Light‐intensity and moderate‐to‐vigorous intensity physical activity among older adult breast cancer survivors with obesity: A narrative review

Background With an aging population, rising incidence of breast cancer, improved survival rates, and obesity epidemic, there will be a growing population of older adult breast cancer survivors with obesity. This complex population, often with multimorbidity, is at risk for several poor health outcom...

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Vydané v:Cancer medicine (Malden, MA) Ročník 11; číslo 23; s. 4602 - 4611
Hlavní autori: Gordon, Brett R., Caru, Maxime, Blair, Cindy K., Bluethmann, Shirley M., Conroy, David E., Doerksen, Shawna E., Hakun, Jonathon G., Sturgeon, Kathleen M., Potiaumpai, Melanie, Sciamanna, Christopher N., Schmitz, Kathryn H.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States John Wiley & Sons, Inc 01.12.2022
John Wiley and Sons Inc
Wiley
Predmet:
Adults
Age
Aged
aged, health promotion
Aging
Body mass index
Breast cancer
breast neoplasms
Breast Neoplasms - epidemiology
Cancer Survivors
Cardiovascular diseases
Cognitive ability
Cohort analysis
Dementia disorders
Diabetes mellitus
Disability
Exercise
Female
Humans
Inflammation
Lymphedema
Obesity
Obesity - epidemiology
Older people
Overweight
Physical activity
Public health
Randomized Controlled Trials as Topic
Review
REVIEWS
Sedentary Behavior
Terminology
Womens health
United States > US
exercise
aged, health promotion
breast neoplasms
obesity
ISSN:2045-7634, 2045-7634
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Popis
Shrnutí:Background With an aging population, rising incidence of breast cancer, improved survival rates, and obesity epidemic, there will be a growing population of older adult breast cancer survivors with obesity. This complex population, often with multimorbidity, is at risk for several poor health outcomes, including recurrence, cardiovascular disease, dementia, and diabetes, and a number of deleterious symptoms, including a worsened inflammatory profile, breast cancer‐ related lymphedema, mobility disability, cognitive impairment, anxiety, and depressive symptoms. A wealth of meta‐analytic and randomized controlled trial evidence show that adherence to World Health Organization and 2018 United States Physical Activity guidelines‐based levels of moderate‐to‐vigorous physical activity (MVPA) reduces risk of all‐cause mortality, and improves symptoms. However, few survivors engage in recommended levels of MVPA, and symptoms related to their multimorbidity may preclude engaging in sufficient levels of MVPA. Additional research of MVPA in this population is warranted; however, understudied light‐intensity physical activity (LIPA) may be a more pragmatic target than MVPA among this complex population facing extensive challenges meeting MVPA recommendations. Large benefits are likely to occur from increasing these survivors' total activity, and LIPA prescriptions may be a more pragmatic approach than MVPA to aid this transition. Methods We present a broad, narrative review of the evidence for MVPA and LIPA in this population on an array of health outcomes across the translational science spectrum (clinical, implementation, and public health), and identify a number of directions for future research focused on understanding the potential diverse health effects of LIPA. Conclusion Additional LIPA research is warranted, as LIPA prescriptions may be a pragmatic strategy to effectively promote physical activity to this complex population.
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ISSN:2045-7634
2045-7634
DOI:10.1002/cam4.4841