Higher-intensity exercise results in more sustainable improvements for VO2peak for breast and prostate cancer survivorsOncology Nursing Forum (2015)
To examine peak volume of oxygen consumption (VO2peak) changes after a high- or low-intensity exercise intervention.
Experimental trial comparing two randomized intervention groups with control.
An exercise clinic at a university in Australia.
87 prostate cancer survivors (aged 47-80 years) and 72 breast cancer survivors (aged 34-76 years).
Participants enrolled in an eight-week exercise intervention (n = 84) or control (n = 75) group. Intervention participants were randomized to low-intensity (n = 44, 60%-65% VO2peak, 50%-65% of one repetition maximum [1RM]) or high-intensity (n = 40, 75%-80% VO2peak, 65%-80% 1RM) exercise groups. Participants in the control group continued usual routines. All participants were assessed at weeks 1 and 10. The intervention groups were reassessed four months postintervention for sustainability.
MAIN RESEARCH VARIABLES:
VO2peak and self-reported physical activity.
Intervention groups improved VO2peak similarly (p = 0.083), and both more than controls (p < 0.001). The high-intensity group maintained VO2peak at follow-up, whereas the low-intensity group regressed (p = 0.021). The low-intensity group minimally changed from baseline to follow-up by 0.5 ml/kg per minute, whereas the high-intensity group significantly improved by 2.2 ml/kg per minute (p = 0.01). Intervention groups always reported similar physical activity levels.
Higher-intensity exercise provided more sustainable cardiorespiratory benefits than lower-intensity exercise.
IMPLICATIONS FOR NURSING:
Survivors need guidance on exercise intensity, because a high volume of low-intensity exercise may not provide sustained health benefits.
Citation InformationMartin, E., Battaglini, C., Hands, B., and Naumann, F. (2015). Higher-intensity exercise results in more sustainable improvements for VO2peak for breast and prostate cancer survivors. Oncology Nursing Forum, 42(3), 241-249. DOI: 10.1188/15.ONF.42-03AP