- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07583719
Effects of Moderate-intensity Interval Aerobic Exercise (MIIAE) on Inflammatory, Immune, Metabolic, Physical Fitness, and Quality of Life Parameters in Breast Cancer Patients Undergoing Radiotherapy.
Breast cancer and its treatment with radiotherapy may be associated with systemic inflammatory, hematological, cardiac, body composition, functional and quality-of-life alterations. Exercise has emerged as a non-pharmacological strategy with potential benefits during oncological treatment; however, further evidence is needed regarding the effects of supervised moderate-intensity interval aerobic exercise during radiotherapy.
This randomized controlled trial aims to evaluate the effects of a supervised moderate-intensity interval aerobic exercise programme on systemic inflammatory and immune-derived hematological indices, cardiac biomarkers, body composition, muscle strength, lower-limb power, sleep quality and breast cancer-specific quality of life in women with breast cancer undergoing radiotherapy.
Participants will be allocated to either an experimental group performing supervised moderate-intensity interval aerobic exercise during radiotherapy or to a control group receiving usual care without structured exercise during the study period. Outcomes will be assessed at baseline and after completion of the intervention period.
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: África Ruiz
- 전화번호: +34 913 24 80 64
- 이메일: africa.ruiz@ufv.es
참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Women aged between 20 and 65 years.
- Clinical diagnosis of breast cancer (Stage I-III).
- Patients who have undergone lumpectomy or mastectomy.
- Scheduled to start radiotherapy treatment.
- Sedentary lifestyle according to international physical activity guidelines.
- Ability to understand and follow instructions.
- Ability to provide written informed consent.
Exclusion Criteria:
- Presence of infectious disease.
- Cardiovascular or respiratory disease.
- Metastatic disease.
- Uncontrolled diabetes mellitus.
- Neuropathy.
- Physically active individuals meeting WHO physical activity recommendations.
- Participation in an exercise intervention program within the last 3 months.
- Any condition that, in the opinion of the research team, may compromise safety or participation.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Moderate-Intensity Interval Aerobic Exercise
Participants perform a supervised moderate-intensity interval aerobic exercise programme during the radiotherapy treatment period.
Training is conducted 3 days per week, on alternate days, under the supervision of a physiotherapist experienced in therapeutic exercise in oncology.
Exercise intensity is prescribed individually according to baseline physiological testing, including lactate response, perceived exertion and clinical tolerance.
Participants continue receiving standard oncological care during radiotherapy.
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Structured and supervised aerobic exercise intervention based on moderate-intensity interval training.
The programme includes repeated aerobic exercise bouts interspersed with recovery periods.
Exercise intensity is individually prescribed and adjusted according to baseline physiological assessment, including blood lactate response, perceived exertion and clinical tolerance.
The intervention is delivered during the radiotherapy treatment period as an adjunct to standard oncological care.
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간섭 없음: Usual Care During Radiotherapy
Participants allocated to the control group receive standard oncological care during the radiotherapy treatment period and do not participate in a structured exercise programme during the study period.
Participants are instructed to maintain their usual lifestyle throughout radiotherapy.
After completion of the study, participants in the control group are offered the same supervised moderate-intensity interval aerobic exercise programme delivered to the experimental group.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Systemic Immune-Inflammation Index (SII)
기간: Baseline (pre-intervention) and immediately after intervention
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Systemic Immune-Inflammation Index (SII) will be calculated from peripheral blood parameters obtained through standard hematological analysis using an automated analyzer.
The index will be computed using the formula: platelet count × neutrophil count / lymphocyte count.
Blood samples will be collected under standardized conditions after an overnight fast, with participants instructed to avoid vasoactive medication, caffeine, alcohol and tobacco prior to sampling.
Post-intervention samples will be obtained at least 48 hours after the last exercise session to ensure assessment of chronic rather than acute responses.
This composite index will be used to quantify changes in systemic inflammatory and immune status associated with the intervention.
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Baseline (pre-intervention) and immediately after intervention
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Neutrophil-to-Lymphocyte Ratio (NLR)
기간: Baseline (pre-intervention) and immediately after intervention
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Neutrophil-to-Lymphocyte Ratio (NLR) will be calculated from absolute neutrophil and lymphocyte counts obtained through peripheral blood analysis using an automated hematology analyzer.
This index will be used as a marker of systemic inflammatory balance.
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Baseline (pre-intervention) and immediately after intervention
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Platelet Count
기간: Baseline (pre-intervention) and immediately after intervention
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Platelet count will be obtained from peripheral blood samples using standard hematological procedures and automated analysis, and will be used as a parameter of systemic inflammatory and hematological status.
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Baseline (pre-intervention) and immediately after intervention
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Neutrophil Count
기간: Baseline (pre-intervention) and immediately after intervention
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Absolute neutrophil count will be obtained from peripheral blood analysis using an automated hematology analyzer and will be used to assess innate immune response.
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Baseline (pre-intervention) and immediately after intervention
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Lymphocyte Count
기간: Baseline (pre-intervention) and immediately after intervention
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Absolute lymphocyte count will be obtained from peripheral blood analysis using an automated hematology analyzer and will be used to assess adaptive immune status.
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Baseline (pre-intervention) and immediately after intervention
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NT-proBNP
기간: Baseline (pre-intervention) and immediately after intervention
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N-terminal pro-B-type natriuretic peptide (NT-proBNP) will be quantified in venous blood samples (pg/ml) using standardized laboratory assays according to manufacturer instructions, as a biomarker of cardiac stress and subclinical cardiac involvement.
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Baseline (pre-intervention) and immediately after intervention
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High-Sensitivity Troponin I
기간: Baseline (pre-intervention) and immediately after intervention
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High-sensitivity troponin I (hs-TnI) will be measured in venous blood samples (ng/L) using validated high-sensitivity assays according to manufacturer protocols, as a biomarker of myocardial injury.
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Baseline (pre-intervention) and immediately after intervention
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Body Weight
기간: Baseline (pre-intervention) and immediately after intervention
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Body weight will be measured in kilograms using calibrated scales under standardized conditions, with participants in light clothing and barefoot.
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Baseline (pre-intervention) and immediately after intervention
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Phase angle
기간: Baseline (pre-intervention) and immediately after intervention
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Phase angle will be assessed using multifrequency octopolar bioelectrical impedance analysis (BIA) under standardized conditions, including fasting state and controlled hydration status, as an indicator of cellular integrity and body cell mass.
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Baseline (pre-intervention) and immediately after intervention
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Fat Mass
기간: Baseline (pre-intervention) and immediately after intervention
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Fat mass will be assessed using bioelectrical impedance analysis (BIA) following standardized pre-measurement conditions, including fasting and abstinence from exercise, caffeine and alcohol.
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Baseline (pre-intervention) and immediately after intervention
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Muscle Mass
기간: Baseline (pre-intervention) and immediately after intervention
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Muscle mass will be assessed using bioelectrical impedance analysis (BIA) under standardized conditions to evaluate skeletal muscle status.
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Baseline (pre-intervention) and immediately after intervention
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Percentage Body Fat
기간: Baseline (pre-intervention) and immediately after intervention
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Percentage body fat will be determined using bioelectrical impedance analysis (BIA).
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Baseline (pre-intervention) and immediately after intervention
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Visceral fat area
기간: Baseline (pre-intervention) and immediately after intervention
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Visceral fat area (VFA) will be estimated using bioelectrical impedance analysis as an indicator of central adiposity and cardiometabolic risk.
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Baseline (pre-intervention) and immediately after intervention
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Relative Lower-Limb Power: Handgrip Strength
기간: Baseline (pre-intervention) and immediately after intervention
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Right and left handgrip strength will be measured (kg) using a calibrated handheld dynamometer.
Participants will perform three maximal voluntary contractions per hand following standardized procedures, with adequate rest between attempts.
The highest reproducible value for each hand will be recorded.
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Baseline (pre-intervention) and immediately after intervention
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Relative Lower-Limb Power (Chair Stand Test)
기간: Baseline (pre-intervention) and immediately after intervention
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Relative lower-limb power will be assessed using the 30-second Chair Stand Test.
Participants will perform as many full stands as possible from a standardized chair (≈43-45 cm height) within 30 seconds, with arms crossed over the chest.
The number of repetitions will be recorded.
A relative lower-limb power index will be derived from repetitions and body mass, expressed in W/kg equivalent units, providing an estimate of lower-limb functional performance normalized by body mass.
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Baseline (pre-intervention) and immediately after intervention
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Breast Cancer-Specific Functional Quality of Life
기간: Baseline (pre-intervention) and immediately after intervention
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Functional quality of life will be assessed using the functional scales of the EORTC QLQ-C30 and QLQ-BR45 questionnaires.
Scores will be linearly transformed to a 0-100 scale, where higher scores indicate better functional status.
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Baseline (pre-intervention) and immediately after intervention
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Breast Cancer-Specific Symptom Burden
기간: Baseline (pre-intervention) and immediately after intervention
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Symptom burden will be assessed using the symptom scales of the EORTC QLQ-C30 and QLQ-BR45 questionnaires.
Scores will be transformed to a 0-100 scale, where higher scores indicate greater symptom severity.
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Baseline (pre-intervention) and immediately after intervention
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Sleep Quality (PSQI)
기간: Baseline (pre-intervention) and immediately after intervention
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Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI).
The global score will be used for analysis, where higher scores indicate poorer sleep quality.
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Baseline (pre-intervention) and immediately after intervention
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- EIMICM1
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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