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. 2012 Aug 15;2012(8):CD008465. doi: 10.1002/14651858.CD008465.pub2

Campbell 2005.

Study characteristics
Methods Study design: RCT
Number randomized: 22; 12 to the exercise group and 10 to the control group
Study start and stop dates: not reported
Length of intervention: 12 weeks
Length of follow‐up: to end of the intervention
Participants Type cancer: breast cancer
Time since cancer diagnosis: not reported
Time in active treatment: not reported
Inclusion criteria:
  • had surgery

  • undergoing adjuvant therapy


Eligibility criteria related to interest or ability, or both, to exercise:
  • already exercising vigorously 3 times per week for 20 minutes or more


Exclusion criteria:
  • uncontrolled cardiac or hypertensive disease

  • respiratory disease

  • cognitive dysfunction


Gender: female
Current age, mean (SD) years:
  • exercise group: 48 (10) years

  • control group: 47 (5) years


Age at cancer diagnosis: not reported
Ethnicity/race: not reported
Education level: not reported
SES, Carstairs Deprivation Index:
  • exercise group: 3.0

  • control group: 3.8


Employment status: not reported
Comorbidities: not reported
Past exercise history, mean minutes of physical activity per week (SD):
  • exercise group: 330 (71) minutes

  • control group: 421 (191) minutes


On hormone therapy: not reported
Interventions 12 participants assigned to the exercise intervention, including:
  • supervised exercise program consisting of:

    • warm‐up

    • 10 to 20 minutes' exercise including walking, cycling, low‐level aerobics, muscle‐strengthening exercises, circuits, etc.

    • cool down

    • relaxation period

  • discussion targeting different motivational factors, 6 different themes discussed twice during the 12‐week intervention


Type exercise (aerobic/anaerobic): aerobic
Intensity of the experimental exercise intervention: moderate, 60% to 75% age‐adjusted HR maximum
Frequency: twice per week
Duration of individual sessions: not reported
Duration of exercise program: 12 weeks
Total number of exercise sessions: 24 sessions
Format: group
Facility: facility
Professionally led: unclear
Adherence: 10 of 12 women completed that 12‐week intervention. Participants completed an average of 70% of the total number of sessions
10 participants assigned to control group, including:
  • usual care


Contamination of control group: not reported
Outcomes Primary outcome:
  • change in HRQoL between baseline and 12 weeks, as assessed by FACT‐G


Other HRQoL outcomes included:
  • fatigue, assessed using the PFS

  • HRQoL, assessed using FACT‐B

  • functional well‐being, assessed using the FACT‐B subscale

  • PWB, assessed using the FACT‐B subscale

  • breast cancer concerns, assessed using the FACT‐B subscale

  • satisfaction, assessed using the SWLS


Other outcomes included:
  • 12‐MWT

  • perceived expectation of treatment, assessed using the Perceived Expectations and Benefits of Total Care


Outcomes were measured at baseline and 12 weeks:
  • exercise group: n = 12 at baseline, n = 10 at 12 weeks

  • control group: n = 10 at baseline, n = 9 at 12 weeks


Subgroup analysis: none reported
Adverse events: none reported
Notes Country: UK/Scotland
Funding: Greater Glasgow NHS Trust
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The generation of the random sequence was not described
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 conceal allocation to the intervention from the participants
Blinding of outcome assessment (detection bias)
All outcomes High risk Allocation to the intervention was not concealed from the study personnel
Incomplete outcome data (attrition bias)
All outcomes High risk Analyses were not conducted on an ITT basis and the treatment of missing data was not described
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