2026-06-08T15:58:04Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/240252026-02-03T10:57:52Zcom_10630_2254col_10630_37953

Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors. Roldán-Jiménez, Cristina Pajares, Bella Ruiz-Medina, Sofía Trinidad-Fernández, Manuel González-Sánchez, Manuel Ribelles, Nuria García-Almeida, José Manuel Ríos-López, María José Alba-Conejo, Emilio Cuesta-Vargas, Antonio Mamas - Cáncer Breast cancer Breast cancer survivors Community Exercise therapy Nutrition therapy Background Breast cancer survivors (BCS) face several symptoms and are at higher risk of weight gain following diagnosis. Current literature shows that both exercise and diet play a key role in recovery of BCS. However, there is a gap between current guidelines and the real-world context. The aim of this article is to describe the process behind a free, not-for-proft community-based therapeutic exercise and education programme (TEEP) for BCS in the clinical setting. Methods The “Onco-Health Club” (OHC) consists of therapeutic exercise (TE) intervention aimed at ameliorating cancerrelated fatigue (CRF) and improving QoL and physical function. TE is supplemented with nutritional education, providing information about the Mediterranean diet. To this end, patients are recruited from an oncologist and are referred to a physiotherapist and a nutritionist for baseline assessment. TEEP consists of a 3-month intervention, delivered twice a week in a group format with 1 h of TE and 30 min of nutritional education. BCS then have a fnal assessment and are advised to continue with a healthy lifestyle. Data about referral, compliance and assessment were collected. Results From May 2017 to February of 2020, a total of 158 patients were recruited from 8 cohorts and 142 initially started the OHC. From 119 that joined the program, 96 patients were considered to have fnished it with good adherence (assistance>80%). BCS signifcantly improved their QoL, as well as upper and lower limb’s function, and increased their level of physical activity. CRF tended to decrease (p=0.005). Conclusions This study obtained data on recruitment, compliance, and possible limitations of these kinds of programmes in a real-world context. Further research is needed in order to optimize patient engagement and compliance, as well as to determine the transferability of these programmes in the clinical setting. Trial registration NCT03879096, Registered 18th March 2019. Retrospectively registered. Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This research project was partially funded by Contract No. PS16060 in IBIMA between Novartis-IBIMA (Translation Research in Cancer B-01 & Clinimetric F-14) for the physiotherapist and the nutritionist in the assessment. Funding for open access charge: Universidad de Málaga / CBUA. 2022-05-04T06:47:31Z 2022-05-04T06:47:31Z 2021-08-31 journal article VoR Roldán-Jiménez, C., Pajares, B., Ruiz-Medina, S. et al. Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors. Support Care Cancer 30, 1243–1251 (2022). https://doi.org/10.1007/s00520-021-06470-9 https://hdl.handle.net/10630/24025 10.1007/s00520-021-06470-9 eng Atribución 4.0 Internacional http://creativecommons.org/licenses/by/4.0/ open access application/pdf Springer