Comparative efficacy of aerobic exercise and pilates exercise on depression, flexibility, functional capacity and quality of life in breast cancer survivors


Year:

Session type:

Theme:

Happiness Aweto1
1University of Lagos

Abstract

Background

Breast cancer and treatment results in adverse side effects such as a decrease in functional capacity and overall quality of life. Exercises (aerobic, resistance, Pilates, Tai ChiChuan) have positive effects on the quality of life, cardio-respiratory fitness, physical functioning, fatigue and many other parameters in breast cancer survivors. However little is known about the comparative efficacy of aerobic and pilates exercises on depression, flexibility, functional capacity and quality of life in breast cancer survivors hence the reason for this study.

Method

A total of 37 breast cancer patients were recruited for this study from the Oncology and Radiotherapy Outpatient Clinic of, Lagos University Teaching Hospital, Idi- Araba (LUTH) but 27 of them completed the study. They were assigned to two different groups (A and B) after excluding two. Group A included 17 participants that received Aerobic exercise. Group B included 18 participants that received Pilates exercises. Participants underwent this protocol three times a week for eight consecutive weeks. They were assessed for depression, flexibility, functional capacity and quality of life using Beck depression inventory, sit and reach test, six minutes walk test,  EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires. Data was analysed using statistical package for social sciences (SPSS version 22).

Results

Although the individual exercise types brought about significant improvements in selected parameters, comparative analysis of the results of the two exercise groups showed that aerobic exercise brought about better improvement in depression (p=0.024) and functional capacity (p=0.002) while pilates brought about better improvement in flexibility (p=0.012) and some symptoms scales [pain (p=0.008), constipation (p=0.038), arm symptoms (p=0.032)] in the quality of life of participants.

Conclusion

Aerobic exercise brought about better improvement in depression and functional capacity while pilates brought about better improvement in flexibility and some symptoms scales in the quality of life of participants.