Physical activity and fitness in women with metastatic breast cancer

Jasmine Yee, Glen M Davis, Jane M Beith, Nicholas Wilcken, David Currow, Jon Emery, Jane Phillips, Andrew Martin, Rina Hui, Michelle Harrison, Eva Segelov, Sharon Kilbreath

    Research output: Contribution to journalArticlepeer-review

    52 Citations (Scopus)


    Purpose: This study aimed to explore differences in physical activity and fitness between women with metastatic breast cancer compared to healthy controls and factors associated with their physical activity levels.

    Methods: Seventy-one women with metastatic breast cancer, aged (mean (SD)) 57.7 (9.5) and 2.9 (3.1) years after the onset of metastatic disease, and 71 healthy controls aged 55.0 (9.4) years participated. Of those with metastatic disease, 27 % had bone-only metastases, 35 % visceral-only metastases and 38 % bone and visceral metastases. Patient-reported outcomes and physical measures of muscle strength and aerobic fitness assessments were obtained. Participants wore a SenseWear® physical activity monitor over 7 days, and the average steps/day and the time spent in moderate-to-vigorous intensity physical activity were determined.

    Results: Women with metastases were significantly (i) less aerobically fit than the control group (25.3 (5.4) vs. 31.9 (6.1) mL • kg−1 • min−1; P < 0.001); (ii) weaker (e.g. lower limb strength for the metastatic and control groups was 53.5 (23.7) vs. 76.0 (27.4) kg, respectively; P < 0.001); (iii) less active, with the metastatic group attaining only 56 % of the mean daily step counts of the healthy women; and (iv) more symptomatic, reporting higher levels of fatigue and dyspnoea (P < 0.001).

    Conclusion: Women living in the community with metastatic breast cancer possessed lower aerobic fitness, reduced muscular strength and less daily physical activity compared to healthy counterparts. They also experienced poorer functioning and higher symptom burden.

    Implications for Cancer Survivors: Women living with metastatic breast cancer may benefit from a physical activity programme to address their physical impairments.

    Original languageEnglish
    Pages (from-to)647-656
    Number of pages10
    JournalJournal of Cancer Survivorship
    Issue number4
    Publication statusPublished - Dec 2014


    • Fitness
    • Metastatic breast cancer
    • Physical activity
    • Strength


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