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The effect of long-term gymnastic exercises on body composition changes in women after mastectomy
Socha M, Pilch U, Sobiech KA, Wozniewski M
Isokinetics and Exercise Science 2014;22(2):107-113
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This study describes the effects of regular 4-year-long rehabilitation exercises based on a 45 min exercise session 3 times/w, on changes in body composition of 23 postmenopausal women (experimental group -- E) following mastectomy. Anthropometric measurements and body composition (BIA method) were compared between the E women and a control (C) group of non-exercising women (n = 20) who underwent the same surgical procedure. Following four years of regular exercise, significant increase in body cell mass (BCM) (kg, %) and intracellular water (ICW) (1) was observed (p < 0.05), whereas the content of extracellular water (ECW) (%) and extracellular mass (ECM) (kg) decreased (p < 0.05). Body mass, body mass index (BMI) and fat mass (FM) (kg, %), did not change significantly. Central fat deposition measured by waist-to-hip ratio (WHR) and the waist circumference increased (p < 0.05), whereas hip circumference did not change. Compared to the C group the E group had a lower BCM, BMI, FM (kg, %), ECW (l, %) and ECM (kg) (p < 0.05), and a higher total body water (TBW) (%), fat-free mass (FFM) (%) and BCM (%) content (p < 0.05). Hence, regular exercise may have a positive effect on the abovementioned factors which are considered among breast cancer risk factors after mastectomy.

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