- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06940310
Different Resistance Training Intensity Prescription and Monitoring Methodologies: Effects on Strength, Body Composition, and Well-being in Survivors of Breast Cancer
Effects of Different Methods of Prescription and Monitoring of Resistance Training Intensity on Muscle Strength, Body Composition, and Psychological Well-being in Survivors of Breast Cancer
Study Overview
Status
Conditions
Detailed Description
Breast cancer survival rates have significantly increased in recent years, highlighting the importance of effective interventions to address the long-term consequences of cancer and its treatments. Breast cancer survivors often experience muscle weakness, changes in body composition, fatigue, and psychological distress, which can negatively impact their quality of life. Resistance training has been widely recognized as a safe and effective strategy to counteract these effects, improving muscle strength, body composition, and psychological well-being.
Despite its benefits, the optimal method for prescribing and monitoring resistance training intensity in breast cancer survivors remains unclear. Traditional methods based on one-repetition maximum (1RM) testing may not fully account for individual variations in fatigue and performance. Alternative approaches, such as load-velocity relationships, allow for more precise and real-time adjustments to training intensity, potentially optimizing outcomes.
This randomized controlled trial aims to compare the effects of three different methods of resistance training intensity prescription and monitoring on muscle strength, body composition, quality of life, fatigue, anxiety, and depression in breast cancer survivors. The findings will contribute to developing evidence-based exercise guidelines, enhancing rehabilitation strategies and overall well-being in this population.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Almeria
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Almería, Almeria, Spain, 04120
- University of Almeria
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- To be >18 years old.
- To have a breast cancer diagnosis.
- To have finished chemotherapy, radiotherapy and/or surgery up to 10 years prior to the beginning of the study.
Exclusion Criteria:
- To present metastatic breast cancer.
- To have a planned surgery for breast reconstruction within three months after the start of the study.
- To present any absolute contraindication for exercising.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Daily load-velocity-based training intensity adjustment
At the beginning of the training session, the one-repetition maximum (1RM) will be estimated based on the individual's load-velocity relationship, using the general velocity associated with the 1RM for the exercises included in the session.
Additionally, during the training sessions, intensity will be monitored, and load will be adjusted in real time by movement velocity.
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At the beginning of the training session, the one-repetition maximum (1RM) will be estimated based on the individual's load-velocity relationship, using the general velocity associated with the 1RM for the exercises included in the session.
Additionally, during the training sessions, intensity will be monitored, and load will be adjusted in real time by movement velocity.
|
|
Experimental: Training intensity prescription based on an initial 1RM estimation using load-velocity relationship.
In the first training session, the one-repetition maximum (1RM) will be estimated based on the individual's load-velocity relationship, using the general velocity associated with the 1RM for the exercises included in the session.
This 1RM will be used to prescribe exercise intensity throughout the intervention.
|
In the first training session, the one-repetition maximum (1RM) will be estimated based on the individual's load-velocity relationship, using the general velocity associated with the 1RM for the exercises included in the session.
This 1RM will be used to prescribe exercise intensity throughout the intervention.
|
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Experimental: Traditional training with intensity prescription based on 1RM testing.
The traditional training group will follow a training program using the traditionally employed methodology for assessing and prescribing training intensity in breast cancer survivors.
This methodology is based on an initial 1RM estimation conducted through a 1RM test, which will be used to prescribe the training load throughout the intervention.
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The traditional training group will follow a training program using the traditionally employed methodology for assessing and prescribing training intensity in breast cancer survivors.
This methodology is based on an initial 1RM estimation conducted through a 1RM test, which will be used to prescribe the training load throughout the intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Muscular strength
Time Frame: Change from baseline to week 8
|
The main variable of the present study will be muscle strength, assessed by determining peak isometric strength in the bench press and squat exercises using force platforms.
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Change from baseline to week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Handgrip strength
Time Frame: Change from baseline to week 8
|
Handgrip strength will be determined using a digital dynamometer (Model T.K.K.540; Takei Scientific Instruments Co, Ltd).
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Change from baseline to week 8
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Muscle function (5STS)
Time Frame: Change from baseline to week 8
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Muscle function will be assessed using the 30-second sit-to-stand test.
Additionally, the five-repetition sit-to-stand (5STS) test will be performed on force platforms, and the peak force of all repetitions will be recorded.
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Change from baseline to week 8
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|
Height (scale)
Time Frame: Baseline
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Height will be determined using a scale (cm)
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Baseline
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Body weight (InBody 770)
Time Frame: Change from baseline to week 8
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Body wieght (kg) will be determined using bioelectrical impedance analysis (InBody 770; InBody Co Ltd, Seoul, Korea).
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Change from baseline to week 8
|
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Total fat mass (InBody 770)
Time Frame: Change from baseline to week 8
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Total fat mass (kg) will be determined using bioelectrical impedance analysis (InBody 770; InBody Co Ltd, Seoul, Korea).
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Change from baseline to week 8
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Fat percentage (InBody 770)
Time Frame: Change from baseline to week 8
|
body fat percentage (%) will be determined using bioelectrical impedance analysis (InBody 770; InBody Co Ltd, Seoul, Korea).
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Change from baseline to week 8
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Fat-free mass (InBody)
Time Frame: Change from baseline to week 8
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Fat-free mass (kg) will be determined using bioelectrical impedance analysis (InBody 770; InBody Co Ltd, Seoul, Korea).
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Change from baseline to week 8
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Visceral fat mass level (InBody)
Time Frame: Change from baseline to week 8
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Visceral fat mass level (U) will be determined using bioelectrical impedance analysis (InBody 770; InBody Co Ltd, Seoul, Korea).
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Change from baseline to week 8
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Health-related quality of life (FACT-B)
Time Frame: Change from baseline to week 8
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Quality of life will be assessed using the Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire.
The global score ranges from 0 to 148 where higher scores indicate better quality of life.
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Change from baseline to week 8
|
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Cancer-related fatigue (FACIT-F)
Time Frame: Change from baseline to week 8
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Fatigue will be assessed using the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) questionnaire.
The score ranges from 0 to 52, where higher scores indicate lower levels of fatigue.
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Change from baseline to week 8
|
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Anxiety and depression (HADS)
Time Frame: Change from baseline to week 8
|
Anxiety and depression will be determined using the Hospital Anxiety and Depression Scale (HADS).
Scores range from 0 to 21 for both HADS-A (Anxiety) and HADS-D (Depression) subscales, where higher scores indicate more severe symptoms of anxiety or depression.
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Change from baseline to week 8
|
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Patient global impression of change
Time Frame: Week 8
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Patient global impression of change after the intervention will be evaluated at the end of the trial using a single Likert-type question.
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Week 8
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of perceived exertion (RPE)
Time Frame: Through intervention completion, during 8 weeks. From day 1 to day 24.
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The rate of perceived exertion during the whole training session will be assessed at the end of each of the 24 intervention session using the modified Borg Scale (0-10) where higher scores mean higher perceived exertion.
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Through intervention completion, during 8 weeks. From day 1 to day 24.
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Mood (Feeling Scale)
Time Frame: Through intervention completion, during 8 weeks. From day 1 to day 24.
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The mood perceived by the participants at the end of the session will be measured at the end of each of the 24 intervention session using the Feeling Scale.
The scale ranges from -5 to 5, where higher scores indicate positive affect toward physical activity.
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Through intervention completion, during 8 weeks. From day 1 to day 24.
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Perceived fatigue (VAS-F)
Time Frame: Through intervention completion, during 8 weeks. From day 1 to day 24.
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The fatigue perceived by the participants at the end of the session will be assessed at the end of each of the 24 intervention session using a visual analog scale for fatigue (VAS-F).
The scale ranges from 0 to 10, where higher scores indicate greater fatigue.
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Through intervention completion, during 8 weeks. From day 1 to day 24.
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Alberto Soriano-Maldonado, Universidad de Almeria
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EFICAN/04/2025
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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