Combined aerobic and resistance training improves bone health of female cancer survivors

Abstract

IntroductionCancer pathogenesis and resulting treatment may lead to bone loss and poor skeletal health in survivorship. The purpose of this investigation was to evaluate the influence of 26weeks of combined aerobic and resistance-training (CART) exercise on bone mineral density (BMD) in a multi-racial sample of female cancer survivors. MethodsTwenty-six female cancer survivors volunteered to undergo CART for 1h/day, 3days/week, for 26weeks. The Improving Physical Activity After Cancer Treatment (IMPAACT) Program involves supervised group exercise sessions including 20min of cardiorespiratory training, 25min of circuit-style resistance-training, and 15min of abdominal exercises and stretching. BMD at the spine, hip, and whole body was assessed using dual-energy X-ray absorptiometry (DXA) before and after the intervention. Serum markers of bone metabolism (procollagen-type I N-terminal propeptide, P1NP, and C-terminal telopeptides, CTX) were measured at baseline, 13weeks, and at study completion. ResultsEighteen participants, with the average age of 63.0±10.3years, completed the program. Mean duration since completion of cancer treatment was 6.2±10.6years. Paired t-tests revealed significant improvements in BMD of the spine (0.971±0.218g/cm2 vs. 0.995±0.218g/cm2, p=0.012), hip (0.860±0.184g/cm2 vs. 0.875±0.191g/cm2, p=0.048), and whole body (1.002±0.153g/cm2 vs. 1.022±0.159g/cm2, p=0.002). P1NP declined 22% at 13weeks and 28% at 26weeks in comparison to baseline (p<0.01) while CTX showed a non-significant decrease of 8% and 18% respectively. ConclusionsWe report significant improvements in BMD at the spine, hip, and whole body for female cancer survivors who completed 26weeks of CART. This investigation demonstrates the possible effectiveness of CART at improving bone health and reducing risk of osteoporosis for women who have completed cancer treatment. The IMPAACT Program appears to be a safe and feasible way for women to improve health after cancer treatment.