registration
The study was registered at clinicaltrials.gov (NCT02883699).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37129687</pmid><doi>10.1007/s00520-023-07757-9</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2023-05, Vol.31 (5), p.315, Article 315 |
| issn | 0941-4355 1433-7339 1433-7339 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10154283 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aerobics Aged Analysis Breast cancer Cancer Cancer Survivors Clinical outcomes Exercise Exercise Therapy Fatigue Humans Male Medicine Medicine & Public Health Middle Aged Nursing Nursing Research Oncology Pain Medicine Patient outcomes Patient Reported Outcome Measures Physical fitness Prostate cancer Prostatic Neoplasms Quality of Life Rehabilitation Medicine Strength training Training Weight training |
| title | Effects of exercise mode and intensity on patient-reported outcomes in cancer survivors: a four-arm intervention trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T19%3A14%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20exercise%20mode%20and%20intensity%20on%20patient-reported%20outcomes%20in%20cancer%20survivors:%20a%20four-arm%20intervention%20trial&rft.jtitle=Supportive%20care%20in%20cancer&rft.au=Pelzer,%20Fabian&rft.date=2023-05-01&rft.volume=31&rft.issue=5&rft.spage=315&rft.pages=315-&rft.artnum=315&rft.issn=0941-4355&rft.eissn=1433-7339&rft_id=info:doi/10.1007/s00520-023-07757-9&rft_dat=%3Cgale_pubme%3EA747895804%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2808428762&rft_id=info:pmid/37129687&rft_galeid=A747895804&rfr_iscdi=true |