Cardiorespiratory fitness in breast cancer survivors: a randomised controlled trial of home-based smartphone supported high intensity interval training

BMJ Support Palliat Care. 2022 Mar;12(1):33-37. doi: 10.1136/bmjspcare-2021-003141. Epub 2021 Aug 13.

Abstract

Background: A strategy for maintaining and/or improving cardiorespiratory fitness (CRF) in the growing population of cancer survivors is of major clinical importance, especially in the COVID-19 era. The effect of unsupervised high-intensity interval training (HIIT) on increasing CRF in breast cancer survivors is unknown.

Purpose: The purpose of this study was to determine whether the newly developed habit-B programme, which involves home-based smartphone-supported HIIT using body weight exercises, improves CRF in early-stage breast cancer survivors.

Methods: This single-centre, 12-week, parallel-group, single-blind, randomised controlled trial involved 50 women with stage I-IIa breast cancer, aged 20-59 years, who had completed initial treatment except for hormone therapy. Participants were randomised to either the exercise or control group. The primary outcome was the 12-week change in peak oxygen uptake [Formula: see text]. Other outcomes included muscle strength, 6 min walk test, resting heart rate, physical activity, fatigue, safety and quality of life.

Results: The change in [Formula: see text] and leg strength increased significantly in the exercise group compared with the control group (p<0.01). Changes in other outcomes were not significantly different between the groups.

Conclusion: A home-based HIIT intervention can lead to improve CRF and muscle strength in early-stage breast cancer survivors.

Keywords: breast; quality of life; rehabilitation; supportive care; survivorship.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Breast Neoplasms* / drug therapy
  • COVID-19*
  • Cancer Survivors*
  • Cardiorespiratory Fitness*
  • Female
  • High-Intensity Interval Training*
  • Humans
  • Middle Aged
  • Quality of Life
  • SARS-CoV-2
  • Single-Blind Method
  • Smartphone
  • Young Adult