Differential Impact of Exercises on Cardiorespiratory Fitness improve in Breast cancer survivors: A Network Meta -Analysis of Randomized Controlled Trails

Article type
Authors
Hui Ping L1
1CGUST, Tauyuan, Taiwan
Abstract
Purpose
This study aimed to assess the effectiveness of exercise intervention in enhancing cardiorespiratory fitness (CRF) for breast cancer survivors
To achieve this, randomized controlled trials were identified from major electronic databases, focusing on the exercise and cardiorespiratory fitness in breast cancer survivors.
Methods
A systematic search of PubMed, Medline, Cinahl and Embase was conducted to identify RCTs that compared exercise therapy to control group. The primary end point was change in CRF as evaluated by peak oxygen consumption (VO2 peak; in mL O2 X kg min) from baseline to postintervention.
Results
A network meta-analysis of nine randomized controlled trials involving 417 participants was conducted, examining aerobic and resistant training, aerobic and walking, Football Fitness, and High intention interval training (HIIT) exercise. Results showed that aerobic and resistant training was the most effective intervention, significantly improving the CRF of breast cancer survivors (1.77; 95% confidence interval: 1.10 to 2.44), walking activity and Aerobic had a borderline effect (0.71; - 0.46 to 1.89), while no exercise interventions were associated with an increased dropout risk compared to the control group (regular care).

Conclusion
The study concluded that concurrent aerobic and resistant training can improve breast cancer survivors’ cardiorespiratory fitness without increasing dropout risk compared to regular care.