26 Citations (Scopus)

Abstract

A diagnosis of breast cancer is associated with treatments that have physiologic effects beyond the intended curative therapy. The first section of this chapter provides and integrative physiology review of the effects of breast cancer treatment on the body systems used by and affected by physical activity, including effects of chemotherapy, radiation, and surgery. In later sections, we review the literature on physical activity and breast cancer from the point of diagnosis and for the balance of life. The efficacy of physical activity for supportive cancer care outcomes is reviewed separately from the purported usefulness of physical activity for disease-free and overall survival from breast cancer. The current evidence supports the safety of physical activity during and after breast cancer therapy. The supportive cancer care outcomes for which there is sufficient evidence of efficacy during and after breast cancer treatment include fitness, fatigue, body size, and quality of life. Further, there is growing evidence that upper body exercise does not pose additional risk for negative lymphedema outcomes among survivors with and at risk for lymphedema. For overall survival, the evidence is largely observational, with sufficient evidence that physical activity does confer benefit. Finally, we outline future directions for research on physical activity among breast cancer survivors, including expanding to focus on subsets of the population not included in most prior studies (minority women and older women), tailoring of interventions to stages of cancer most likely to benefit, expanding to study women with metastatic cancer, and new modes of exercise, such as team sports, martial arts, and Pilates.

Original languageEnglish (US)
Title of host publicationPhysical Activity and Cancer
EditorsKerry S. Courneya
Pages189-215
Number of pages27
DOIs
StatePublished - Jan 1 2011

Publication series

NameRecent Results in Cancer Research
Volume186
ISSN (Print)0080-0015

Fingerprint

Survival Rate
Exercise
Breast Neoplasms
Lymphedema
Survivors
Neoplasms
Martial Arts
Therapeutics
Radiation Effects
Body Size
Disease-Free Survival
Sports
Fatigue
Quality of Life
Safety
Drug Therapy
Survival
Research
Population

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Schmitz, K. (2011). Physical activity and breast cancer survivorship. In K. S. Courneya (Ed.), Physical Activity and Cancer (pp. 189-215). (Recent Results in Cancer Research; Vol. 186). https://doi.org/10.1007/978-3-642-04231-7_8
Schmitz, Kathryn. / Physical activity and breast cancer survivorship. Physical Activity and Cancer. editor / Kerry S. Courneya. 2011. pp. 189-215 (Recent Results in Cancer Research).
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Schmitz, K 2011, Physical activity and breast cancer survivorship. in KS Courneya (ed.), Physical Activity and Cancer. Recent Results in Cancer Research, vol. 186, pp. 189-215. https://doi.org/10.1007/978-3-642-04231-7_8

Physical activity and breast cancer survivorship. / Schmitz, Kathryn.

Physical Activity and Cancer. ed. / Kerry S. Courneya. 2011. p. 189-215 (Recent Results in Cancer Research; Vol. 186).

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Schmitz K. Physical activity and breast cancer survivorship. In Courneya KS, editor, Physical Activity and Cancer. 2011. p. 189-215. (Recent Results in Cancer Research). https://doi.org/10.1007/978-3-642-04231-7_8