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Improved physical fitness of cancer survivors: a randomised controlled trial comparing physical training with physical and cognitive-behavioural training
Authors:May Anne M  Van Weert Ellen  Korstjens Irene  Hoekstra-Weebers Josette E H M  Van Der Schans Cees P  Zonderland Maria L  Mesters Ilse  Van Den Borne Bart  Ros Wynan D J G
Institution:University Medical Centre Utrecht, Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands. a.m.may@umcutrecht.nl
Abstract:We compared the effect of a group-based 12-week supervised exercise programme, i.e. aerobic and resistance exercise, and group sports, with that of the same programme combined with cognitive-behavioural training on physical fitness and activity of cancer survivors. One hundred and forty seven cancer survivors (all cancer types, medical treatment >or=3 months ago)were randomly assigned to physical training (PT, n=71) or PT plus cognitive-behavioural training (PT+CBT, n=76).Maximal aerobic capacity, muscle strength and physical activity were assessed at baseline and post-intervention. Analyses using multilevel linear mixed-effects models showed that cancer survivors' physical fitness increased significantly in PT and PT+CBT from baseline to post-intervention. Changes did not differ between PT and PT+CBT. Physical fitness of cancersurvivors was improved following an intensive physical training programme. Adding a structured cognitive-behavioural intervention did not enhance the effect.
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