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. 2012 Aug 15;2012(8):CD007566. doi: 10.1002/14651858.CD007566.pub2

Berglund 1994.

Study characteristics
Methods Study design: RCT
Number randomized: 199; 98 to the exercise group and 101 to the control group
Study start and stop dates: not reported
Length of intervention: 7 weeks
Length of follow‐up: 1 year after end of the intervention
Participants Type cancer: 80% breast cancer, 7‐8% ovarian cancer, remaining were other types
Time since cancer diagnosis: not reported
Time beyond active treatment: not reported
 Inclusion criteria:
  • < 75 years old

  • curative treatment for a primary tumor

  • within 2 months after postoperative treatment with radiation therapy or chemotherapy


Eligibility criterion related to interest or ability to exercise, or both:
  • none


Exclusion criteria:
  •  none


Gender: not reported
Current age: not reported
Age at cancer diagnosis: not reported
Ethnicity/race: not reported
Education level: not reported
SES: not reported
Employment status: not reported
Comorbidities: not reported
Past exercise history: not reported
On hormone therapy: not reported
Interventions 98 participants assigned to the exercise intervention, including:
  • physical training, information, and coping skills training. The physical training component included exercises to increase mobility, muscle strength, general fitness, and relaxation in the form of progressive muscle relaxation or deep relaxation with positive images. Patients were given instructions for progressive relaxation at home


Type exercise (aerobic/anaerobic): aerobic
Intensity of experimental exercise intervention: not reported
Frequency: twice per week during the first 4 weeks (once for physical training and once for information), then once per week for coping skills training
Duration of individual sessions: not reported
Duration of exercise program: 7 weeks
Total number of exercise sessions: 11
Format: group
Facility: facility
Professionally led: professionally led by an oncology nurse
101 participants assigned to control group, including:
  • information and coping skill training


Adherence: the mean absenteeism among participants was 1 session, representing a variation of the number of participants per session between 3 and 7 (mean 4.9).
Contamination of control group: not reported
Outcomes No primary outcome identified.  HRQoL outcomes included:
  • fatigue ‐ measured as part of a nonspecified larger scale

  • body image ‐ measured as part of a nonspecified larger scale

  • pain ‐ measured as part of a nonspecified larger scale

  • global health ‐ measured as part of a nonspecified larger scale

  • anxiety ‐ measured using the shortened HADS

  • depression ‐ measured using the shortened HADS

  • problems with QoL ‐ not specified how this was measured

  • MAC scale


Physical outcomes included:
  • physical strength

  • physical training

  • tiredness

  • body image

  • pain

  • global health


Outcomes were measured at baseline; end of the intervention; and 3 months, 6 months, and 12 months:
  • exercise group: n = 98 at baseline, n = 90 at end of the intervention, n = 90 at 3 months, n = 88 at 6 months, n = 87 at 12 months

  • control group: n = 101 at baseline, n = 98 at end of the intervention, n = 93 at 3 months, n = 91 at 6 months, n = 89 at 12 months


Subgroup analysis: not reported
Adverse events: no cancer recurrences or adverse events reported
Notes Country: Sweden
Funding: Swedish Cancer Foundation
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Used Efron's method of randomization of small samples (Hjelm‐Karlsson 1991)
Allocation concealment (selection bias) Unclear risk Whether the treatment assignment was concealed from study personnel and participants was not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Owing to the nature of the intervention, it was not possible to blind the participants; however, it is unclear whether the outcome was influenced by a lack of masking
Blinding of outcome assessment (detection bias)
All outcomes High risk Study personnel and outcome assessors were not masked or blinded to the study interventions
Incomplete outcome data (attrition bias)
All outcomes High risk There was no ITT analysis, it is unclear how missing values were handled, there were large losses to follow‐up
Selective reporting (reporting bias) Low risk There appears to be no selective reporting of outcomes
Other bias Low risk The trial appears to be free of other problems that could put it at a high risk of bias