Football Fitness After Breast Cancer (FFABC)
A Randomized Controlled Trial to Investigate the Health Promoting Effects of a Football Fitness Intervention for Women After Treatment for Breast Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Copenhagen, Denmark, 2100
- University Hospital of Copenhagen, Rigshospitalet
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women surgically managed for breast cancer, local and regional advanced breast cancer.
- Completion of adjuvant chemotherapy and radiation therapy.
- Legally competent persons with ability to read and understand Danish.
- Signed informed consent.
- Performance level 0-1 (WHO).
Exclusion Criteria:
- WHO performance level > 1.
- Osteoporosis (T-score < -2.5).
- Known metastatic breast cancer (stage IV).
- Women in DBCG-group I (age => 60 years, tumor =< 10 mm, invasive ductal carcinoma grade I, invasive lobular carcinoma grade I / II, estrogen receptor positive and HER2 normal).
- Cardiovascular or pulmonary disorders (e.g., arrhythmias, ischemic heart disease, unregulated high blood pressure, chronic obstructive lung disease).
- Ongoing anticoagulant therapy (vitamin K antagonists; Marevan, Marcoumar and low molecular weight heparins; Innohep, Clexane, Fragmin) for pulmonary embolism or deep venous thrombosis (DVT) due to increased bleeding risk of falls and clashes with other players during exercise.
- Current or scheduled chemotherapy and radiation therapy in the intervention period (12 months).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Football fitness
Participants in the intervention group will practice soccer for 52 weeks two times weekly. A soccer instructor will be in charge of all training sessions. The training will consist of 30 min of warm-up exercises (running, dribbling, passing, shooting, balance and muscle strength exercises), followed by 2 x 15 minutes of 4-7 a-side games. Training will take place on a natural grass pitch. In adverse weather conditions (i.e., < 5°C or heavy rain) training will be performed indoors. Participants will be told to avoid hard tackles and other actions that carry a risk of injury. |
The training will consist of 30 min of warm-up exercises (running, dribbling, passing, shooting, balance and muscle strength exercises), followed by 2 x 15 minutes of 4-7 a-side games. Training will take place on a natural grass pitch. In adverse weather conditions (i.e., < 5°C or heavy rain) training will be performed indoors |
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No Intervention: Control group
Participants in the control group will receive verbal advice about the benefits of exercise and physical activity.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean change in fitness level (maximal oxygen uptake) from baseline to month 6 and month 12.
Time Frame: 6 months and 12 months.
|
Incremental test to exhaustion on a cycle ergometer.
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6 months and 12 months.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean change in whole-body fat mass from baseline to month 6 and month 12.
Time Frame: 6 months and 12 months.
|
Assessed by dual energy x-ray absorptiometry.
|
6 months and 12 months.
|
|
Mean change in whole-body weight from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Body weight was measured with a digital platform scale.
|
6 month and 12 month.
|
|
Mean change in whole-body muscle mass from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Assessed by dual energy x-ray absorptiometry.
|
6 month and 12 month.
|
|
Mean change in muscle strength from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Dynamic concentric muscle strength for the knee extensors (1RM).
|
6 month and 12 month.
|
|
Mean change in balance from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Single-leg flamingo balance test.
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6 month and 12 month.
|
|
Mean change in blood pressure from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
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Blood pressure will be measured with a digital sphygmomanometer.
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6 month and 12 month.
|
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Mean change in markers of bone mineral metabolism from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Procollagen type I C propeptide, osteocalcin and C-terminal telopeptide will be analyzed by a chemiluminescence method using a fully automated immunoassay system (iSYS, Immunodiagnostic Systems Ltd., Boldon, England.
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6 month and 12 month.
|
|
Mean change in cholesterol from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Blood samples will be analyzed at baseline, 6 and 12 month for total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, and glycosylated hemoglobin, respectively, by automated analyzers (Cobas Fara, Roche, Neuilly sur Seine, France) using enzymatic kits (Roche Diagnostics, Mannheim, Germany, and Tosoh G7, Tosoh Europe, Tessenderlo, Belgium).
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6 month and 12 month.
|
|
Self-reported physical activity from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
|
Assessed by the International Physical Activity Questionnaire (IPAQ).
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6 month and 12 month.
|
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Self-reported diagnosis-specific symptoms and side-effects from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
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Assessed by the supplement EORTC QLQ-BR23.
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6 month and 12 month.
|
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Self-reported health-related quality of life outcomes from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
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Assessed by the 15 subscales of the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30).
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6 month and 12 month.
|
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Self-reported functional level in upper extremities from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
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Assessed by disabilities of the arm, shoulder and hand (DASH).
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6 month and 12 month.
|
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Self-reported health related quality of life from baseline to month 6 and month 12.
Time Frame: 6 month and 12 month.
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Assessed by The Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36)
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6 month and 12 month.
|
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Mean change in bone mineral density (BMD) of the spine (L2-L4), Total hip and Femoral Neck.
Time Frame: 6 month and 12 month.
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Assessed by dual energy x-ray absorptiometry.
|
6 month and 12 month.
|
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Mean change in total body and leg bone mineral content (BMC).
Time Frame: 6 month and 12 month.
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Assessed by dual energy x-ray absorptiometry.
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6 month and 12 month.
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Bloomquist K, Krustrup P, Fristrup B, Sorensen V, Helge JW, Helge EW, Soelberg Vadstrup E, Rorth M, Hayes SC, Uth J. Effects of football fitness training on lymphedema and upper-extremity function in women after treatment for breast cancer: a randomized trial. Acta Oncol. 2021 Mar;60(3):392-400. doi: 10.1080/0284186X.2020.1868570. Epub 2021 Jan 11.
- Uth J, Fristrup B, Sorensen V, Helge EW, Christensen MK, Kjaergaard JB, Moller TK, Mohr M, Helge JW, Jorgensen NR, Rorth M, Vadstrup ES, Krustrup P. Exercise intensity and cardiovascular health outcomes after 12 months of football fitness training in women treated for stage I-III breast cancer: Results from the football fitness After Breast Cancer (ABC) randomized controlled trial. Prog Cardiovasc Dis. 2020 Nov-Dec;63(6):792-799. doi: 10.1016/j.pcad.2020.08.002. Epub 2020 Aug 12.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FFABC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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