Efecto de un programa de ejercicio de corta duración sobre la condición física y la calidad de vida en mujeres supervivientes de cáncer de mama del ámbito rural: Estudio Piloto. [Effect of a short duration exercise program on physical fitness and quality of life in rural breast cancer survivors: A pilot study].

Pedro Antonio Santos-Olmo, José Fernando Jiménez-Díaz, Natalia Rioja-Collado


El objetivo del siguiente estudio fue analizar los efectos sobre la condición física y calidad de vida (CV), de un programa de ejercicio supervisado y no supervisado en mujeres Supervivientes de Cáncer de Mama (SCM) del ámbito rural. Para ello se realizó un estudio cuasi-experimental con 114 SCM de la provincia de Ciudad Real. Mientras que el grupo control siguió su actividad física habitual, el experimental participaba en tres sesiones de ejercicio semanales; dos supervisadas y una no supervisada, donde se trabajaba movilidad articular, Capacidad Aeróbica (CA) y Resistencia Muscular (RM) de grandes grupos musculares; la duración del programa fue de cinco semanas. Las variables analizadas fueron la CA con el test UKK de dos kilómetros, RM con test funcionales de brazos y test de sentarse-levantarse de la silla. La Composición Corporal (CC) se analizó a través de impedancia bioeléctrica. La variable de CV fue medida con el cuestionario EORTC QLQ-C30 (versión 3.0). Finalizaron la intervención 21 SCM (edad 51,62 ± 8,44), ocho en el grupo experimental y 13 en el grupo control. Para las variables de la CA y RM hubo mejoras del 26,17 % y 18,91 %, respectivamente. No se encontraron mejoras para CV, ni para la CC. Conclusiones: El programa de ejercicio supervisado y no supervisado de cinco semanas de duración ha sido insuficiente para mejorar la condición física y CV de SCM del ámbito rural.


This study aimed to analyze the effect that a supervised and unsupervised exercise program has on the physical function and quality of life (QoL) in rural breast cancer survivors (BCS). For this, a quasi-experimental study was carried out with 114 BCS in the province of Ciudad Real. While the control group continued with its usual physical activity, the experimental group participated in three exercise sessions; two supervised and one of them unsupervised, in which they trained articular mobility, cardiorespiratory fitness (CF), and muscular resistance (MR) in large muscle groups; the duration of the program was five weeks. The variables analyzed were CF with the UKK two kilometers test, MR with the functional arms test and chair stand test. The body composition (BC) was analyzed with the bioelectrical impedance. QoL was measured using the EORTC QLQ-C30 (version 3.0) questionnaire. 21 BCS finished the intervention (aged 51,62 ± 8,44), eight in the experimental group, and 13 in the control group. We reported improvements in CF and MR of 26,17 % and 18,91 % respectively. Improvements in QoL and BC were not found.  Conclusions: A five weeks supervised and unsupervised exercise program was insufficient to improve physical fitness and QoL in rural BCS.



Aaronson, N. K.; Ahmedzai, S.; Bergman, B.; Bullinger, M.; Cull, A.; Duez, N. J.; Filiberti, A.; Flechtner, H.; Fleishman, S. B.; de Haes, J.C.; Kaasa, S.; Klee, M.; Osoba, D; Razavi, D.; Rofe, P. B.; Schraub, S.; Sneeuw, K.; Sullivan, M., & Takeda, F. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365-376.

Bantema-Joppe, E. J.; de Bock, G. H.; Woltman-van Iersel, M.; Busz, D. M.; Ranchor, A. V.; Langendijk, J. A.; Maduro, J. H., & van den Heuvel, E. R. (2015). The impact of age on changes in quality of life among breast cancer survivors treated with breast-conserving surgery and radiotherapy. British Journal of Cancer, 112(4), 636-643.

Battaglini, C. L.; Mills, R. C.; Phillips, B. L.; Lee J. T.; Story, C. E.; Nascimento, M. G., & Hackney, A. C. (2014). Twenty-five years of research on the effects of exercise training in breast cancer survivors: A systematic review of the literature. World Journal of Clinical Oncology, 5(2), 177-190.

Befort, C.; Bennett, L.; Christifano, D.; Klemp, J. R., & Krebill, H. (2014). Effective recruitment of rural breast cancer survivors into a lifestyle intervention. Psychooncology.

Benton, M.; Schlairet, M., & Gibson, D. (2014). Change in quality of life among breast cancer survivors after resistance training: is there an effect of age? Journal of Aging and Physical Activity, 22(2), 178-185.

Bowen, T. S.; Schuler, G., & Adams, V. (2015). Skeletal muscle wasting in cachexia and sarcopenia: molecular pathophysiology and impact of exercise training. Journal of Cachexia, Sarcopenia and Muscle, 6(3), 197-207.

Buffart, L. M.; Kalter, J.; Sweegers, M. G.; Courneya, K. S.; Newton, R. U.; Aaronson, N.   K., et al. (2016). Effects and moderators os exercise on quality of life and psysical function in patients with cancer: An individual patient data meta-analysis of 34 RCTs. Cancer Treatment Reviews, 52, 91-104.

Bydoun, M.; Marcato, P., & Dellaire, G. (2013). Breast Cancer Genomics. En G. B. J. N. A. R. J. Dellaire (Ed.), Cancer Genomics from bench to personalized medicine (1ª ed., pp. 213-232). San Diego: Elsevier.

Campbell, K. L.; Pusic, A. L., Zucker, D. S.; McNeely, M. L.; Binkley, J. M.; Cheville, A. L., & Harwood, K. J. (2012). A prospective model of care for breast cancer rehabilitation: Function. Cancer, 118(8 Suppl), 2300-2311.

Chamorro, C., y Pérez, M. (2012). Prescripción del ejercicio físico para enfermos de cáncer. En S. G. N. Márquez (Ed.), Actividad física y salud (pp. 391-401).

Cramp, F., & Byron-Daniel, J. (2012). Exercise for the management of cancer-related fatigue in adults. The Cochrane database of systematic reviews, 11.

Dulko, D.; Pace, C. M.; Dittus, K. L.; Sprague, B. L.; Pollack, L. A.; Hawkins, N. A., & Geller, B. M. (2013). Barriers and facilitators to implementing cancer survivorship care plans. Oncology Nursing Forum, 40(6), 575-580.

Fernández-Lao, C.; Cantarero-Villanueva, I.; Ariza-García, A.; Courtney, C.; Fernández de las Peñas, C., y Arroyo-Morales, M. (2013). Water versus land-based multimodal exercise program effects on body composition in breast cancer survivors: a controlled clinical trial. Supportive Care in Cancer, 21(2), 521-530.

Foley, M. P., & Hasson, S. M. (2016). Effects of a Community-Based Multimodal Exercise Program on Health-Related Physical Fitness and Physical Function in Breast Cancer Survivors: A Pilot Study. Integrative Cancer Therapies, 15(4), 446-454.

Forsythe, L. P.; Alfano, C. M.; George, S. M.; McTiernan, A.; Baumgartner, K. B.; Bernstein, L., & Ballard-Barbash, R. (2013). Pain in long-term breast cancer survivors: the role of body mass index, physical activity, and sedentary behavior. Breast Cancer Research and Treatment, 137(2), 617-630.

Fuller, J. T.; Hartland, M. C.; Maloney, L. T., & Davison, K. (2018). Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analyses of clinical trials. British Journal of Sports Medicine. Published Online First: 16 March 2018.

Furmaniak, A. C.; Menig, M., & Markes, M. H. (2016). Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database of Systematic Review, 9, CD005001.

Galiano-Castillo, N.; Ariza-García, A.; Cantarero-Villanueva, I.; Fernández-Lao, C.; Díaz-Rodríguez, L., y Arroyo-Morales, M. (2014). Depressed mood in breast cancer survivors: associations with physical activity, cancer-related fatigue, quality of life, and fitness level. European Journal of Oncology Nursing, 18, 206-210.

Gewefel, H., & Salhia, H. (2014). Breast cancer in adolescent and young adult women. Clinical Breast Cancer, 14(6), 390-395.

Gil-Rey, E.; Quevedo-Jerez, K.; Maldonado-Martin, S., y Herrero-Román, F. (2015). Exercise intensity guidelines for cancer survivors: a comparison with reference values. International Journal of Sports Medicine.

Hagstrom, A. D.; Shorter, K. A., & Marshall, P. W. (2017). Changes in unilateral upper limb muscular strength and EMG activity following a 16 week strength training intervention survivors of breast cancer. Journal of Strength and Conditioning Research.

Harrington, S.; Padua, D.; Battaglini, C., & Michener, L. A. (2013). Upper extremity strength and range of motion and their relationship to function in breast cancer survivors. Physiothery Theory and Practice, 29(7), 513-520.

Herrero, F., y Pérez, M. (2011). Actividad física y cáncer. En J.A. Casajús y G. Vicente-Rodríguez (Eds.), Ejercico físico y salud en poblaciones especiales (Vol. 58, pp. 387-410). Exernet Madrid: Colección ICD.

Howard-Anderson, J.; Ganz, P. A.; Bower, J. E., & Stanton, A. L. (2012). Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. Journal of the National Cancer Institute, 104(5), 386-405.

Khamoui, A. V., & Kim, J. S. (2012). Candidate mechanisms underlying effects of contractile activity on muscle morphology and energetics in cancer cachexia. European Jornal of Cancer Care (Engl), 21(2), 143-157.

Ligibell, J. (2012). Lifestyle factors in cancer survivorship. Journal of Clinical Oncology, 30(30), 3697-3704.

Lira, F. S.; Neto, J. C., & Seelaender, M. (2014). Exercise training as treatment in cancer cachexia. Applied Physiology, Nutrition and Metabolism, 39(6), 679-686.

Mascherini, G.; Tosi, B.; Giannelli, C.; Grifoni, E.; Degl'innocenti, S., & Galanti, G. (2018). Breast cancer: effectiveness of a one-year unsupervised exercise program. Journal of Sports Medicine and Physical  Fitness.

Meneses-Echavez, J.; González-Jiménez, E.; Correa, J., y Ramírez-Vélez, R. (2014). Intervenciones con actividad física supervisada en el manejo de la fatiga relacionada con el cáncer: una revisión sistemática. Nutrición Hospitalaria, 30(3), 486-497.

Meyer, T.; Welter, J. P.; Scharhag, J., & Kindermann, W. (2003). Maximal oxygen uptake during field running does not exceed that measured during treadmill exercise. European Jorunal of Applied Physiology, 88(4-5), 387-389.

Minton, O.; Berger, A.; Barsevick, A.; Cramp, F.; Goedendorp, M.; Mitchell, S. A.; Stone, P. C. (2013). Cancer-related fatigue and its impact on functioning. Cancer, 119(Suppl 11), 2124-2130.

Mirandola, D.; Miccinesi, G.; Muraca, M., Sgambati, E.; Monaci, M., & Marini, M. (2014). Evidence for adapted physical activity as an effective intervention for upper limb mobility and quality of life inbreast cancer survivors. Journal of physical activity & health, 11(4), 814-822.

Musanti, R. (2012). A study of exercise modality and physical self-esteem in breast cancer survivors. Medicine and Science in Sports and Exercise, 44(2), 352-361.

Naumann, F.; Martin, E.; Philpott, M.; Smith, C.; Groff, D., & Battaglini, C. (2012). Can counseling add value to an exercise intervention for improving quality of life in breast cancer survivors? A feasibility study. The Journal of Supportive Oncology, 10(5), 188-194.

Oja, P.; Mänttäri, A.; M., Pokki, T.; Kukkonen-Harjula, K.: Laukkanen, R.: Malmberg, J.; Miilunpalo, S., & Suni, J. (2013). UKK Walk Test. Tester´s guide (K. Ojala Ed. 4th revised edition). Tampere: UKK Institute for Health Promotion Research.

Olson, E.; Mullen, S.; Rogers, L.; Courneya, K.; Verhulst, S., & McAuley, E. (2014). Meeting physical activity guidelines in rural breast cancer survivors. American Journal of Health Behavior, 38(6), 890-899.

Pedrero-Chamizo, R.; Gómez-Cabello, A.; Delgado, S.; Rodríguez-Llarena, S.; Rodríguez-Marroyo, J. A., Cabanillas, E.; Meléndez, A.; Vicente-Rodríguez, G.; Aznar, S.; Villa, G.; Espino, L.; Gusi, N.; Casajús, J.A.; Ara, I., y González-Gross, M. (2012). Physical fitness levels among independent non-institutionalized Spanish elderly: the elderly EXERNET multi-center study. Archives of  Gerontology and Geriatrics, 55(2), 406-416.

Rikli, R., & Jones, C. (2013). Senior Fitness Test Manual (Second Edition). Champaign IL: Human Kinetics.

Rogers, L. Q.; Courneya, K. S.; Anton, P. M.; Hopkins-Price, P.; Verhulst, S.; Vicari, S. K.; Robbs, R. S.; Mocharnuk, R., & McAuley, E. (2015). Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial. Breast Cancer Research and Treatment, 149(1), 109-119.

Royo, A. (2011). Calidad de vida en pacientes intervenidas de cáncer de mama. Universitat Autónoma de Barcelona, Barcelona.

Ruiz-Casado, A.; Verdugo, A. S.; Solano, M. J.; Aldazabal, I. P.; Fiuza-Luces, C.; Alejo, L. B.; Padilla del Hierro, J. R.; Palomo, I.; Aguado-Arroyo, O.; Garatachea, N.; Cebolla, H., y Lucia, A. (2014). Objectively assessed physical activity levels in Spanish cancer survivors. Oncology Nursing Forum, 41(1), E12-20.

Saarto, T.; Penttinen, H.; Sievänen, H.; Kellokumpu-Lehtinen, P.; Hakamies-Blomqvist, L.; Nikander, R.; Huovinen, R.; Luoto, R.; Kautiainen, H.; Järvenpää, S.; Idman, I.; Utriainen, M.; Vehmanen, L.; Jääskeläinen, A. S.; Elme, A.; Ruohola, J.; Palva, T.; Vertio, H.; Rautalahti, M.; Fogelholm, M.; Blomqvist, C., & Luoma, M. L. (2012). Effectiveness of a 12-month exercise program on physical performance and quality of life of breast cancer survivors. Anticancer Research, 32(9), 3875-3884.

Schmitz, K.; Courneya, K.; Matthews, C.; Demark-Wahnefried, W.; Galvão, D.; Pinto, B.; Irwin, M.; Wolin, K.; Segal, R.; Lucia, A.; Scheneider, C.; Von Gruenigen, V., & Schwartz, A. (2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Medicine and Science in  Sports and Exercise, 42(7), 1409-1426.

Schoormans, D.; Czene, K.; Hall, P., & Brandberg, Y. (2015). The impact of co-morbidity on health-related quality of life in breast cancer survivors and controls. Acta Oncológica, 54(5):727-34.

Segal, R.; Zwaal, C.; Green, E.; Tomasone, J. R.; Loblaw, A.; Petrella, T.; & Group, E. f. P. w. C. G. D. (2017). Exercise for people with cancer: a clinical practice guideline. Curr Oncol, 24(1), 40-46.

Sillanpää, E.; Cheng, S.; Häkkinen, K.; Finni, T.; Walker, S.; Pesola, A.; Ahtiainen, J.; Stenroth, L.; Selänne, H., & Sipilä, S. (2014). Body composition in 18- to 88-year-old adults--comparison of multifrequency bioimpedance and dual-energy X-ray absorptiometry. Obesity, 22(1), 101-109.

Simonavice, E.; Pei-Yang, L.; Ilich, J. Z.; Jeong-Su, K., & Panton, L. B. (2011). Body composition, muscular strength, and physical function in breast cancer survivors. International Journal of Body Composition Research 9(2), 57-64.

Speck, R. M.; Gross, C. R.; Hormes, J. M.; Ahmed, R. L.; Lytle, L. A.; Hwang, W.-T., & Schmitz, K. H. (2010). Changes in the Body Image and Relationship Scale following a one-year strength training trial for breast cancer survivors with or at risk for lymphedema. Breast Cancer Research And Treatment, 121(2), 421-430.

Stout, N. L.; Baima, J.; Swisher, A. K.; Winters-Stone, K. M., & Welsh, J. (2017). A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005-2017). PM R, 9(9S2), S347-S384.

Vallance, J.; Lavallee, C.; Culos-Reed, N., & Trudeau, M. (2012). Predictors of physical activity among rural and small town breast cancer survivors: an application of the theory of planned behaviour. Psychology, Health and Medicine, 17(6), 685-697.


Palabras clave/key words

Superviviente de Cáncer de Mama; Calidad de Vida; Capacidad Aeróbica; Resistencia Muscular; Composición Corporal; Breast Cancer Survivor; Quality of Life; Cardiorespiratory Fitness; Muscular Resistance; Body Composition.

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RICYDE. Revista Internacional de Ciencias del Deporte

Publisher: Ramón Cantó Alcaraz
ISSN:1885-3137 - Periodicidad Trimestral / Quarterly
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