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An online home-based exercise program improves autonomic dysfunction in breast cancer survivors

2023Journal article Open access
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dc.contributor.authorLavín-Pérez, Ana
dc.contributor.authorCollado-Mateo, Daniel
dc.contributor.authorHinojo, Carmen
dc.contributor.authorBatista, Marco
dc.contributor.authorMayo, Xián
dc.contributor.authorRuisanchez Villar, Cristina
dc.contributor.authorJiménez, Alfonso
dc.date.accessioned2023-10-03T12:50:13Z
dc.date.available2023-10-03T12:50:13Z
dc.date.issued2023
dc.description.abstractIntroduction: Exercise interventions for breast cancer survivors have proved their potential to improve clinical, physical, and psychosocial outcomes. However, limited studies have explored exercise effects on autonomic dysfunction and the measurement of exercise tolerance and progression through daily heart rate variability (HRV). Purpose: To analyze the effects of a 16-wk exercise intervention on the autonomic modulation of breast cancer survivors, as well as to examine the evolution of daily measured HRV and its interaction with exercise sessions in this population. Methods: A total of 29 patients who had undergone chemotherapy and radiotherapy were randomly assigned to the exercise group or to the control group. The exercise intervention was delivered remotely through online meetings and consisted of supervised training resistance and cardiovascular exercise 3 times per week. During the intervention all patients measured their HRV daily obtaining the napierian logarithm of the root mean square of successive differences between normal heartbeats (lnrMSSD) and the napierian logarithm of the standard deviation of the interbeat interval of normal sinus beats (lnSDNN) values at four moments: day 0 (the morning of the training sessions), 24, 48, and 72 h after exercise. Results: The results revealed a significant interaction between group and months during the intervention period for lnrMSSD and lnSDNN (p < 0.001). Additionally, there were significant differences in lnSDNN recovery time between months (p < 0.05), while differences in lnrMSSD become apparent only 24 h after exercise (p = 0.019). The control group experienced a significant decrease in both variables monthly (p < 0.05) while exercise group experienced a significant increment (p < 0.05). Conclusion: HRV is daily affected by exercise training sessions in cancer patients. Although results strongly support the role of exercise as a post-chemotherapy and radiotherapy rehabilitation strategy for breast cancer survivors to improve autonomic imbalance, further research is necessary to validate these initial findings.pt_PT
dc.description.sponsorshipIndustrial Doctorate Spanish National grant program, part of the Strategic Plan on Science and Innovation Support of the Spanish Ministry of Science, Innovation and Universities.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLavín-Pérez, A.M., Collado-Mateo, D., Hinojo González, C., Batista, M., Mayo, X., Ruisánchez Villar, C. & Jiménez, A. (2023). An online home-based exercise program improves autonomic dysfunction in breast cancer survivors. Front. Physiol. 14:1256644. DOI 10.3389/fphys.2023.1256644pt_PT
dc.identifier.doi10.3389/fphys.2023.1256644pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.11/8654
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherUniversity of Milanpt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fphys.2023.1256644/fullpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectTraining programpt_PT
dc.subjectAutonomic dysfunctionpt_PT
dc.subjectBreast cancerpt_PT
dc.subjectHeart rate variabilitypt_PT
dc.subjectTreatments cardiotoxicitypt_PT
dc.titleAn online home-based exercise program improves autonomic dysfunction in breast cancer survivorspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceMilanpt_PT
oaire.citation.endPage11pt_PT
oaire.citation.issue1256644pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleFrontiers in Physiologypt_PT
oaire.citation.volume14pt_PT
person.familyNameCollado-Mateo
person.familyNameHINOJO
person.familyNameSilva Batista
person.familyNameMayo
person.familyNameRuisanchez
person.givenNameDaniel
person.givenNameCARMEN
person.givenNameMarco Alexandre
person.givenNameXián
person.givenNameCristina
person.identifier851898
person.identifier1319670
person.identifier.ciencia-id191E-AA52-C968
person.identifier.orcid0000-0002-5140-465X
person.identifier.orcid0000-0001-5443-7847
person.identifier.orcid0000-0003-3318-2472
person.identifier.orcid0000-0002-4143-701X
person.identifier.orcid0000-0002-4697-9395
person.identifier.ridX-6259-2018
person.identifier.ridD-4392-2016
person.identifier.scopus-author-id56820108800
person.identifier.scopus-author-id57190249734
person.identifier.scopus-author-id54955497000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication48bbe42c-60c1-4fd8-beb9-78b312bb967c
relation.isAuthorOfPublication7ea87f34-8c24-4c6a-8781-e0e74f30b194
relation.isAuthorOfPublication0d3d851b-dad8-4505-bf0d-14ff17962b66
relation.isAuthorOfPublication6489b098-98ef-4d93-926e-c8801609d859
relation.isAuthorOfPublication5614225a-343a-4ee5-9ec3-98862a418d12
relation.isAuthorOfPublication.latestForDiscovery48bbe42c-60c1-4fd8-beb9-78b312bb967c

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