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Table 2 Characteristics of the studies included

From: Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis

Study

Design

Breast cancer description

Participants*

Intervention**

Outcome measures

Campbell et al. 2005 [38]

RCT

Early stage (I-II) Breast cancer

Characteristics of cancer treatment = Chemotherapy, radiotherapy and combination.

Exp = Aerobic exercise and resistance training

FACT-G, FACT-B, SWLS, PFS, SPAQ, 12-minute walk test

N = 22

Length = 12 weeks.

Female = 22

Duration = 20 min/session

Exp (n = 12)

Frequency = 2 session/week

Age (yr) = 48 (10)

Intensity = 60%-75%

Age (yr) = 47 (5)

Con = Conventional care

Cantarero et al. 2013 [39]

RCT

Breast cancer (stages I-IIIA)

Characteristics of cancer treatment = Chemotherapy radiotherapy and combination.

Exp = Aerobic exercise and resistance training

PFS, The Spanish version of the Profile of

    

Length = 8 weeks

N = 61

Duration = 60 min/session

Mood States, The “multiple sit-to-stand test”, The trunk curl static endurance test

Female = 61

Frequency = 3 session/week

Exp (n = 32)

Intensity = 60%-75%

Age (yr) = 49 (7)

Con = Conventional care

Con (n = 29)

Age (yr) = 47 (8)

Courneya et al. 2003 [40]

RCT

Early stage Breast cancer

Characteristics of cancer treatment = Chemotherapy – Radiotherapy

Exp = Aerobic exercise

FACT- G, FACT-B, FACT-F

N = 52

Length = 15 weeks

Female = 52

Duration = 35 min/session

Exp (n = 24)

Frequency = 3 session/week

Age (yr) = 59 (5)

Intensity = 70%-75%

Con (n = 28)

Con = Conventional care

Age (yr) = 58 (6)

 

Ergun et al. 2013 [41]

RCT

Breast cancer (stages I-IIIA)

Characteristics of cancer treatment = Chemotherapy, radiotherapy, mastectomy, axillary dissection and sentinel lymph node biopsy

Exp = Aerobic exercise and resistance training.

EORTC QLQ-C30, BFI, BDI, ELISA kit, RayBio Human

N = 60

Length = 12 weeks

Female = 60

Duration = 45 min/session

Cytokine Antibody Array 3

Exp (n = 20)

Frequency = 3 session/week

Age (yr) = 49.65 (8.25)

Intensity = 60%-80%

Home-based exercise (n = 20)

Con = Home-based exercise (brisk walking for 30 min/day for 3 days/week) + education programme

Age (yr) = 55.05 (6.85)

Education group = patient information booklet that also included lymphedema-specific exercises

Education group (n = 20)

 

Age (yr) = 55.30 (10.37)

 

Milne et al. 2008 [42]

RCT

Early stage Breast cancer

Characteristics of cancer treatment = Chemotherapy – Radiotherapy

Exp = Aerobic exercise, resistance training and stretching.

FACT-B, SCFS, rPARQ, Aerobic Power Index

N = 58

Length = 12 weeks.

Female = 58

Duration = 30 min/ses.

Exp (n = 29)

Frequency = 3 ses/wk.

Age (yr) = 55.2 (8.4)

Intensity = about 75%.

Con (n = 29)

Con = Delayed exercise group

Age (yr) = 55.1 (8.0)

(DEG) completed the exercise program from 13 to 24 weeks.

Mutrie et al. 2007 [43]

RCT

Early stage Breast cancer

Characteristics of cancer treatment = Chemotherapy – Radiotherapy and combination

Exp = Aerobic exercise and resistance training.

FACT-G, FACT-B, FACT-F, BDI, PANAS, SPAQ Leisure time, BMI, 12 minute walk test

N = 174

Length = 12 weeks.

Female = 174

Duration = 45 min/ses.

Exp (n = 82)

Frequency = 2 ses/wk.

Age (yr) = 51.3 (10.3)

Intensity = 50%-75%.

Con (n = 92)

Con = Conventional care.

Age (yr) = 51.8 (8.7)

 

Saarto et al. 2012 [44]

RCT

Early stage Breast cancer

Characteristics of cancer treatment = Chemotherapy – Radiotherapy

Exp = Aerobic exercise

EORTC QLQ-C30, FACIT-F, RBDI, WHQ

N = 500

Length = 48 weeks.

Female = 500

Duration = 60 min/ses.

Exp (n = 263)

Frequency = 1 ses/wk.

Age (yr) = 52.3 (36–68)

Intensity = 86%-92%.

Con (n = 237)

Con = Encourage to maintain their previous level of physical activity and exercise habits.

Age (yr) = 52.4 (35–68)

Segal et al. 2001 [45]

RCT

Early stage Breast cancer

Characteristics of cancer treatment = Chemotherapy

Exp = Aerobic exercise

FACT-G, FACT-B, MOS SF-36

N = 123

Length = 26 weeks.

Female = 123

Duration = No reported.

Exp (n = 42)

Frequency = 3 ses/wk.

Age (yr) = 51.4 (8.7)

Intensity = 50%-60%.

Con (n = 41)

Con = Conventional care.

Age (yr) = 50.3 (8.7)

Self-Directed Exercise Group = 5 times per week progressive walking at 50% to 60% maximal predicted oxygen uptake.

Self-Directed Exercise

Group (n = 40)

Age (yr) = 51.0 (8.7)

Winters et al. 2012 [46]

RCT

Breast cancer (stagesI-IIIA)

Characteristics of cancer treatment = Chemotherapy – Radiotherapy

Exp = Resistance training

SCFS, 1-RM, PPB, Hand grip dynamometry

N = 106

Length = 1 year.

Female = 106

Duration = 60 min/ses.

Exp (n = 52)

Frequency = 2 ses/wk.

Age (yr) = 62.3 (6.7)

Intensity = 60%-80%.

Con (n = 54)

Con = Stretching placebo program.

Age (yr) = 62.6 (6.7)

  1. Beck Depression Inventory, BDI; The Brief Fatigue Inventory, BFI; DXA (Dual-energy X-ray Absorptiometry); European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, EORTC QLQ-C30; Finnish modified version of Beck’s 13-item depression scale, RBDI; Functional Assessment of Cancer Therapy, FACT – Breast (FACT-B), Fatigue (FACT-F), General (FACT-G); Functional Assessment of Chronic Illness Therapy (FACIT) questionnaire for fatigue (FACIT-F); Medical Outcomes Study Short Form, MOS SF-36; Multidimensional Fatigue Inventory, MFSI-SF; Physical Activity Readiness Questionnaire, PARQ; Physical Performance Battery, PPB; Piper Fatigue Scale, PFS; Positive And Negative Affect Scale, PANAS; Scottish Physical Activity Questionnaire, SPAQ; Schwartz Cancer Fatigue Scale, SCFS; Satisfaction with Life Scale, SWLS; Women’s Health Questionnaire, WHQ.
  2. *Age presented with mean and SD or range where reported.
  3. **Supervised physical activity interventions usually consisted of a warm-up period, aerobic training (walking, cycling-ergometers and circuits), muscle strength training (chest and leg curls), stretching exercises and a cool-down and relaxation period.