The effect of oncologists' exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer: A randomized controlled trial Journal Article


Authors: Park, J. H.; Lee, J.; Oh, M.; Park, H.; Chae, J.; Kim, D. I.; Lee, M. K.; Yoon, Y. J.; Lee, C. W.; Park, S.; Jones, L. W.; Kim, N. K.; Kim, S. I.; Jeon, J. Y.
Article Title: The effect of oncologists' exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer: A randomized controlled trial
Abstract: BACKGROUND The purpose of the current study was to examine the effect of an oncologist's exercise recommendation with and without an exercise motivation package on the amount of exercise participation and quality of life (QOL) in survivors of breast and colorectal cancer. METHODS A total of 162 survivors of early-stage breast and colorectal cancer who completed primary and adjuvant treatments were recruited for the current study. Participants were randomly assigned into 1 of 3 groups: 1) control (59 patients); 2) those receiving an oncologist's exercise recommendation (53 patients); and 3) those receiving an oncologist's exercise recommendation with an exercise motivation package (50 patients). At baseline and after 4 weeks, the level of exercise participation and QOL were assessed. RESULTS Of the 162 participants, 130 (80.2%) completed the trial. Intention-to-treat analysis indicated that participants who received an oncologist's exercise recommendation with an exercise motivation package significantly increased their level of exercise participation in terms of minutes (47.57 added minutes per week; 95% confidence interval, 9.62-85.52 minutes [P =.022] vs control) and in Metabolic Equivalent of Task (MET)-hours per week (4.14 additional MET-hours per week; 95% confidence interval, 1.70-6.58 MET-hours [P =.004] vs control) compared with the control group. Participants who received only their oncologist's exercise recommendation did not increase their exercise participation level. Further analysis demonstrated that role functioning was significantly improved among participants who received an oncologist's exercise recommendation with an exercise motivation package. CONCLUSIONS Providing an exercise motivation package in addition to the oncologist's exercise recommendation to increase the level of exercise among survivors of breast and colorectal cancer should be considered. Cancer 2015;121:2740-2748. © 2015 American Cancer Society An oncologist's exercise recommendation may not be enough to increase exercise participation among cancer survivors. Providing an exercise motivation package in addition to the oncologist's exercise recommendation to increase the level of exercise among survivors of breast and colorectal cancer should be considered. © 2015 American Cancer Society.
Keywords: adult; controlled study; major clinical study; treatment duration; cancer staging; outcome assessment; colorectal cancer; quality of life; breast cancer; randomized controlled trial; exercise; patient education; motivation; cancer survivor; self report; patient participation; early cancer; physical activity; kinesiotherapy; audiovisual equipment; single blind procedure; oncologist; muscle training; metabolic equivalent; intention to treat analysis; cancer; human; male; female; priority journal; article; pedometer; exercise information package; exercise recommendations; exercise intensity
Journal Title: Cancer
Volume: 121
Issue: 16
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2015-08-15
Start Page: 2740
End Page: 2748
Language: English
DOI: 10.1002/cncr.29400
PROVIDER: scopus
PUBMED: 25965782
PMCID: PMC5025035
DOI/URL:
Notes: Export Date: 2 September 2015 -- Source: Scopus
Altmetric Score
MSK Authors
  1. Lee Winston Jones
    97 Jones