Aerobic training in breast cancer survivor – case report
DOI:
https://doi.org/10.15448/1980-6108.2016.4.24394Keywords:
breast neoplasms, exercise therapy, aerobic exercise.Abstract
Aims: To report the evolution of a breast cancer survivor after an eight-week aerobic training program.
Case Description: A 47-year-old breast cancer patient, submitted to mastectomy about five years before, followed by radiation therapy and chemotherapy, was submitted to aerobic training on cycle ergometer and treadmill for eight weeks, two sessions per week, with gradual increase in training volume. Cardiorespiratory capacity, static strength, upper body mobility, level of physical activity, and body composition were assessed before and after the training protocol. The patient demonstrated improvement in left ventricular ejection fraction, decrement of heart rate at rest and during exercise, and increase in shoulder range of motion and in physical activity level. A reduction of visceral fat was also observed. There was no improvement in muscle strength or in maximum capacity of oxygen use.
Conclusions: This case report describes improvements in cardiorespiratory capacity, in shoulder range of motion, in the level of physical activity, and in body composition, after an eight-week aerobic training (two weekly sessions), in a breast cancer patient who had undergone mastectomy, radiation therapy, and chemotherapy.Downloads
References
World Health Organization. WHO position paper on mammography screening [Internet]. [updated 2014; cited 2015 Nov 28] . Available from: http://www.who.int/cancer/publications/mammography_screening/en/
World Health Organization. Cancer Country Profiles [Internet]. [updated 2014; cited 2015 Nov 28]. Available from: http://www.who.int/cancer/country-profiles/en/
Instituto Nacional de Câncer José Alencar Gomes da Silva. Ministério da Saúde. Estimativa 2016/2017 [Internet]. [updated 2015 Dec; cited 2016 Jun 24]. Available from: http://www.oncoguia.org.br/conteudo/estimativas-no-brasil/1705/1/
Fagundes CP, Murray DM, Hwang BS, Gouin JP, Thayer JF, Sollers JJ 3rd, Malarkey WB, Kiecolt-Glaser JK. Sympathetic and Parasympathetic Activity in Cancer-Related Fatigue: More Evidence for a Physiological Substrate in Cancer Survivors. Psychoneuroendocrinology. Oxford, 2011;36(8):1137-47. http://dx.doi.org/10.1016/j.psyneuen.2011.02.005
Alencar Filho AC de, Gonçalves MJF. Cardiologia e oncologia: uma visão interdisciplinar. Saude Transform Soc. 2011;1(2):150-4.
Kalil Filho R, Hajjar LA, Bacal F, Hoff PMG, Diz MDPE, Galas FRBG, Fukushima JT, Almeida JP, NakamuraRE, Trielli TR, Bittar CS, Santos MH, Auler Júnior JO, Silvestrini AA, Alencar A, Mota AC de A, Gusmão CAB, Almeida DR, Simões CM, Lima EM, Fernandes F, Silveira FS, Vilas-Boas, F, Silva Neto LB, Rohde LEP, Montera MW, Barbosa M, Mano MS, Riechelmann RS, Arai RJ, Martins SM, Ferreira SMA, Santos V. I Diretriz Brasileira de Cardio-Oncologia da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol. 2011;96(2 Suppl 1):1-52. http://dx.doi.org/10.1590/S0066-782X2011000700001
Adão R, Keulenaer G de, Leite-Moreira A, Brás-Silva C. Cardiotoxidade associada à terapêutica oncológica: mecanismo fisiopatológicos e estratégias de prevenção. Rev Port Cardiol. 2013;32(5):395-409. http://dx.doi.org/10.1016/j.repc.2012.11.002
Mcardle WD, Katch FI, Katch VL. Fisiologia do exercício: energia, nutrição e desempenho humano. 7ª ed. Rio de Janeiro: Guanabara Koogan; 2011.
Schmitz K, Speck R, Rye S, Disipio T, Hayes SC. Prevalence of breast cancer treatment sequelae over 6 years of follow-up: the Pulling Through Study. Cancer. 2012 Apr 15;118(8 Suppl):2217-25. http://dx.doi.org/10.1002/cncr.27474
Rabello CG, Nascimento MC, Scopel EJ. Nível de atividade física em mulheres com câncer de mama. Rev Digital (Buenos Aires). 2007(112):1.
Battaglini CL, Mills RC, Phillips BL, Lee JT, Story CE, Nascimento MGB, Hackney AC. Twenty-five years of research on the effects of exercise training in breast cancer survivors: A systematic review of the literature. World J Clin Oncol. 2014;5(2):177-90. http://dx.doi.org/10.5306/wjco.v5.i2.177
American College Sports Medicine; Irwin, ML, organizer. Guia do ACSM para exercício e sobrevivência ao câncer. São Paulo: Phorte; 2015.
Carvalho T, Da Nóbrega ACL, Lazzoli JK, Magni JRT, Rezende L, Drummond FA. Posição oficial da sociedade brasileira de medicina do esporte: atividade física e saúde. Rev Bras Med Esporte. 1996;2(4):79-81.
Pollock ML, Wilmore JH. Exercícios na saúde e na doença: avaliação e prescrição para prevenção e reabilitação. 2ª ed. Rio de Janeiro: Guanabara Koogan; 1993.
Pitanga FJG. Testes, medidas e avaliação em educação física e esportes. 4th ed. São Paulo: Phorte; 2005.
Bray GA, Gray DS. Obesity. Part I - Pathogenesis. West J Med. 1988 Oct;149(4):429-41.
Associação Médica Brasileira; Conselho Federal de Medicina. Sobrepeso e obesidade: diagnósticos. Projeto de Diretrizes. Brasília: CFM; 2004.
Johnson BL, Nelson JK. Practical measurements for evaluation in physical education. 3rd ed. Minnesota: Burgess; 1979.
Corbin CB, Dowell LJ, Lindsey R, Tolson H. Concepts in physical education. 3rd ed. Dubuque: William C. Brown; 1978.
Guedes DP, Guedes JERP. Manual prático para avaliação em educação física. São Paulo: Manole; 2006.
Lerman J, Bruce RA, Sivarajan E, Pettet GE, Trimble S. Low-level dynamic exercises for earlier cardiac rehabilitation: aerobic and hemodynamic responses. Arch Phys Med Rehabil. 1976 Aug;57(8):355-60.
American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 6th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2000.
Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, Gutgesell H, Reichek N, Sahn D, Schnittger I. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989 Sep-Oct;2(5):358-67. http://dx.doi.org/10.1016/S0894-7317(89)80014-8
Pinheiro JCS, Dantas EHM, Filho JF, Coutinho W. Efeitos do treinamento aeróbico com intensidade na zona do fatmax (64+ 4% do VO2 máx) na composição corporal de Cadetes da Academia Militar das Agulhas Negras. Fit Perform J. 2005;4(3):157-67.
Battaglini CL, Bottaro, M, Campbell JS, Novaes J, Simão R. Atividade física e níveis de fadiga em pacientes portadores de câncer. Rev Bras Med Esporte. 2004;10(2):98-104. http://dx.doi.org/10.1590/S1517-86922004000200004
De Backer IC, Van Breda E, Vreugdenhil A, Nijziel MR, Kester AD, Schep G. High-intensity strength training improves quality of life in cancer survivors. Acta Oncol. 2007;46(8):1143-51. http://dx.doi.org/10.1080/02841860701418838
Battaglini CL, Mills RC, Phillips BL, Lee JT, Story CE, Nascimento MG, Hackney AC1. Twenty-five years of research on the effects of exercise training in breast cancer survivors: a systematic review of the literature. World J Clin Oncol. 2014 May 10;5(2):177-90. http://dx.doi.org/10.5306/wjco.v5.i2.177
Melo MSI, Netto MJ, Lins SDA, De Cordeiro CC. Avaliação postural em pacientes submetidas à mastectomia radical modificada por meio da fotogrametria computadorizada. Rev Bras Cancerol. 2011;57(1):39-48.
Antunes HKM, Santos RF, Boscolo RA, Bueno OFA, De Mello MT. Análise de taxa metabólica basal e composição corporal de idosos do sexo masculino antese seis meses após exercícios de resistência. Rev Bras Med Esporte. 2005;11(1):71-5. http://dx.doi.org/10.1590/S1517-86922005000100008
Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. J Clin Oncol. 2005 May 20;23(15):3577-87. http://dx.doi.org/10.1200/JCO.2005.03.080
Ahlin J, Abreu MA, Vilarinho R, Madureira F. Análise da influência da prática do ciclismo indoor na composição corporal de mulheres que tiveram câncer de mama. Rev Mackenzie Educ Fís Esporte. 2007;6(3):67-72.
Lagares EB, Santos KF, Mendes RC, Moreira FA, Anastácio LR. Excesso de Peso em Mulheres com Diagnóstico de Câncer de Mama em Hormonioterapia com Tamoxifeno. Rev Bras Cancerol.2013;59(2):201-10.
Battaglini C, Bottaro M, Dennehy C, Barfoot D, Shields E, David K, Hackney AC. Efeitos do treinamento de resistência na força muscular e níveis de fadiga em pacientes com câncer de mama. Rev Bras Med Esporte. 2006;12(3):153-8. http://dx.doi.org/10.1590/S1517-86922006000300009
Hojan K, Molinska-Glura M, Milecki P. Physical activity and body composition, body physique, and quality of life in premenopausal breast cancer patients during endocrine therapy – a feasibility study. Acta Oncol. 2013 Feb;52(2):319-26. http://dx.doi.org/10.3109/0284186X.2012.744468
Sales CACC, Paiva L, Scandiuzzi D, Anjos ACY. Qualidade de vida de mulheres tratadas de câncer de mama: Funcionamento social. Rev Bras Cancerol. 2001;47(3):263-72.
Downloads
Published
How to Cite
Issue
Section
License
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.