Weight lifting in women with breast-cancer-related lymphedema.

@article{Schmitz2009WeightLI,
  title={Weight lifting in women with breast-cancer-related lymphedema.},
  author={Katherine H Schmitz and Rehana L. Ahmed and Andrea B. Troxel and Andrea L. Cheville and Rebecca Smith and Lorita Lewis-Grant and Cathy J. Bryan and Catherine T Williams-Smith and Quincy P Greene},
  journal={The New England journal of medicine},
  year={2009},
  volume={361 7},
  pages={
          664-73
        }
}
BACKGROUND Weight lifting has generally been proscribed for women with breast-cancer-related lymphedema, preventing them from obtaining the well-established health benefits of weight lifting, including increases in bone density. METHODS We performed a randomized, controlled trial of twice-weekly progressive weight lifting involving 141 breast-cancer survivors with stable lymphedema of the arm. The primary outcome was the change in arm and hand swelling at 1 year, as measured through displaced… 

Figures and Tables from this paper

Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.
TLDR
In breast cancer survivors at risk for lymphedema, a program of slowly progressive weight lifting compared with no exercise did not result in increased incidence of lympherema.
Is Weight Lifting Effective in Reducing Lymphedema in Breast Cancer Survivors
TLDR
The studies in this review provide inconclusive evidence in determining whether weight lifting is effective in reducing lymphedema in breast cancer survivors.
Changes in arm tissue composition with slowly progressive weight-lifting among women with breast cancer-related lymphedema
TLDR
Investigating the combined effects of exercise and weight loss on arm tissue composition and BCRL symptoms may provide additional insight into the benefits of lifestyle modification on lymphedema biology.
A Randomized Trial on the Effect of Exercise Mode on Breast Cancer-Related Lymphedema.
TLDR
Participating in resistance- or aerobic-based exercise did not change lymphedema status but led to clinically relevant improvements in function and quality of life, with findings suggesting that neither mode is superior with respect to lyMPhedema effect.
Effects of yoga on arm volume among women with breast cancer related lymphedema: A pilot study.
Influence of body mass index on the frequency of lymphedema and other complications after surgery for breast cancer
TLDR
BMI ≥25kg/m2 prior to treatment for breast cancer can be considered a risk factor for developing lymphedema in the two years after surgery, and there was no association between BMI and the development of other complications.
Bone loss in the affected forearm in patients with breast cancer-related lymphedema: a controlled study
TLDR
Early diagnosis and treatment of lymphedema is recommended for the protection of upper extremity disability and localized osteoporosis in patients with BCRL.
Effects of weight-lifting or resistance exercise on breast cancer-related lymphedema: A systematic review
...
...

References

SHOWING 1-10 OF 61 REFERENCES
Randomized controlled trial of weight training and lymphedema in breast cancer survivors.
TLDR
The results of this study support the hypotheses that a 6-month intervention of resistance exercise did not increase the risk for or exacerbate symptoms of lymphedema and herald the need to start reevaluating common clinical guidelines that breast cancer survivors avoid upper body resistance activity for fear of increasing risk of lyMPhedema.
Challenging the myth of exercise‐induced lymphedema following breast cancer: A series of case reports
TLDR
None of the women showed a clinically significant difference in arm circumference between the ipsilateral and contralateral extremities at Time 3, and the purpose was to challenge that belief by systematically measuring the arm circumferences of 20 women who had received axillary dissection and who were competing in the vigorous, upper body sport of Dragon Boat racing.
Lymphedema after breast cancer: incidence, risk factors, and effect on upper body function.
TLDR
Not surprisingly, lymphedema leads to reduced UBF; however, BC survivors report high prevalences of other UBS (34% to 62%), irrespective of their lyMPhedema status; and the presence of other upper-body symptoms and function.
Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study.
  • D. McKenzieA. L. Kalda
  • Medicine
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2003
TLDR
Participation in an upper-body exercise program caused no changes in arm circumference or arm volume in women with lymphedema after breast cancer, and they may have experienced an increase in quality of life.
Low intensity resistance exercise for breast cancer patients with arm lymphedema with or without compression sleeve.
TLDR
It is concluded that low intensity exercises can be performed by patients with arm lymphedema without risk of worsening the edema, and exercises without the sleeve may be of benefit provided compression sleeve is worn regularly.
Factors associated with increased breast cancer-related lymphedema volume
TLDR
Early diagnosis and management of lymphedema, weight control and advices to avoid cellulitis are the main controllable parameters in women to prevent severity of breast cancer-related lyMPhedema.
A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population.
TLDR
From this data, it appears that 10% LVC corresponds to a more conservative definition of lymphedema, whereas the 2 cm difference corresponds to an more liberal definition.
Arm edema in conservatively managed breast cancer: obesity is a major predictive factor.
To identify risk factors in the development of arm edema (AE) after conservative management of breast cancer, the authors prospectively measured differences in upper and lower arm circumference in
Breast lymphedema after breast conserving treatment
TLDR
Breast lymphedema was less common one year after BCT in patients with SNB only than in those with more extensive axillary treatment.
Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection.
TLDR
Patients who underwent sentinel lymph node biopsy in lieu of ALND for staging of breast cancer show a significantly lower rate of lymphedema than those who had axillary lymph node dissection, which has an important impact on long-term postoperative management of patients with breast cancer.
...
...