PHYSICAL ACTIVITY IN WOMEN AFTER BREAST CANCER TREATMENT: AN ASSESSMENT STUDY
Abstract
Background: Breast cancer remains the most commonly diagnosed malignancy among women in Poland. Effective postoperative rehabilitation, including physical activity, plays a crucial role in restoring functional capacity, reducing complications, and improving overall quality of life.
Aim: To evaluate the level of physical activity in women after surgical breast cancer treatment, considering type of surgery, presence of lymphedema, psychological factors, and changes compared with pre-treatment activity
Methods: A cross-sectional survey was conducted among 58 women treated surgically for unilateral breast cancer. Data were collected using an author-designed questionnaire and the International Physical Activity Questionnaire (IPAQ).
Results: Most participants were older than 55 years, retired, and had undergone radical mastectomy. Lymphedema occurred in approximately one-quarter of the women. Across all subgroups, physical activity declined after treatment, regardless of surgery type or presence of lymphedema. Most women perceived physical activity as beneficial for recovery, but a significant proportion lacked clear guidance.
Conclusions: Physical activity levels decrease following breast cancer treatment, yet women recognize its value. Systematic patient education and structured rehabilitation programs should be integral to oncologic care.
References
Friedenreich, C. M., Neilson, H. K., & Lynch, B. M. (2010). State of the epidemiological evidence on physical activity and cancer prevention. European Journal of Cancer, 46(14), 2593–2604. https://doi.org/10.1016/j.ejca.2010.07.028
McTiernan, A. (2008). Mechanisms linking physical activity with cancer. Nature Reviews Cancer, 8(3), 205–211. https://doi.org/10.1038/nrc2325
Wu, Y., Zhang, D., & Kang, S. (2013). Physical activity and risk of breast cancer: A meta-analysis. Breast Cancer Research and Treatment, 137(3), 869–882. https://doi.org/10.1007/s10549-012-2396-7
McNeely, M. L., et al. (2006). Effects of exercise on breast cancer patients. CMAJ, 175(1), 34–41. https://doi.org/10.1503/cmaj.051073
Battaglini, C. L., et al. (2007). The effects of exercise on cancer patients. Sports Medicine, 37(6), 497–515. https://doi.org/10.2165/00007256-200737060-00004
Schmitz, K. H., et al. (2010). ACSM roundtable on exercise guidelines for cancer survivors. Medicine & Science in Sports & Exercise, 42(7), 1409–1426. https://doi.org/10.1249/MSS.0b013e3181e0c112
Cormier, J. N., et al. (2010). Lymphedema beyond breast cancer. Annals of Surgical Oncology, 17(8), 2246–2261. https://doi.org/10.1245/s10434-010-1135-3
Kwan, M. L., et al. (2010). Lymphedema and quality of life among breast cancer survivors. Journal of Cancer Survivorship, 4(4), 341–348. https://doi.org/10.1007/s11764-010-0138-2
Shamley, D., et al. (2005). Shoulder morbidity after breast cancer treatment. Journal of Clinical Oncology, 23(30), 7138–7147. https://doi.org/10.1200/JCO.2005.11.517
Montazeri, A. (2008). Quality of life in breast cancer patients: An overview of the literature. Journal of Experimental & Clinical Cancer Research, 27, 32. https://doi.org/10.1186/1756-9966-27-32
Ganz, P. A., et al. (2004). Quality of life in breast cancer survivors: A review of the literature. Cancer, 104(Suppl. 11), 2575–2584. https://doi.org/10.1002/cncr.21488
Irwin, M. L., et al. (2004). Physical activity levels among breast cancer survivors. Medicine & Science in Sports & Exercise, 36(9), 1484–1491. https://doi.org/10.1249/01.MSS.0000139898.27816.8D
Courneya, K. S., et al. (2003). Exercise and quality of life in cancer survivors: A randomized controlled trial. Journal of Clinical Oncology, 21(9), 1660–1668. https://doi.org/10.1200/JCO.2003.04.093
Mutrie, N., et al. (2007). Benefits of supervised group exercise programme for women being treated for early stage breast cancer. BMJ, 334, 517. https://doi.org/10.1136/bmj.39094.648553.AE
Rock, C. L., et al. (2012). Nutrition and physical activity guidelines for cancer survivors. CA: A Cancer Journal for Clinicians, 62(4), 242–274. https://doi.org/10.3322/caac.21142
Campbell, K. L., et al. (2019). Exercise guidelines for cancer survivors. Medicine & Science in Sports & Exercise, 51(11), 2375–2390. https://doi.org/10.1249/MSS.0000000000002116
Bray, F., et al. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492
Ferlay, J., et al. (2015). Cancer incidence and mortality worldwide: GLOBOCAN 2012. International Journal of Cancer, 136(5), E359–E386. https://doi.org/10.1002/ijc.29210
Pinto, B. M., & Trunzo, J. J. (2005). Health behaviors during and after a cancer diagnosis. Cancer, 104(Suppl. 11), 2614–2623. https://doi.org/10.1002/cncr.21248
Speck, R. M., Courneya, K. S., Mâsse, L. C., Duval, S., & Schmitz, K. H. (2010). An update of controlled physical activity trials in cancer survivors: A systematic review and meta-analysis. Journal of Cancer Survivorship, 4(2), 87–100. https://doi.org/10.1007/s11764-009-0110-5
Boing, L., Vieira, F. G. K., Moratelli, J., et al. (2020). Physical activity and breast cancer survivorship: A systematic review and meta-analysis of observational studies. The Breast, 50, 135–144. https://doi.org/10.1016/j.breast.2020.01.008
Carayol, M., Bernard, P., Boiché, J., et al. (2015). Psychological effect of exercise in breast cancer survivors: A systematic review and meta-analysis. Psycho-Oncology, 24(4), 339–346. https://doi.org/10.1002/pon.3603
Hayes, S. C., Spence, R. R., Galvão, D. A., & Newton, R. U. (2009). Optimising cancer outcomes through physical activity: An evidence-based position statement. Journal of Science and Medicine in Sport, 12(4), 428–434. https://doi.org/10.1016/j.jsams.2009.03.002
Early Breast Cancer Trialists’ Collaborative Group (EBCTCG). (2014). Effect of radiotherapy after mastectomy and axillary surgery on recurrence and breast cancer mortality: A meta-analysis of individual patient data. The Lancet, 383(9935), 2127–2135. https://doi.org/10.1016/S0140-6736(14)60488-8
Jagsi, R. (2013). Postmastectomy radiation therapy: An overview for the practicing surgeon. ISRN Surgery, 2013, 212979. https://doi.org/10.1155/2013/212979
Recht, A., Edge, S. B., Solin, L. J., Robinson, D., et al. (2016). Postmastectomy radiation therapy: American Society of Clinical Oncology/ASTRO clinical practice guideline update. Journal of Clinical Oncology. https://doi.org/10.1200/JCO.2016.69.1188
Views:
71
Downloads:
0
Copyright (c) 2026 Dariusz Nędza, Anastasiia Holoborodko, Ewa Wieczorkiewicz, Eliza Garbacz, Agnieszka Pocheć, Bartosz Lautenbach, Patrycja Stępińska, Klaudia Wojciech, Anhelina Loputs, Wiktoria Błaszczyk

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles.
CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.

