Randomized controlled trial of the effects of high intensity and low-to-moderate intensity exercise on physical fitness and fatigue in cancer survivors: results of the Resistance and Endurance exercise After ChemoTherapy (REACT) study

C.S. Kampshoff, M.J.M. Chin A Paw, J. Brug, J.W.R. Twisk, G. Schep, M.R. Nijziel, W. van Mechelen, L.M. Buffart

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Abstract

Background: International evidence-based guidelines recommend physical exercise to form part of standard care for all cancer survivors. However, at present, the optimum exercise intensity is unclear. Therefore, we aimed to evaluate the effectiveness of a high intensity (HI) and low-to-moderate intensity (LMI) resistance and endurance exercise program compared with a wait list control (WLC) group on physical fitness and fatigue in a mixed group of cancer survivors who completed primary cancer treatment, including chemotherapy. Methods: Overall, 277 cancer survivors were randomized to 12 weeks of HI exercise (n=91), LMI exercise (n=95), or WLC (n=91). Both interventions were identical with respect to exercise type, duration and frequency, and only differed in intensity. Measurements were performed at baseline (4-6 weeks after primary treatment) and post-intervention. The primary outcomes were cardiorespiratory fitness (peakVO
Original languageEnglish
Article number275
JournalBMC medicine
Volume13
DOIs
Publication statusPublished - 2015

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