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Fitness Gains Last in Breast Cancer Survivors



Effects of Detraining on the Functional Capacity of Previously Trained Breast Cancer Survivors

F. Herrero1,2, A. F. San Juan1, S. J. Fleck3, C. Foster4, A. Lucia1

1 Universidad Europea de Madrid, Madrid, Spain 2 Gabinete Medico Deportivo del Ayuntamiento de Miranda de Ebro, Burgos, Spain 3 Sport Science Department, Colorado College, Colorado Springs, CO, USA 4 Department of Exercise and Sport Science, University of Wisconsin - La Crosse, La Crosse, WI, USA

Abstract The purpose of this study was to assess the effects of a relatively short (8-weeks) period of detraining on cardiorespiratory capacity, dynamic strength endurance, task specific functional muscle capacity and quality of life (QOL) of breast cancer survivors who had previously undergone a combined supervised (aerobic and resistance) training program.

Eleven women survivors of stage I - II ductal breast carcinoma (47 +/- 7 yrs) entered the study and performed a battery of tests (including anthropometric evaluation, a graded cycle ergometer test, tests of strength endurance [leg and bench press] and the sit-stand test) and completed a specific QOL questionnaire (EORTC-C30) at three time points: i) before, ii) after an exercise program (including aerobic and resistance exercises) of 8-weeks duration, and iii) after a subsequent 8-weeks period of training cessation.

Training-induced improvements in strength endurance, muscle functional capacity (sit-stand test) and QOL were not significantly changed after detraining (p > 0.05 for post-training vs. detraining comparisons). The lack of significant loss in muscle strength endurance occurred despite significant losses in estimated total muscle mass after detraining (27.3 +/- 2.4 kg) compared with post-training (28.5 +/- 2.9 kg).

In contrast, cardiorespiratory capacity was significantly decreased during detraining (V¡¤O2peak of 29.0 +/- 4.6 vs. 22.7 +/- 3.9 ml . kg -1 . min-1 at post-training vs. detraining, p < 0.01).

In conclusion, cancer survivors who have participated in a combined training program can retain some of the training gains (particularly improved QOL and muscle strength endurance/functional performance) after a relatively short duration detraining period.

Int J Sports Med 2007; 28: 257-264 DOI: 10.1055/s-2006-924348

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