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Bender CM, Sereika SM, Gentry AL, Cuglewski C, Duquette J, Grove G, Cummings M, Cho MG, Brufsky AM, McAuliffe P, Budway RJ, Diego EJ, Evans S, Rosenzweig MQ, Marsland AL, Conley YP, Erickson K. Effects of aerobic exercise on neurocognitive function in postmenopausal women receiving endocrine therapy for breast cancer: The Exercise Program in Cancer and Cognition randomized controlled trial. Psychooncology 2024; 33:e6298. [PMID: 38911475 PMCID: PMC11189639 DOI: 10.1002/pon.6298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/14/2024] [Indexed: 06/25/2024]
Abstract
Objective The Exercise Program in Cancer and Cognition (EPICC) Study was a randomized controlled trial (RCT) designed to determine whether six months of moderate-intensity aerobic exercise improves neurocognitive function in women with breast cancer (BC) receiving endocrine therapy (ET). Methods Postmenopausal women with hormone receptor+, early-stage BC, within two years post-primary therapy were randomized to the exercise intervention (six months, ≥150 minutes of moderate-intensity aerobic exercise/week) or usual care control condition. Outcomes were assessed at pre-randomization and after intervention completion. Groups were compared using linear mixed-effects modeling. Results Participants (N=153) wereX ¯ = 62.09 ± 8.27 years old, with stage I BC (64.1%) and a median of 4.7 months post-diagnosis. We found a group-by-time interaction (p=0.041) and a trend for the main effect of time (p=0.11) for processing speed with improved performance in the exercise group and no change in the controls. Similar main effects of time were observed for learning and memory (p=0.024) and working memory (p=0.01). Better intervention adherence was associated with improved processing speed (p=0.017). Conclusions Six months of moderate-intensity aerobic exercise improves processing speed in postmenopausal women with BC receiving ET who initiate exercise within two years of completing primary therapy (surgery +/- chemotherapy). This is the first large-scale study to examine the effects of aerobic exercise on neurocognitive function in women with BC. Additional research is needed to address the long-term effects of aerobic exercise on cognitive function.
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Affiliation(s)
| | - Susan M Sereika
- University of Pittsburgh School of Nursing and Graduate School of Public Health
| | | | | | | | - George Grove
- University of Pittsburgh Dietrich School of Arts and Sciences
| | | | | | | | | | | | | | | | | | - Anna L Marsland
- University of Pittsburgh Dietrich School of Arts and Sciences
| | | | - Kirk Erickson
- AdventHealth Research Institute, Neuroscience, Orlando, FL, University of Pittsburgh Dietrich School of Arts and Sciences
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Fastner G, Zehentmayr F. [Impact of physical activity before, during, and after chemotherapy on cognitive functions in patients with breast cancer: results of a prospective US study]. Strahlenther Onkol 2022; 198:670-673. [PMID: 35420355 DOI: 10.1007/s00066-022-01934-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Gerd Fastner
- Universitätsklinik für Radiotherapie und Radioonkologie, Landeskrankenhaus Salzburg, Paracelsus Medizinische Privatuniversität, Müllner Hauptstraße 48, 5020, Salzburg, Österreich.
| | - F Zehentmayr
- Universitätsklinik für Radiotherapie und Radioonkologie, Landeskrankenhaus Salzburg, Paracelsus Medizinische Privatuniversität, Müllner Hauptstraße 48, 5020, Salzburg, Österreich
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Salerno EA, Culakova E, Heckler CE, Janelsins MC. Reply to S. Ning et al. J Clin Oncol 2022; 40:916-918. [PMID: 35061514 DOI: 10.1200/jco.21.02600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Elizabeth A Salerno
- Elizabeth A. Salerno, PhD, MPH, Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine in St Louis, St Louis, MO; and Eva Culakova, PhD, Charles E. Heckler, PhD, and Michelle C. Janelsins, PhD, MPH, Department of Surgery, University of Rochester Medical Center, Rochester, NY, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
| | - Eva Culakova
- Elizabeth A. Salerno, PhD, MPH, Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine in St Louis, St Louis, MO; and Eva Culakova, PhD, Charles E. Heckler, PhD, and Michelle C. Janelsins, PhD, MPH, Department of Surgery, University of Rochester Medical Center, Rochester, NY, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
| | - Charles E Heckler
- Elizabeth A. Salerno, PhD, MPH, Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine in St Louis, St Louis, MO; and Eva Culakova, PhD, Charles E. Heckler, PhD, and Michelle C. Janelsins, PhD, MPH, Department of Surgery, University of Rochester Medical Center, Rochester, NY, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
| | - Michelle C Janelsins
- Elizabeth A. Salerno, PhD, MPH, Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine in St Louis, St Louis, MO; and Eva Culakova, PhD, Charles E. Heckler, PhD, and Michelle C. Janelsins, PhD, MPH, Department of Surgery, University of Rochester Medical Center, Rochester, NY, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
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