Evidence map›Paper›PMID 41879915›Full record

SynthesisSports medicine (Auckland, N.Z.)2026

Which Exercise Prescriptions Improve Physical Fitness in Patients with Breast Cancer Before, During, and Following Treatment? A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Vinicius S S Cassaroti, Maurício R Lopes, Guilherme H D Palma, Paola S Cella, Loriane R L C Godinho, Tatiana G Azevedo, Jonathan H C Nunes, Mayra B S Borges, Rafael Deminice

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vinicius S S CassarotiDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Maurício R LopesDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Guilherme H D PalmaDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Paola S CellaDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Loriane R L C GodinhoDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Tatiana G AzevedoDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Jonathan H C NunesDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Mayra B S BorgesDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil.
Rafael DeminiceDepartment of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Rodovia Celso Garcia Cid, Pr 445 km 380, Campus Universitário, Londrina, PR, 86057-970, Brazil. rdeminice@uel.br.ORCID 0000-0002-9246-1079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise is now recognized as an essential component of the cancer care continuum. However, the optimal exercise prescriptions to improve physical fitness in breast cancer remain under debate.

objectivesIn a systematic review and meta-analysis of randomized controlled trials (RCTs), we investigated how exercise affects muscular strength, fat-free mass, functional exercise capacity (FEC) and cardiorespiratory fitness during pretreatment, active treatment, and post-treatment for breast cancer. We also investigated how exercise mode, frequency, intensity, supervision, and duration of intervention affect breast cancer survivors' physical fitness.

methodsWe searched four electronic databases to identify RCTs examining exercise's effects on muscular strength, fat-free mass, functional exercise capacity, FEC, and cardiorespiratory fitness in women with breast cancer. We calculated pooled effects (SMD) using the software Comprehensive Meta-Analysis. Subgroup analyses were conducted based on phases of cancer care and exercise mode, frequency, intensity, supervision, and duration of intervention.

resultsAcross 68 randomized controlled trials (N = 4,158), exercise significantly increased muscular strength (Hedges' g = 0.66, 95% CI 0.46-0.85), FEC (Hedges' g = 1.04, 95% CI 0.56-1.52), cardiorespiratory fitness (Hedges' g = 0.96, 95% CI 0.45-1.47), and fat-free mass (Hedges' g = 0.12, 95% CI 0.03-0.20). However, these effects varied according to the phase of cancer care and exercise prescription characteristics, including modality, frequency, supervision, intensity, and duration. During active treatment, combined exercise significantly improved muscular strength, FEC, and cardiorespiratory fitness, but not fat-free mass. In contrast, post-treatment exercise significantly enhanced muscular strength, fat-free mass, and FEC, with no significant effect on cardiorespiratory fitness. Data for evaluating exercise's pretreatment effects were insufficient. The greatest improvements across outcomes were observed with supervised combined aerobic-resistance exercise programs performed at least three times per week for a minimum of 12 weeks.

conclusionsAlthough exercise improves breast cancer survivors' physical fitness, its effects differ depending on its mode, frequency, intensity, supervision, and total duration in addition to the phase of cancer care.

Indexed as

Breast NeoplasmsExercise TherapyPhysical FitnessCancer SurvivorsCardiorespiratory FitnessExercise ToleranceFemaleHumansMuscle StrengthRandomized Controlled Trials as Topic

Identifiers

PMID41879915
PMCPMC13198464

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.