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Football Fitness After Breast Cancer (FFABC)

30 september 2021 uppdaterad av: Jacob Uth, University of Copenhagen

A Randomized Controlled Trial to Investigate the Health Promoting Effects of a Football Fitness Intervention for Women After Treatment for Breast Cancer

Late effects of breast cancer treatment are widely reported including deteriorating fitness, fatigue, loss of muscle and bone mass, and increased body fat percentage. Exercise interventions may ameliorate a number of these effects including fatigue, fitness and improve quality of life. However only limited knowledge exists on the potential of novel interventions and settings, such as sports outside the hospital setting, to improve late effects of breast cancer treatment. The 'Football Fitness After Breast Cancer' (FF ABC) study is a randomized trial comparing the effects of a football training intervention with standard treatment approaches on fitness, bone mineralization, body composition, muscle strength, blood pressure, and patient-reported outcomes in women treated for breast cancer.

Studieöversikt

Status

Avslutad

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

69

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Copenhagen, Danmark, 2100
        • University Hospital of Copenhagen, Rigshospitalet

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Kvinna

Beskrivning

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).

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Stödjande vård
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: 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

Inget ingripande: Control group
Participants in the control group will receive verbal advice about the benefits of exercise and physical activity.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Mean change in fitness level (maximal oxygen uptake) from baseline to month 6 and month 12.
Tidsram: 6 months and 12 months.
Incremental test to exhaustion on a cycle ergometer.
6 months and 12 months.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Mean change in whole-body fat mass from baseline to month 6 and month 12.
Tidsram: 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.
Tidsram: 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.
Tidsram: 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.
Tidsram: 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.
Tidsram: 6 month and 12 month.
Single-leg flamingo balance test.
6 month and 12 month.
Mean change in blood pressure from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Blood pressure will be measured with a digital sphygmomanometer.
6 month and 12 month.
Mean change in markers of bone mineral metabolism from baseline to month 6 and month 12.
Tidsram: 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.
6 month and 12 month.
Mean change in cholesterol from baseline to month 6 and month 12.
Tidsram: 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).
6 month and 12 month.
Self-reported physical activity from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Assessed by the International Physical Activity Questionnaire (IPAQ).
6 month and 12 month.
Self-reported diagnosis-specific symptoms and side-effects from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Assessed by the supplement EORTC QLQ-BR23.
6 month and 12 month.
Self-reported health-related quality of life outcomes from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Assessed by the 15 subscales of the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30).
6 month and 12 month.
Self-reported functional level in upper extremities from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Assessed by disabilities of the arm, shoulder and hand (DASH).
6 month and 12 month.
Self-reported health related quality of life from baseline to month 6 and month 12.
Tidsram: 6 month and 12 month.
Assessed by The Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36)
6 month and 12 month.
Mean change in bone mineral density (BMD) of the spine (L2-L4), Total hip and Femoral Neck.
Tidsram: 6 month and 12 month.
Assessed by dual energy x-ray absorptiometry.
6 month and 12 month.
Mean change in total body and leg bone mineral content (BMC).
Tidsram: 6 month and 12 month.
Assessed by dual energy x-ray absorptiometry.
6 month and 12 month.

Samarbetspartners och utredare

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Publikationer och användbara länkar

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

20 mars 2017

Primärt slutförande (Faktisk)

30 november 2019

Avslutad studie (Faktisk)

20 januari 2020

Studieregistreringsdatum

Först inskickad

13 september 2017

Först inskickad som uppfyllde QC-kriterierna

13 september 2017

Första postat (Faktisk)

15 september 2017

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

1 oktober 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 september 2021

Senast verifierad

1 september 2021

Mer information

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