Cáncer de mama y ejercicio físico: Revisión
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La prescripción de actividad física para las sobrevivientes de cáncer de mama depende de la evidencia que se pueda obtener del impacto fisiológico, psicológico y biológico del ejercicio físico sobre la disminución del  riesgo recidiva. Objetivos: el propósito de este artículo es revisar los diferentes estudios publicados sobre el  impacto del ejercicio en pacientes con cáncer de mama, que finalizaron el tratamiento de quimio y/o  radioterapia con el fin de identificar la intensidad, frecuencia, tiempo de intervención, duración de las  sesiones, tipo de trabajo realizado y las diferentes variables evaluadas. Método: se desarrolló una revisión de  los estudios experimentales pub... Ver más
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Cáncer de mama y ejercicio físico: Revisión Bicego D, Brown K, Ruddick M, Storey D, Wong C, Harris SR. Effects of exercise on quality of life in women living with breast cancer: A systematic review. The Breast Journal 2009;15(1):45-51. calidad de vida neoplasias de la mama ejercicio Actividad física de Paz Fernández, José Antonio Fernández Ortega, Jairo Alejandro La prescripción de actividad física para las sobrevivientes de cáncer de mama depende de la evidencia que se pueda obtener del impacto fisiológico, psicológico y biológico del ejercicio físico sobre la disminución del  riesgo recidiva. Objetivos: el propósito de este artículo es revisar los diferentes estudios publicados sobre el  impacto del ejercicio en pacientes con cáncer de mama, que finalizaron el tratamiento de quimio y/o  radioterapia con el fin de identificar la intensidad, frecuencia, tiempo de intervención, duración de las  sesiones, tipo de trabajo realizado y las diferentes variables evaluadas. Método: se desarrolló una revisión de  los estudios experimentales publicados sobre este tema desde 1995, se incluyeron 27 estudios y se examinó  frecuencia, intensidad, duración de las sesiones, tiempo de intervención y efectos de la actividad física sobre  las variables de control utilizadas. Resultados: siete estudios (58%) desarrollaron el programa de ejercicio  durante un período de 24 semanas, seis (50%) platearon realizaron 3 sesiones por semana, en cinco (41%) la  duración de las sesiones eran de 30 minutos, tres (25%) implementaron una intensidad 50-80% de la FC máx.  Seis estudios (50%) evaluaron el IMC, el porcentaje de masa grasa y la calidad de vida, cinco (41%) evaluaron  el VO2 máx., y dos (16%) utilizaron marcadores tumorales. Conclusiones: no se pudo establecer cuál es la  intensidad, volumen, frecuencia y tiempo de duración que tiene un mejor impacto fisiológico en pacientes  sobrevivientes al cáncer de mama. De igual forma, no se estableció el impacto de la actividad física sobre los  biomarcadores. Vist GE, Hagen KB, Devereaux PJ, Dianne Jackowski, Oxman AD. Outcomes of patients who participate in randomized controlled trials versus those of similar patients who do not participate (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000009/pdf) [Acceso 2009 Feb 21]. Schwartz AL. Physical activity. Semin Oncol Nurs 2008;24(3):164-70. (Fuente: DeCS, BIREME) McTiernan A. Behavioral risk factor en breast cancer: can risk be modifie? Oncologist 2003;8(4):326-34. Kaltsatou A, Mameletzi D, Douka S. Physical and psychological benefits of a 24-week traditional dance program in breast cancer survivors. J Bodyw Mov Ther 2011;15:(2):162-167. Daley AJ, Crank H, Saxton JM, Mutrie N, Coleman R, Roalfe A. Randomized trial of exercise therapy in women treated for breast. Cancer. J Clin Oncol 2007;25:1713-21. Zhang SM HS, Hunter DJ, Giovannucci EL, Colditz GA, Willett WC. Folate intake and risk of breast cancer characterized by hormone receptor status. Epidemiol Biomarkers Prev 2005;14:2004-8. Potter JD, Cerhan JR, Sellers TA, et al. Progesterone and estrogen receptors and mammary neoplasia in the Iowa Women’s Health Study: how many kinds of breast cancer are there? Cancer Epidemiol Biomarkers Prev 1995;4:319-26. Isasi CR, Moadel RM, Blaufox MD. A meta-analysis of FDG-PET for the evaluation of breast cancer recurrence and metastases. Breast Cancer Research and Treatment 2005;90:105-112. Mishchenco V, Monogarov V. Fisiología de Deportista: Bases científicas de la preparación, fatiga y recuperación de los sistemas funcionales del organismo de los deportistas de alto nivel. Barcelona, España: Paidotribo; 2000. Saltin B, Blomqvist G, Mitchell J, Johnson RJ, Wildenthal K, Chapman C. Response to exercise after bed rest and after training. Circulation 1968;38(Suppl 5):1-78. sobrevivientes 17 Busso T, Benoit H, Bonnefoy R, Feasson L, Lacour J. Effects of training frequency on the dynamics of performance response to a single training bout. J Appl Physiol 2002;92(2):572-80. Bardia A, Hartmann LC, Vachon CM, et al. Recreational physical activity and risk of postmenopausal breast cancer based on hormone receptor status. Arch Intern Med 2006;166:2478-83. Hacia la Promoción de la Salud - 2012 https://creativecommons.org/licenses/by-nc-sa/4.0/ Español Publication Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005;55:74-108. McTiernan A, Kooperberg C, White E, et al. Women’s health initiative cohort study. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women’s Health Initiative Cohort Study. JAMA 2003;290(10):1331-6. Lee IM. Physical activity and cancer prevention – data from epidemiologic studies. Med Sci Sports Exerc 2003;35(11):1823-7. Moore DB, Folsom AR, Mink PJ, Hong CP, Anderson KE, Kushi LH. Physical activity and incidence of postmenopausal breast cancer. Epidemiology 2000;11:292-6. Lahmann PH, Friedenreich C, Schuit AJ, Salvini S, Allen NE, Key TJ, et al. Physical activity and breast cancer risk the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomarkers Prev 2007;16(1):36-42. Núm. 1 , Año 2012 : Enero - Junio Hoffman-Goetz L, Apter D, Demark-Wahnefried W, Goran MI, McTiernan A, Reichman ME. Possible mechanisms mediating an association between physical activity and breast cancer. Cancer 1998;83(Suppl 3):621-8. McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ 2006;175(1):34-41. Marxfelda H, Staedtlerb F, Harleman J. Characterisation of two rat mammary tumour models for breast cancer research by gene expression profiling. Exp Toxicol Pathol 2006;58:133-43. https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/2028 1 Universidad de Caldas application/pdf Artículo de revista Astrand P-O, Rodhal K, Lacour J-R, Duizabo D. Précis de Physiologie de l´exercice musculaire. Paris: Masson; 1994. Hacia la Promoción de la Salud Weineck J. Manuel D´entrainement. Paris: Vigot; 1990. Olsen KL, Hopewell S, Dickersin K, Clarke M, Oxman AD. Publication bias in clinical trials (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000006/pdf) [Acceso 2009 Feb 21]. Friedenreich CM, Cust AE. Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects. Br J Sports Med 2008;42:636-47. Mutrie N, Campbell AM, Whyte F, McConnachie A, Emslie C, Lee L, et al. Benefits of supervised group exercise programme for women being treated for early stage breast cancer: Pragmatic randomised controlled trial. BMJ 2007;334:517-24. Friedenreich C. Physical activity and cancer prevention: from observational to intervention research. Cancer Epidemiology, Biomarkers & Prevention 2001;10:287-301. Westby M, Clarke M, Hopewell S, Ram F. Masking reviewers at the study inclusion stage in a systematic review of health care interventions (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000019/pdf) [Acceso 2009 Feb 21]. Ghersi D, Dickersin K. Impact of shared scientific or ethical review of multicentre clinical research on the quality of clinical research and the clinical research process (Protocol for a Cochrane Review). The Cochrane Library, (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000017.pub2/pdf) [Acceso 2009 Feb 21]. Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. Am J Clin Oncol 2005;23:3577-87. Clarke M, Stewart L, Tierney J, Williamson P. Individual patient data meta-analyses compared with meta-analyses based on aggregate data (Protocol for a Cochrane Review). The Cochrane Library, (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000007/pdf) [Acceso 2009 Feb 21]. Villanueva EV, Wasiak J. N-of-1 trials for making therapy decisions (Protocol for a Cochrane Review). The Cochrane Library, (http://www.update-software.com) [Acceso 2009 Feb 21]. McDonald S, Crumley E, Eisinga A, Villanueva E. Search strategies to identify reports of randomized trials in MEDLINE (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000018.pub2/pdf) [Acceso 2009 Feb 21]. Adams SA, Matthews CE, Hebert JR,Moore CG .,Cunningham JE., Shu X_O., et al. Association of physical activity with hormone receptor status: the Shanghai Breast Cancer Study. Cancer Epidemiol Biomarkers Prev 2006;15:1170-8. Timmer EC, De Creé C, Belgium Z. Effect of energy deficiency on estrogen metabolist in female athletes. Med Sci Sports Exerc 2007;39(7):1090-7. Latka RN, Alvarez-Reeves M, Cadmus L, Irwin ML. Adherence to a randomized controlled trial of aerobic exercise in breast cancer survivors: the Yale exercise and survivorship study. J Cancer Surviv 2009;3:148-57. Hsieh CC, Sprod LK, Hydock DS, Carter SD, Hayward R, Schneider CM. Effects of a supervised exercise intervention on recovery from treatment regimens in breast cancer survivors. Oncol Nurs Forum 2008;35(6):909-15. Klika RJ, Callahan KE, Golik KS. Exercise Capacity of a Breast Cancer Survivor: A Case Study. Med Sci Sports Exerc 2008;40(10):1711-6. Ligibel JA, Campbell N, Partridge A, Chen WY, Salinardi T, Chen H, et al. Impact of a mixed strength and endurance exercise intervention on insulin levels in breast cancer survivors. J Clin Oncol 2008;26:907-12. Campbell A, Mutrie N, White F, McGuire F, Kearney N. A pilot study of a supervised group exercise programme as a rehabilitation treatment for women with breast cancer receiving adjuvant treatment. Eur J Oncol Nurs 2005;9:56-63. Rabin C, Bernardine B, Dunsiger S, Nash J, Trask P. Exercise and relaxation intervention for breast cancer survivors: feasibility, acceptability and effects. Psychooncology 2008;18(3):258-66. Milne HM, Wallman KE, Gordon S, Courneya KS. Effects of a combined aerobic and resistance exercise program in breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat 2008;108:279-88. Monninkhof E, Elias S, Vlems F, Schuit A, Voskuil D, Van Leeuwen F. Physical activity and breast cancer: a systematic review. Epidemiology 2007;18(1):137-57. Slattery ML, Edwards S, Murtaugh MA, Swenney C, Herrick J, Byers T, et al. Physical activity and breast cancer risk among women in the southwestern United States. Ann Epidemiol 2007;17:342-53. Thune I, Furberg AS. Physical activity and cancer risk: dose-response and cancer, all sites and sitespecific. Med Sci Sports Exerc 2001;33(Suppl 6):S530-50 info:eu-repo/semantics/publishedVersion Friedenre C, Cust A. Physical activity and breast cancer risk: Impact of timing, type and dose of activity and population sub-group effects review article. Br J Sports Med 2006;42:636-47. Courneya KS, Mackey JR, Bell GJ, Jones LW, Field CJ, Fairey AS. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: Cardiopulmonary and quality of life outcomes. J Clin Oncol 2003;21:1660-8. McTiernan A, Ulrich C, Slate S, Potter J. Physical activity and cancer etiology: associations and mechanisms. Cancer Causes and Control 1998;9:487-509. Woolf-May K. Exercise Prescription: Physiological foundations. A guide for health, sport and exercise professionals. Boston: Masson; 2008. Hoffman-Goetz L. Exercise, natural immunity, and tumor metastasis. Med Sci Sports Exerc 1994 Feb;26(2):157-63. info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/redcol/resource_type/ARTREV http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/coar/version/c_970fb48d4fbd8a85 Schmitz KH, Ahmed R, Hannan P, Yee D. Safety and efficacy of weight training in recent breast cancer survivors to alter body composition, insulin, and insulin-like growth factor axis proteins. Cancer Epidemiol Biomarkers Prev 2005;14:1672-80. Margolis KL, Mucci L, Braaten T, Kumle M, Lagerros YT, Adami HO, et al. Physical activity in different periods of life and the risk of breast cancer: The Norwegian-Swedish women’s lifestyle and health cohort study. Cancer. Epidemiol Biomarkers Prev 2005;14(1):27-32. info:eu-repo/semantics/openAccess Mock V, Frangakis C, Davidson N, Ropka M, Pickectt M, Poniatowski B, et al. Exercise manages fatigue during breast cancer treatment: A randomized controlled trial. Psychooncology 2005;14:464-77. Gammon MD, John EM, Britton JA. Recreational and occupational physical activities and risk of breast cancer. J Natl Cancer Inst 1998 Jan 21;90(2):100-17. Markes M, Brockow T, Resch K. Ejercicio para mujeres que reciben tratamiento adyuvante para el cáncer de mama. Biblioteca Cochrane Plus 2007;4:1-33. McTiernan A, Kooperberg C, White E. Recreational physical activity and the risk of breast cancer in postmenopausal women: The women’s health initiative cohort study. JAMA 2003;290(10):1331-6. Text http://purl.org/coar/access_right/c_abf2 sobrevivientes (Fonte: DeCS, BIREME) quality of life neoplasias mamárias câncer de mama exercício Atividade física survivors Journal article breast neoplasm fitness Breast cancer and physical exercise: review exercise Physical activity The prescription of physical activity for breast cancer survivors depends on the evidence that can be obtained as well as on the physiological, psychological and biological impact that physical activity may have in the  reduction of relapse risk . Objectives: the purpose of this article is to review the different studies that have  been published on the effect of exercise in breast cancer patients who had finished their radiation therapy  and chemotherapy treatment to identify the intensity, frequency, duration of the exercise program, duration  of the exercise sessions, type of physical activity and the different variables evaluated. Methods: a review of  the experimental studies on this subject published from 1995 was conducted, 27 studies were included and  the duration, frequency, intensity, duration of exercise sessions, intervention time and effects were  examined. Results: seven studies (58%) conducted 24 week exercise programs, six studies (50%) proposed 3  exercise sessions per week, the exercise sessions of five (41%) studies lasted 30 minutes and the intensity of  three studies (25%) was 50-80% of the MHR. Six studies (50%) evaluated the BMI, the body fat percentage and the quality of life, five studies (41%) evaluated the VO2 max., and two studies (16%) used tumor markers.  Conclusions: the intensity, volume, frequency and duration with the best physiological impact on breast  cancer survivors could not be determined. Likewise, the impact of physical activity on tumor markers was not  established. breast cancer (Source: MeSH, NLM) sport 2012-01-01T00:00:00Z 2462-8425 https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/download/2028/1944 0121-7577 2011-01-01 2012-01-01T00:00:00Z https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/2028 153 135 |
institution |
UNIVERSIDAD DE CALDAS |
thumbnail |
https://nuevo.metarevistas.org/UNIVERSIDADDECALDAS/logo.png |
country_str |
Colombia |
collection |
Hacia la Promoción de la Salud |
title |
Cáncer de mama y ejercicio físico: Revisión |
spellingShingle |
Cáncer de mama y ejercicio físico: Revisión de Paz Fernández, José Antonio Fernández Ortega, Jairo Alejandro calidad de vida neoplasias de la mama ejercicio Actividad física (Fuente: DeCS, BIREME) sobrevivientes sobrevivientes (Fonte: DeCS, BIREME) quality of life neoplasias mamárias câncer de mama exercício Atividade física survivors breast neoplasm fitness exercise Physical activity breast cancer (Source: MeSH, NLM) sport |
title_short |
Cáncer de mama y ejercicio físico: Revisión |
title_full |
Cáncer de mama y ejercicio físico: Revisión |
title_fullStr |
Cáncer de mama y ejercicio físico: Revisión |
title_full_unstemmed |
Cáncer de mama y ejercicio físico: Revisión |
title_sort |
cáncer de mama y ejercicio físico: revisión |
title_eng |
Breast cancer and physical exercise: review |
description |
La prescripción de actividad física para las sobrevivientes de cáncer de mama depende de la evidencia que se pueda obtener del impacto fisiológico, psicológico y biológico del ejercicio físico sobre la disminución del  riesgo recidiva. Objetivos: el propósito de este artículo es revisar los diferentes estudios publicados sobre el  impacto del ejercicio en pacientes con cáncer de mama, que finalizaron el tratamiento de quimio y/o  radioterapia con el fin de identificar la intensidad, frecuencia, tiempo de intervención, duración de las  sesiones, tipo de trabajo realizado y las diferentes variables evaluadas. Método: se desarrolló una revisión de  los estudios experimentales publicados sobre este tema desde 1995, se incluyeron 27 estudios y se examinó  frecuencia, intensidad, duración de las sesiones, tiempo de intervención y efectos de la actividad física sobre  las variables de control utilizadas. Resultados: siete estudios (58%) desarrollaron el programa de ejercicio  durante un período de 24 semanas, seis (50%) platearon realizaron 3 sesiones por semana, en cinco (41%) la  duración de las sesiones eran de 30 minutos, tres (25%) implementaron una intensidad 50-80% de la FC máx.  Seis estudios (50%) evaluaron el IMC, el porcentaje de masa grasa y la calidad de vida, cinco (41%) evaluaron  el VO2 máx., y dos (16%) utilizaron marcadores tumorales. Conclusiones: no se pudo establecer cuál es la  intensidad, volumen, frecuencia y tiempo de duración que tiene un mejor impacto fisiológico en pacientes  sobrevivientes al cáncer de mama. De igual forma, no se estableció el impacto de la actividad física sobre los  biomarcadores.
|
description_eng |
The prescription of physical activity for breast cancer survivors depends on the evidence that can be obtained as well as on the physiological, psychological and biological impact that physical activity may have in the  reduction of relapse risk . Objectives: the purpose of this article is to review the different studies that have  been published on the effect of exercise in breast cancer patients who had finished their radiation therapy  and chemotherapy treatment to identify the intensity, frequency, duration of the exercise program, duration  of the exercise sessions, type of physical activity and the different variables evaluated. Methods: a review of  the experimental studies on this subject published from 1995 was conducted, 27 studies were included and  the duration, frequency, intensity, duration of exercise sessions, intervention time and effects were  examined. Results: seven studies (58%) conducted 24 week exercise programs, six studies (50%) proposed 3  exercise sessions per week, the exercise sessions of five (41%) studies lasted 30 minutes and the intensity of  three studies (25%) was 50-80% of the MHR. Six studies (50%) evaluated the BMI, the body fat percentage and the quality of life, five studies (41%) evaluated the VO2 max., and two studies (16%) used tumor markers.  Conclusions: the intensity, volume, frequency and duration with the best physiological impact on breast  cancer survivors could not be determined. Likewise, the impact of physical activity on tumor markers was not  established.
|
author |
de Paz Fernández, José Antonio Fernández Ortega, Jairo Alejandro |
author_facet |
de Paz Fernández, José Antonio Fernández Ortega, Jairo Alejandro |
topicspa_str_mv |
calidad de vida neoplasias de la mama ejercicio Actividad física (Fuente: DeCS, BIREME) sobrevivientes |
topic |
calidad de vida neoplasias de la mama ejercicio Actividad física (Fuente: DeCS, BIREME) sobrevivientes sobrevivientes (Fonte: DeCS, BIREME) quality of life neoplasias mamárias câncer de mama exercício Atividade física survivors breast neoplasm fitness exercise Physical activity breast cancer (Source: MeSH, NLM) sport |
topic_facet |
calidad de vida neoplasias de la mama ejercicio Actividad física (Fuente: DeCS, BIREME) sobrevivientes sobrevivientes (Fonte: DeCS, BIREME) quality of life neoplasias mamárias câncer de mama exercício Atividade física survivors breast neoplasm fitness exercise Physical activity breast cancer (Source: MeSH, NLM) sport |
citationvolume |
17 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2012 : Enero - Junio |
publisher |
Universidad de Caldas |
ispartofjournal |
Hacia la Promoción de la Salud |
source |
https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/2028 |
language |
Español |
format |
Article |
rights |
Hacia la Promoción de la Salud - 2012 https://creativecommons.org/licenses/by-nc-sa/4.0/ info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
references |
Bicego D, Brown K, Ruddick M, Storey D, Wong C, Harris SR. Effects of exercise on quality of life in women living with breast cancer: A systematic review. The Breast Journal 2009;15(1):45-51. Vist GE, Hagen KB, Devereaux PJ, Dianne Jackowski, Oxman AD. Outcomes of patients who participate in randomized controlled trials versus those of similar patients who do not participate (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000009/pdf) [Acceso 2009 Feb 21]. Schwartz AL. Physical activity. Semin Oncol Nurs 2008;24(3):164-70. McTiernan A. Behavioral risk factor en breast cancer: can risk be modifie? Oncologist 2003;8(4):326-34. Kaltsatou A, Mameletzi D, Douka S. Physical and psychological benefits of a 24-week traditional dance program in breast cancer survivors. J Bodyw Mov Ther 2011;15:(2):162-167. Daley AJ, Crank H, Saxton JM, Mutrie N, Coleman R, Roalfe A. Randomized trial of exercise therapy in women treated for breast. Cancer. J Clin Oncol 2007;25:1713-21. Zhang SM HS, Hunter DJ, Giovannucci EL, Colditz GA, Willett WC. Folate intake and risk of breast cancer characterized by hormone receptor status. Epidemiol Biomarkers Prev 2005;14:2004-8. Potter JD, Cerhan JR, Sellers TA, et al. Progesterone and estrogen receptors and mammary neoplasia in the Iowa Women’s Health Study: how many kinds of breast cancer are there? Cancer Epidemiol Biomarkers Prev 1995;4:319-26. Isasi CR, Moadel RM, Blaufox MD. A meta-analysis of FDG-PET for the evaluation of breast cancer recurrence and metastases. Breast Cancer Research and Treatment 2005;90:105-112. Mishchenco V, Monogarov V. Fisiología de Deportista: Bases científicas de la preparación, fatiga y recuperación de los sistemas funcionales del organismo de los deportistas de alto nivel. Barcelona, España: Paidotribo; 2000. Saltin B, Blomqvist G, Mitchell J, Johnson RJ, Wildenthal K, Chapman C. Response to exercise after bed rest and after training. Circulation 1968;38(Suppl 5):1-78. Busso T, Benoit H, Bonnefoy R, Feasson L, Lacour J. Effects of training frequency on the dynamics of performance response to a single training bout. J Appl Physiol 2002;92(2):572-80. Bardia A, Hartmann LC, Vachon CM, et al. Recreational physical activity and risk of postmenopausal breast cancer based on hormone receptor status. Arch Intern Med 2006;166:2478-83. Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005;55:74-108. McTiernan A, Kooperberg C, White E, et al. Women’s health initiative cohort study. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women’s Health Initiative Cohort Study. JAMA 2003;290(10):1331-6. Lee IM. Physical activity and cancer prevention – data from epidemiologic studies. Med Sci Sports Exerc 2003;35(11):1823-7. Moore DB, Folsom AR, Mink PJ, Hong CP, Anderson KE, Kushi LH. Physical activity and incidence of postmenopausal breast cancer. Epidemiology 2000;11:292-6. Lahmann PH, Friedenreich C, Schuit AJ, Salvini S, Allen NE, Key TJ, et al. Physical activity and breast cancer risk the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomarkers Prev 2007;16(1):36-42. Hoffman-Goetz L, Apter D, Demark-Wahnefried W, Goran MI, McTiernan A, Reichman ME. Possible mechanisms mediating an association between physical activity and breast cancer. Cancer 1998;83(Suppl 3):621-8. McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ 2006;175(1):34-41. Marxfelda H, Staedtlerb F, Harleman J. Characterisation of two rat mammary tumour models for breast cancer research by gene expression profiling. Exp Toxicol Pathol 2006;58:133-43. Astrand P-O, Rodhal K, Lacour J-R, Duizabo D. Précis de Physiologie de l´exercice musculaire. Paris: Masson; 1994. Weineck J. Manuel D´entrainement. Paris: Vigot; 1990. Olsen KL, Hopewell S, Dickersin K, Clarke M, Oxman AD. Publication bias in clinical trials (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000006/pdf) [Acceso 2009 Feb 21]. Friedenreich CM, Cust AE. Physical activity and breast cancer risk: impact of timing, type and dose of activity and population subgroup effects. Br J Sports Med 2008;42:636-47. Mutrie N, Campbell AM, Whyte F, McConnachie A, Emslie C, Lee L, et al. Benefits of supervised group exercise programme for women being treated for early stage breast cancer: Pragmatic randomised controlled trial. BMJ 2007;334:517-24. Friedenreich C. Physical activity and cancer prevention: from observational to intervention research. Cancer Epidemiology, Biomarkers & Prevention 2001;10:287-301. Westby M, Clarke M, Hopewell S, Ram F. Masking reviewers at the study inclusion stage in a systematic review of health care interventions (Protocol for a Cochrane Review). The Cochrane Library (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000019/pdf) [Acceso 2009 Feb 21]. Ghersi D, Dickersin K. Impact of shared scientific or ethical review of multicentre clinical research on the quality of clinical research and the clinical research process (Protocol for a Cochrane Review). The Cochrane Library, (http://onlinelibrary.wiley.com/doi/10.1002/14651858.MR000017.pub2/pdf) [Acceso 2009 Feb 21]. Pinto BM, Frierson GM, Rabin C, Trunzo JJ, Marcus BH. Home-based physical activity intervention for breast cancer patients. Am J Clin Oncol 2005;23:3577-87. Clarke M, Stewart L, Tierney J, Williamson P. Individual patient data meta-analyses compared with meta-analyses based on aggregate data (Protocol for a Cochrane Review). 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