ORIGINAL PAPER
Effect of hatha yoga intervention on cardiovascular system in women after breast cancer surgery
 
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1
Department of Physical Rehabilitation, Khortytsia National Academy, Zaporizhzhya, Ukraine
 
2
Department of Theory of Sport and Physical Culture, Lviv State University of Physical Culture, Lviv, Ukraine
 
3
Department of Gymnastics and Martial Arts, South Ukrainian National Pedagogical University named after K.D. Ushynsky, Odessa, Ukraine
 
4
Department of Theory and Methods of Physical Culture and Sports Disciplines, South Ukrainian National Pedagogical University named after K.D. Ushynsky, Odessa, Ukraine
 
5
National Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”, Kyiv, Ukraine
 
6
Department of Physical Education and Sport, Ukrainian State University of Railway Transport, Kharkiv, Ukraine
 
 
Submission date: 2020-03-17
 
 
Acceptance date: 2020-05-15
 
 
Publication date: 2021-07-25
 
 
Physiother Quart. 2021;29(3):13-18
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The aim of this study was to investigate and compare the effects of 2 different exercise regimens on cardiovascular fitness in women with breast cancer.

Methods:
A total of 110 women consented to take part in the study but only 102 met the inclusion criteria and were involved (8 patients did not meet the research criteria and were excluded); 95 women completed the interventions and were included in the final analysis. The patients’ mean age was 57.53 ± 1.92 years for group A and 58.00 ± 1.27 years for group B. The participants were randomly assigned to 2 groups. Group A (n = 48) received hatha yoga intervention and group B (n = 47) received Pilates intervention for 3 months. Impedance cardiography was used to measure pre- and post-intervention functional capacity of the cardiovascular system.

Results:
Post-intervention impact was observed for both intervention approaches, but better improvement was noted in the group of hatha yoga than that of Pilates. The actual values of stroke volume and left ventricular power were significantly higher in group A compared with group B by 6.05 ml/beat (p < 0.05) and 0.19 W (p < 0.05), respectively; the relative values were correspondingly better by 6.22% (p < 0.05) and 10.71% (p < 0.05).

Conclusions:
Hatha yoga and Pilates interventions are both effective in improving cardiovascular function, but hatha yoga turns out more beneficial.

REFERENCES (38)
1.
Jones LW, Courneya KS, Mackey JR, Muss HB, Pitus­kin EN, Scott JM, et al. Cardiopulmonary function and age-related decline across the breast cancer survivorship continuum. J Clin Oncol. 2012;30(20):2530–2537; doi: 10.1200/JCO.2011.39.9014.
 
2.
Valachis A, Nilsson C. Cardiac risk in the treatment of breast cancer: assessment and management. Breast Cancer. 2015;7:21–35; doi: 10.2147/BCTT.S47227.
 
3.
Hooning MJ, Botma A, Aleman BM, Baaijens MHA, Bartelink H, Klijn JGM, et al. Long-term risk of cardiovascular disease in 10-year survivors of breast cancer. J Natl Cancer Inst. 2007;99(5):365–375; doi: 10.1093/jnci/djk064.
 
4.
Xie Y, Collins WJ, Audeh MW, Shiao SL, Gottlieb RA, Goodman MT, et al. Breast cancer survivorship and cardiovascular disease: emerging approaches in cardio-oncology. Curr Treat Options Cardiovasc Med. 2015;17(12):60; doi: 10.1007/s11936-015-0421-y.
 
5.
Culos-Reed SN, Carlson LE, Daroux LM, Hately-Aldous S. A pilot study of yoga for breast cancer survivors: physical and psychological benefits. Psychooncology. 2006;15(10):891–897; doi: 10.1002/pon.1021.
 
6.
Dangi AA, Aurangabadkar SK, Deo MV. Effect of a structured yoga program on fatigue, depression, cardiorespiratory fitness, and quality of life in a postmenopausal breast cancer survivor. Int J Yoga. 2018;11(3):255–257; doi: 10.4103/ijoy.IJOY_61_17.
 
7.
Keays KS, Harris SR, Lucyshyn JM, MacIntyre DL. Effects of Pilates exercises on shoulder range of motion, pain, mood, and upper-extremity function in women living with breast cancer: a pilot study. Phys Ther. 2008;88(4):494–510; doi: 10.2522/ptj.20070099.
 
8.
Olsson Möller U, Beck I, Rydén L, Malmström M. A com­prehensive approach to rehabilitation interventions following breast cancer treatment – a systematic review of systematic reviews. BMC Cancer. 2019;19(1):472; doi: 10.1186/s12885-019-5648-7.
 
9.
Peppone LJ, Janelsins MC, Kamen C, Mohile SG, Sprod LK, Gewandter JS, et al. The effect of YOCAS©® yoga for musculoskeletal symptoms among breast cancer survivors on hormonal therapy. Breast Cancer Res Treat. 2015;150(3):597–604; doi: 10.1007/s10549-015-3351-1.
 
10.
Kim C-J, Kang D-H, Park J-W. A meta-analysis of aerobic exercise interventions for women with breast cancer. West J Nurs Res. 2009;31(4):437–461; doi: 10.1177/0193945908328473.
 
11.
Aweto HA, Akinbo SRA, Olawale OA. Effects of combined aerobic and stretching exercises on the cardiopulmonary parameters of premenopausal and postmenopausal breast cancer survivors. Nig Q J Hosp Med. 2015;25(3):177–183.
 
12.
Odynets T, Briskin Y, Pityn M. Effect of individualized physical rehabilitation programs on respiratory function in women with post-mastectomy syndrome. Physiother Theory Pract. 2019;35(5):419–426; doi: 10.1080/09593985.2018.1444117.
 
13.
Odynets T, Briskin Y. Effect of individualised physical rehabilitation programmes on the functional state of the cardiovascular system in women with post-mastectomy syndrome. Int J Ther Rehabil. 2019;26(2):1–10; doi: 10.12968.ijtr.2018.0003.
 
14.
Cueva JF, Antolín S, Calvo L, Fernández I, Ramos M, de Paz L, et al. Galician consensus on management of cardiotoxicity in breast cancer: risk factors, prevention, and early intervention. Clin Transl Oncol. 2017;19(9):1067–1078; doi: 10.1007/s12094-017-1648-8.
 
15.
Chandwani KD, Perkins G, Nagendra HR, Raghuram NV, Spelman A, Nagarathna R, et al. Randomized, controlled trial of yoga in women with breast cancer undergoing radiotherapy. J Clin Oncol. 2014;32(10):1058–1065; doi: 10.1200/JCO.2012.48.2752.
 
16.
Guo Y, Koshy S, Hui D, Palmer JL, Shin K, Bozkurt M, et al. Prognostic value of heart rate variability in patients with cancer. J Clin Neurophysiol. 2015;32(6):516–520; doi: 10.1097/WNP.0000000000000210.
 
17.
Harder H, Parlour L, Jenkins V. Randomised controlled trials of yoga interventions for women with breast cancer: a systematic literature review. Support Care Cancer. 2012;20(12):3055–3064; doi: 10.1007/s00520-012-1611-8.
 
18.
Kiecolt-Glaser JK, Bennett JM, Andridge R, Peng J, Sha­piro CL, Malarkey WB, et al. Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors: a randomized controlled trial. J Clin Oncol. 2014;32(10):1040–1049; doi: 10.1200/JCO.2013.51.8860.
 
19.
Buffart LM, van Uffelen JGZ, Riphagen II, Brug J, van Mechelen W, Brown WJ, et al. Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer. 2012;12(1):559; doi: 10.1186/1471-2407-12-559.
 
20.
Carson JW, Carson KM, Olsen MK, Sanders L, Porter LS. Mindful Yoga for women with metastatic breast cancer: design of a randomized controlled trial. BMC Complement Altern Med. 2017;17(1):153; doi: 10.1186/s12906-017-1672-9.
 
21.
Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, et. al. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol. 2007;25(28):4396–4404.
 
22.
Dolan LB, Gelmon K, Courneya KS, Mackey JR, Segal RJ, Lane K, et al. Hemoglobin and aerobic fitness changes with supervised exercise training in breast cancer patients receiving chemotherapy. Cancer Epidemiol Biomarkers Prev. 2010;19(11):2826–2832; doi: 10.1158/1055-9965.EPI-10-0521.
 
23.
Fairman CM, Focht BC, Lucas AR, Lustberg MB. Effects of exercise interventions during different treatments in breast cancer. J Community Support Oncol. 2016;14(5):200–209; doi: 10.12788/jcso.0225.
 
24.
Odynets T, Briskin Y, Zakharina I, Yefremova A. Influence of a water physical rehabilitation program on the hemodynamic parameters in breast cancer survivors. Physiother Quart. 2019;27(2):6–10; doi: 10.5114/pq.2019.84267.
 
25.
Hughes DC, Darby N, Gonzalez K, Boggess T, Morris RM, Ramirez AG. Effect of a six month yoga exercise intervention on fitness outcomes for breast cancer survivors. Physiother Theory Pract. 2015;31(7):451–460; doi: 10.3109/09593985.2015.1037409.
 
26.
Travier N, Velthuis MJ, Steins Bisschop CN, van den Buijs B, Monninkhof EM, Backx F, et al. Effects of an 18-week exercise programme started early during breast cancer treatment: a randomised controlled trial. BMC Med. 2015;13:121; doi: 10.1186/s12916-015-0362-z.
 
27.
Danhauer SC, Addington EL, Cohen L, Sohl SJ, Van Puymbroeck M, Albinati NK, et al. Yoga for symptom management in oncology: a review of the evidence base and future directions for research. Cancer. 2019;125(12):1979–1989; doi: 10.1002/cncr.31979.
 
28.
Loudon A, Barnett T, Williams A. Yoga, breast cancer-related lymphoedema and well-being: a descriptive report of women’s participation in a clinical trial. J Clin Nurs. 2017;26(23–24):4685–4695; doi: 10.1111/jocn.13819.
 
29.
Sadja J, Mills PJ. Effects of yoga interventions on fatigue in cancer patients and survivors: a systematic review of randomized controlled trials. Explore. 2013;9(4):232–243; doi: 10.1016/j.explore.2013.04.005.
 
30.
Odynets T, Briskin Y, Todorova V, Tyshchenko V, Bondarenko O. Effect of yoga in the modulation of heart rate variability in patients with breast cancer. Adv Rehabil. 2019;33(4):5–11; doi: 10.5114/areh.2019.89821.
 
31.
Gaurav V. Effects of hatha yoga training on the health-related physical fitness. Int J Sports Sci Eng. 2011;5(3):169–173.
 
32.
Nivethitha L, Mooventhan A, Manjunath NK. Effects of various prāāyāma on cardiovascular and autonomic variables. Anc Sci Life. 2016;36(2):72–77; doi: 10.4103/asl.ASL_178_16.
 
33.
Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of hatha yoga practice on the health-related aspects of physical fitness. Prev Cardiol. 2001;4(4):165–170; doi: 10.1111/j.1520-037x.2001.00542.x.
 
34.
Dolan LB, Barry D, Petrella T, Davey L, Minnes A, Yantzi A, et al. The cardiac rehabilitation model improves fitness, quality of life, and depression in breast cancer survivors. J Cardiopulm Rehabil Prev. 2018;38(4):246–252; doi: 10.1097/HCR.0000000000000256.
 
35.
Dias Reis A, Silva Garcia JB, Rodrigues Diniz R, Silva-Filho AC, Dias CJ, Leite RD, et al. Effect of exercise training and detraining in autonomic modulation and cardiorespiratory fitness in breast cancer survivors. J Sports Med Phys Fitness. 2017;57(7–8):1062–1068; doi: 10.23736/S0022-4707.17.07012-8.
 
36.
Kulik-Parobczy I. Evaluation of the effectiveness of physiotherapy in patients after oncological breast cancer treatment based on spirometric indicators. Contemp Oncol. 2019;23(1):47–51; doi: 10.5114/wo.2019.82929.
 
37.
Okumatsu K, Tsujimoto T, Wakaba K, Seki A, Kotake R, Yamauchi T, et al. Effects of a combined exercise plus diet program on cardiorespiratory fitness of breast cancer patients. Breast Cancer. 2019;26(1):65–71; doi: 10.1007/s12282-018-0889-x.
 
38.
Odynets T, Briskin Y, Zakharina I, Yefremova A. Impact of a 12-week water program on the respiratory function in breast cancer survivors. Adv Rehabil. 2019;33(2):5–11; doi: 10.5114/areh.2019.85018.
 
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