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The aim is to analyse the effect of a Therapeutic Exercise and Education programme in several clinical and functional outcomes in cancer patient and survivors
In the oncology field, both patients and survivors have to face several symptoms, like cancer-related fatigue or pain. Cancer patients also have affected quality of life, lower levels of function and they are at higher risk of weight gain following diagnosis. Given the risk of obesity, both exercise and diet play a key role in recovery from cancer.
Hence, the aim of this study is to show the effect of a Therapeutic Exercise and Education programme (TEEP) in clinical and functional, including practical nutritional education in other clinical and functional secondary outcomes in cancer patients and survivors.
Variables included are: body composition, mediterranean-diet adherence, quality of life (QoL) and functional outcomes (limb functionality, physical activity, physical function and handgrip strength). Furthermore, laboratory variables like muscle thickness (ecography) and muscle activity (electromyography) were included.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | The sample will receive of a Therapeutic Exercise and Education programme |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapeutic Exercise and Education | Other | Intervention will consisted of 30 minutes of strength exercises followed by 20 minutes of endurance with aerobic training, individualised based on the evaluations of muscular strength and endurance as well as the determination of the aerobic-anaerobic zone transition. Sessions lasted 1 hour, carried out twice a week, during 12 weeks. This intervention will be complemented by nutritional education. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Cancer-Related Fatigue (CRF) | The Spanish version of the Piper Fatigue Scale-Revised (PFS-R) will be used | Prior and after intervention, an average of 3 months |
| Change from Functional capacity | It will be tested by 30-second Sit-To-Stand Test (30-STS), number of repetitions completed. | prior and after intervention, an average of 3 months |
| Change from Upper limb functionality (%) | the Spanish version of Upper Limb Functional Index (ULFI) questionnaire will be filled | prior and after intervention, an average of 3 months |
| Change from Lower limb functionality(%) | the Spanish version of the Lower Limb Functional Index (LLFI) questionnaire will be filled | prior and after intervention, an average of 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Body Composition | BMI, basal metabolism, fat/lean mass and water balance will be measured by Tanita TBF-300A | prior and after intervention, an average of 3 months |
| Change from Body Mass Index | Body Mass Index calculated based on weight and height as: kilogrames (Kg)/ squared meters (Kg/m2) |
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Inclusion Criteria:
In both cases, all participants have to maintain the minimum physical function to perform exercise in group.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Antonio Cuesta Vargas | MƔlaga | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22157640 | Background | Quinten C, Maringwa J, Gotay CC, Martinelli F, Coens C, Reeve BB, Flechtner H, Greimel E, King M, Osoba D, Cleeland C, Ringash J, Schmucker-Von Koch J, Taphoorn MJ, Weis J, Bottomley A. Patient self-reports of symptoms and clinician ratings as predictors of overall cancer survival. J Natl Cancer Inst. 2011 Dec 21;103(24):1851-8. doi: 10.1093/jnci/djr485. Epub 2011 Dec 7. | |
| 23947581 |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 2, 2026 | |
| Reset | Apr 22, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 2, 2026 | Apr 22, 2026 |
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| D009369 | Neoplasms |
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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|
| prior and after intervention, an average of 3 months |
| Change from Basal Metabolism | the number of calories required to keep your body functioning at restm, expressed in Kcal,measured by Tanita TBF-300A | prior and after intervention, an average of 3 months |
| Change from fat mass | The fat mass in the total weight of the body, expressed as Kg, measured by Tanita TBF-300A | prior and after intervention, an average of 3 months |
| Change from lean mass | The lean mass in the total weight of the body, expressed as Kg, measured by Tanita TBF-300A | prior and after intervention, an average of 3 months |
| Change from water balance | Water weight in the total weight of the body, expressed as Kg, measured by Tanita TBF-300A | prior and after intervention, an average of 3 months |
| Change from Physical activity (METS) | The International Physical Activity Questionnaire-Short Form (IPAQ-SF) questionnaire will be employed | prior and after intervention, an average of 3 months |
| Change from Handgrip Strength (Kg) | Strength will be recorded by Jamar Hydraulic Hand Dynamometer Model SH5001 | prior and after intervention, an average of 3 months |
| Change fromQuality of life (self-reported questionnaire) | It will be assessed by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) version 3.0 | prior and after intervention, an average of 3 months |
| Change from specific Breast Cancer Quality of life (self-reported questionnaire) | It will be assessed by The European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire (EORTC QLQ-BR23) | prior and after intervention, an average of 3 months |
| Change from Muscle thickness | In biceps and cuadriceps muscles, both during relaxation and contraction. | prior and after intervention, an average of 3 months |
| Change from Grip Strength (dynamometry) | maximal handgrip strength measured by a The JamarĀ® Hand Dynamometer (expressed in Kg) | prior and after intervention, an average of 3 months |
| Background |
| Cuesta-Vargas AI, Buchan J, Arroyo-Morales M. A multimodal physiotherapy programme plus deep water running for improving cancer-related fatigue and quality of life in breast cancer survivors. Eur J Cancer Care (Engl). 2014 Jan;23(1):15-21. doi: 10.1111/ecc.12114. Epub 2013 Aug 16. |
| 27601139 | Background | Dethlefsen C, Lillelund C, Midtgaard J, Andersen C, Pedersen BK, Christensen JF, Hojman P. Exercise regulates breast cancer cell viability: systemic training adaptations versus acute exercise responses. Breast Cancer Res Treat. 2016 Oct;159(3):469-79. doi: 10.1007/s10549-016-3970-1. Epub 2016 Sep 6. |
| 26732120 | Background | Cuesta-Vargas AI, Carabantes F, Caracuel Z, Conejo I, Alba E. Effectiveness of an individualized program of muscular strength and endurance with aerobic training for improving germ cell cancer-related fatigue in men undergoing chemotherapy: EFICATEST study protocol for a randomized controlled trial. Trials. 2016 Jan 5;17:8. doi: 10.1186/s13063-015-1143-x. |
| 23695719 | Background | Cantarero-Villanueva I, Fernandez-Lao C, Diaz-Rodriguez L, Cuesta-Vargas AI, Fernandez-de-las-Penas C, Piper BF, Arroyo-Morales M. The Piper Fatigue Scale-Revised: translation and psychometric evaluation in Spanish-speaking breast cancer survivors. Qual Life Res. 2014 Feb;23(1):271-6. doi: 10.1007/s11136-013-0434-5. Epub 2013 May 22. |
| 26506612 | Background | Roldan-Jimenez C, Bennett P, Cuesta-Vargas AI. Muscular Activity and Fatigue in Lower-Limb and Trunk Muscles during Different Sit-To-Stand Tests. PLoS One. 2015 Oct 27;10(10):e0141675. doi: 10.1371/journal.pone.0141675. eCollection 2015. |
| 26719503 | Background | Gerritsen JK, Vincent AJ. Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2016 Jul;50(13):796-803. doi: 10.1136/bjsports-2015-094787. Epub 2015 Dec 30. |
| 36071122 | Derived | Escriche-Escuder A, Trinidad-Fernandez M, Pajares B, Iglesias-Campos M, Alba E, Garcia-Almeida JM, Roldan-Jimenez C, Cuesta-Vargas AI. Responsiveness of the new index muscular echotexture in women with metastatic breast cancer: an exercise intervention study. Sci Rep. 2022 Sep 7;12(1):15148. doi: 10.1038/s41598-022-19532-7. |
| 34463835 | Derived | Roldan-Jimenez C, Pajares B, Ruiz-Medina S, Trinidad-Fernandez M, Gonzalez-Sanchez M, Ribelles N, Garcia-Almeida JM, Rios-Lopez MJ, Alba E, Cuesta-Vargas AI. Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors. Support Care Cancer. 2022 Feb;30(2):1243-1251. doi: 10.1007/s00520-021-06470-9. Epub 2021 Aug 31. |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |