{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:46:24Z","timestamp":1788799584111,"version":"build-2803163510"},"reference-count":67,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Breast Cancer Res Treat"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To provide an updated review of the literature on physical activity (PA) intervention studies, their characteristics, and their effect size estimates for PA behavior change among early post-treatment breast cancer survivors (BCS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible studies were published between 2014\u20132025 in English, were quasi- or randomized controlled trials, studied BCS\u2009\u2264\u20095\u00a0years post-treatment, tested a PA intervention, and assessed PA behavior. We searched PubMed, APA PsycINFO, Embase, and CINAHL (latest search October 2025; CINAHL June 2020). Extracted data included study, participant, intervention, and outcome descriptors. The ROB 2 assessed risk of bias. A random effects model on post-intervention Cohen\u2019s d standardized mean differences (SMD) values meta-analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-two RCTs with a total sample size of 2,390 (mean\u2009=\u2009109, range\u2009=\u200926\u2013692) were included. All included BCS were female, were on average 57\u00a0years old, and predominantly (&gt;\u200960%) non-Hispanic White. Most study populations were mixed in terms of cancer stage and treatment type. Intervention duration ranged from 6\u2013104\u00a0weeks. All studies except one were partially or fully home-based. All behavioral counseling interventions were theory-based. The overall SMD was d\u2009=\u20090.36 (95% confidence interval: 0.22, 0.50) in favor of the intervention. Two studies had some concerns for risk of bias; all others were rated as low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present updated review found a small-to-moderate positive effect of PA interventions on PA behavior change among early post-treatment BCS. We note some shifts in the participant samples and study design since the originally published review. Practical implications for improving the reporting of future research include following established reporting guidelines to enhance reporting transparency, which would allow for more precise quantification of specific intervention effects and deeper contextual understanding of this body of work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10549-025-07892-3","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T07:24:44Z","timestamp":1768029884000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Updated systematic review and meta-analysis: taking the next step in physical activity behavioral interventions for post-treatment breast cancer survivors"],"prefix":"10.1007","volume":"215","author":[{"given":"Brianna N.","family":"Leitzelar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana R.","family":"Willis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah N.","family":"Price","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet A.","family":"Tooze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena M.","family":"VonVille","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Lintz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley M.","family":"Bluethmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,10]]},"reference":[{"key":"7892_CR1","volume-title":"From cancer patient to cancer survivor: lost in transition","author":"M Hewitt","year":"2005","unstructured":"Hewitt M, Greenfield S, Stovall E (2005) From cancer patient to cancer survivor: lost in transition. National Academies Press"},{"key":"7892_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-16366-6","volume-title":"Improving outcomes for breast cancer survivors: perspectives on research challenges and opportunities","author":"PA Ganz","year":"2015","unstructured":"Ganz PA (2015) Improving outcomes for breast cancer survivors: perspectives on research challenges and opportunities. Springer, Cham"},{"key":"7892_CR3","doi-asserted-by":"publisher","first-page":"1250","DOI":"10.1002\/pon.3857","volume":"24","author":"SM Bluethmann","year":"2015","unstructured":"Bluethmann SM, Basen-Engquist K, Vernon SW et al (2015) Grasping the \u2018teachable moment\u2019: time since diagnosis, symptom burden and health behaviors in breast, colorectal and prostate cancer survivors. Psychooncology 24:1250\u20131257","journal-title":"Psychooncology"},{"key":"7892_CR4","doi-asserted-by":"crossref","unstructured":"Sedrak MS, Freedman RA, Cohen HJ, et al (2021) Older adult participation in cancer clinical trials: a systematic review of barriers and interventions. CA: a cancer journal for clinicians 71:78\u201392","DOI":"10.3322\/caac.21638"},{"key":"7892_CR5","first-page":"685","volume":"26","author":"BK Clifford","year":"2018","unstructured":"Clifford BK, Mizrahi D, Sandler CX et al (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26:685\u2013700","journal-title":"Support Care Cancer"},{"key":"7892_CR6","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1200\/JOP.0934402","volume":"5","author":"PA Ganz","year":"2009","unstructured":"Ganz PA (2009) Quality of care and cancer survivorship: the challenge of implementing the institute of medicine recommendations. J Oncol Pract 5:101","journal-title":"J Oncol Pract"},{"key":"7892_CR7","doi-asserted-by":"crossref","unstructured":"Rock CL, Thomson CA, Sullivan KR, et al (2022) American Cancer Society nutrition and physical activity guideline for cancer survivors. CA: A Cancer Journal for Clinicians 72:230\u2013262","DOI":"10.3322\/caac.21719"},{"key":"7892_CR8","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1249\/MSS.0000000000002116","volume":"51","author":"KL Campbell","year":"2019","unstructured":"Campbell KL, Winters-Stone KM, Wiskemann J et al (2019) Exercise Guidelines for Cancer Survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc 51:2375\u20132390. https:\/\/doi.org\/10.1249\/MSS.0000000000002116","journal-title":"Med Sci Sports Exerc"},{"key":"7892_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-016-0511-3","volume":"18","author":"ED Hanson","year":"2016","unstructured":"Hanson ED, Wagoner CW, Anderson T, Battaglini CL (2016) The independent effects of strength training in cancer survivors: a systematic review. Curr Oncol Rep 18:31","journal-title":"Curr Oncol Rep"},{"key":"7892_CR10","doi-asserted-by":"publisher","first-page":"153473542091746","DOI":"10.1177\/1534735420917462","volume":"19","author":"S Morishita","year":"2020","unstructured":"Morishita S, Hamaue Y, Fukushima T et al (2020) Effect of exercise on mortality and recurrence in patients with cancer: a systematic review and meta-analysis. Integr Cancer Ther 19:153473542091746. https:\/\/doi.org\/10.1177\/1534735420917462","journal-title":"Integr Cancer Ther"},{"key":"7892_CR11","doi-asserted-by":"crossref","unstructured":"Soares Falcetta F, de Ara\u00fajo Vianna Tr\u00e4sel H, de Almeida FK, et al (2018) Effects of physical exercise after treatment of early breast cancer: systematic review and meta-analysis. Breast cancer research and treatment 170:455\u2013476","DOI":"10.1007\/s10549-018-4786-y"},{"key":"7892_CR12","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1158\/1055-9965.EPI-24-0650","volume":"33","author":"KM Wojcik","year":"2024","unstructured":"Wojcik KM, Wilson OW, Shiels MS et al (2024) Racial, ethnic, and socioeconomic disparities in meeting physical activity guidelines among female breast cancer survivors in the United States. Cancer Epidemiol Biomark Prev 33:1610\u20131622","journal-title":"Cancer Epidemiol Biomark Prev"},{"key":"7892_CR13","doi-asserted-by":"publisher","first-page":"1042","DOI":"10.1007\/s11764-023-01347-8","volume":"18","author":"K Gregory","year":"2024","unstructured":"Gregory K, Zhao L, Felder TM et al (2024) Prevalence of health behaviors among cancer survivors in the United States. J Cancer Surviv 18:1042\u20131050","journal-title":"J Cancer Surviv"},{"key":"7892_CR14","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1007\/s10549-014-3255-5","volume":"149","author":"SM Bluethmann","year":"2015","unstructured":"Bluethmann SM, Vernon SW, Gabriel KP et al (2015) Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat 149:331\u2013342. https:\/\/doi.org\/10.1007\/s10549-014-3255-5","journal-title":"Breast Cancer Res Treat"},{"key":"7892_CR15","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1051482","volume":"12","author":"S Fresno-Alba","year":"2023","unstructured":"Fresno-Alba S, Denche-Zamorano \u00c1, Pastor-Cisneros R et al (2023) Breast cancer and physical activity: a bibliometric analysis. Front Oncol 12:1051482","journal-title":"Front Oncol"},{"key":"7892_CR16","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1146\/annurev.publhealth.012809.103604","volume":"31","author":"K Glanz","year":"2010","unstructured":"Glanz K, Bishop DB (2010) The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health 31:399\u2013418","journal-title":"Annu Rev Public Health"},{"key":"7892_CR17","doi-asserted-by":"crossref","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. bmj 372:","DOI":"10.1136\/bmj.n71"},{"key":"7892_CR18","unstructured":"VonVille HM (2020) The Excel workbooks for a two person systematic review."},{"key":"7892_CR19","doi-asserted-by":"crossref","unstructured":"Hardcastle SJ, Maxwell-Smith C, Cavalheri V, et al (2023) A randomized controlled trial of Promoting Physical Activity in Regional and Remote Cancer Survivors (PPARCS). Journal of sport and health science","DOI":"10.1016\/j.jshs.2023.01.003"},{"key":"7892_CR20","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s10549-014-3216-z","volume":"149","author":"LQ Rogers","year":"2015","unstructured":"Rogers LQ, Courneya KS, Anton PM et al (2015) Effects of the BEAT cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial. Breast Cancer Res Treat 149:109\u2013119. https:\/\/doi.org\/10.1007\/s10549-014-3216-z","journal-title":"Breast Cancer Res Treat"},{"key":"7892_CR21","doi-asserted-by":"publisher","first-page":"2846","DOI":"10.1002\/cncr.32143","volume":"125","author":"BM Lynch","year":"2019","unstructured":"Lynch BM, Nguyen NH, Moore MM et al (2019) A randomized controlled trial of a wearable technology-based intervention for increasing moderate to vigorous physical activity and reducing sedentary behavior in breast cancer survivors: the ACTIVATE trial. Cancer 125:2846\u20132855. https:\/\/doi.org\/10.1002\/cncr.32143","journal-title":"Cancer"},{"issue":"2","key":"7892_CR22","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1002\/pon.4026","volume":"26","author":"SK Mama","year":"2017","unstructured":"Mama SK, Song J, Ortiz A et al (2017) Longitudinal social cognitive influences on physical activity and sedentary time in Hispanic breast cancer survivors. Psychooncology 26(2):214\u2013221. https:\/\/doi.org\/10.1002\/pon.4026","journal-title":"Psychooncology"},{"key":"7892_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1123\/jpah.2018-0618","volume":"16","author":"KE Powell","year":"2018","unstructured":"Powell KE, King AC, Buchner DM et al (2018) The scientific foundation for the physical activity guidelines for Americans. J Phys Act Health 16:1\u201311","journal-title":"J Phys Act Health"},{"key":"7892_CR24","doi-asserted-by":"crossref","unstructured":"Sterne JA, Savovi\u0107 J, Page MJ, et al (2019) RoB 2: a revised tool for assessing risk of bias in randomised trials. bmj 366:","DOI":"10.1136\/bmj.l4898"},{"key":"7892_CR25","doi-asserted-by":"crossref","unstructured":"Higgins JP, Savovi\u0107 J, Page MJ, et al (2019) Assessing risk of bias in a randomized trial. Cochrane handbook for systematic reviews of interventions 205\u2013228","DOI":"10.1002\/9781119536604.ch8"},{"key":"7892_CR26","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"1988","unstructured":"Cohen J (1988) Statistical power analysis for the behavioral sciences. Erlbaum Associates, Hillsdale"},{"key":"7892_CR27","unstructured":"Wilson DB (2017) Formulas used by the\" practical meta-analysis effect size calculator. Practical meta-analysis"},{"key":"7892_CR28","first-page":"4953","volume":"28","author":"P Sheehan","year":"2020","unstructured":"Sheehan P, Denieffe S, Murphy NM, Harrison M (2020) Exercise is more effective than health education in reducing fatigue in fatigued cancer survivors. Support Care Cancer 28:4953\u20134962","journal-title":"Support Care Cancer"},{"key":"7892_CR29","doi-asserted-by":"crossref","unstructured":"Herrero-Zapirain I, Alvarez-Pardo S, Casta\u00f1eda-Babarro A, et al (2025) Effects of a Targeted Concurrent Training Program on the Exercise Adherence in Female Breast Cancer Survivors: A Randomized Controlled Trial. MDPI, p 429","DOI":"10.3390\/healthcare13040429"},{"key":"7892_CR30","doi-asserted-by":"publisher","first-page":"881","DOI":"10.21873\/invivo.11554","volume":"33","author":"H Penttinen","year":"2019","unstructured":"Penttinen H, Utriainen M, Kellokumpu-Lehtinen PL et al (2019) Effectiveness of a 12-month exercise intervention on physical activity and quality of life of breast cancer survivors; five-year results of the BREX-study. In Vivo 33:881\u2013888. https:\/\/doi.org\/10.21873\/invivo.11554","journal-title":"In Vivo"},{"key":"7892_CR31","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1123\/jpah.2018-0667","volume":"16","author":"HJ Leach","year":"2019","unstructured":"Leach HJ, Potter KB, Hidde MC (2019) A group dynamics-based exercise intervention to improve physical activity maintenance in breast cancer survivors. J Phys Act Health 16:785\u2013791. https:\/\/doi.org\/10.1123\/jpah.2018-0667","journal-title":"J Phys Act Health"},{"key":"7892_CR32","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4278\/0890-1171-12.1.38","volume":"12","author":"JO Prochaska","year":"1997","unstructured":"Prochaska JO, Velicer WF (1997) The transtheoretical model of health behavior change. Am J Health Promot 12:38\u201348","journal-title":"Am J Health Promot"},{"key":"7892_CR33","doi-asserted-by":"publisher","first-page":"1644","DOI":"10.1016\/j.jand.2022.02.009","volume":"122","author":"CO Terranova","year":"2022","unstructured":"Terranova CO, Winkler EA, Healy GN et al (2022) Dietary and physical activity changes and adherence to WCRF\/AICR cancer prevention recommendations following a remotely delivered weight loss intervention for female breast cancer survivors: the living well after breast cancer randomized controlled trial. J Acad Nutr Diet 122:1644-1664. e7","journal-title":"J Acad Nutr Diet"},{"key":"7892_CR34","doi-asserted-by":"publisher","first-page":"2522","DOI":"10.1002\/cncr.28761","volume":"120","author":"W Demark-Wahnefried","year":"2014","unstructured":"Demark-Wahnefried W, Jones LW, Snyder DC et al (2014) Daughters and mothers against breast cancer (DAMES): main outcomes of a randomized controlled trial of weight loss in overweight mothers with breast cancer and their overweight daughters. Cancer 120:2522\u20132534. https:\/\/doi.org\/10.1002\/cncr.28761","journal-title":"Cancer"},{"key":"7892_CR35","doi-asserted-by":"publisher","first-page":"3169","DOI":"10.1200\/jco.2015.61.1095","volume":"33","author":"CL Rock","year":"2015","unstructured":"Rock CL, Flatt SW, Byers TE et al (2015) Results of the exercise and nutrition to enhance recovery and good health for you (ENERGY) trial: a behavioral weight loss intervention in overweight or obese breast cancer survivors. J Clin Oncol 33:3169\u20133176. https:\/\/doi.org\/10.1200\/jco.2015.61.1095","journal-title":"J Clin Oncol"},{"key":"7892_CR36","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1200\/jco.2014.57.1547","volume":"33","author":"ML Irwin","year":"2015","unstructured":"Irwin ML, Cartmel B, Gross CP et al (2015) Randomized exercise trial of aromatase inhibitor-induced arthralgia in breast cancer survivors. J Clin Oncol 33:1104\u20131111. https:\/\/doi.org\/10.1200\/jco.2014.57.1547","journal-title":"J Clin Oncol"},{"key":"7892_CR37","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1200\/jco.2015.61.6375","volume":"34","author":"M Harrigan","year":"2016","unstructured":"Harrigan M, Cartmel B, Loftfield E et al (2016) Randomized trial comparing telephone versus in-person weight loss counseling on body composition and circulating biomarkers in women treated for breast cancer: the lifestyle, exercise, and nutrition (LEAN) study. J Clin Oncol 34:669\u2013676. https:\/\/doi.org\/10.1200\/jco.2015.61.6375","journal-title":"J Clin Oncol"},{"key":"7892_CR38","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.cct.2015.12.005","volume":"46","author":"VB Sheppard","year":"2016","unstructured":"Sheppard VB, Hicks J, Makambi K et al (2016) The feasibility and acceptability of a diet and exercise trial in overweight and obese black breast cancer survivors: the stepping STONE study. Contemp Clin Trials 46:106\u2013113","journal-title":"Contemp Clin Trials"},{"key":"7892_CR39","doi-asserted-by":"publisher","DOI":"10.1177\/15347354231209440","volume":"22","author":"J Han","year":"2023","unstructured":"Han J, Jang MK, Lee H et al (2023) Long term effects of a social capital-based exercise adherence intervention for breast cancer survivors with moderate fatigue: a randomized controlled trial. Integr Cancer Ther 22:15347354231209440","journal-title":"Integr Cancer Ther"},{"key":"7892_CR40","doi-asserted-by":"crossref","unstructured":"Kotte M, Bolam KA, Altena R, et al (2025) Effects of live-remote exercise on quality of life and other health-related outcomes in cancer survivors: a randomised controlled trial. Journal of Cancer Survivorship 1\u201316","DOI":"10.1007\/s11764-025-01845-x"},{"key":"7892_CR41","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1249\/mss.0000000000001890","volume":"51","author":"J McNeil","year":"2019","unstructured":"McNeil J, Brenner DR, Stone CR et al (2019) Activity tracker to prescribe various exercise intensities in breast cancer survivors. Med Sci Sports Exerc 51:930\u2013940. https:\/\/doi.org\/10.1249\/mss.0000000000001890","journal-title":"Med Sci Sports Exerc"},{"key":"7892_CR42","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-024-01561-2","volume":"21","author":"AT Weemaes","year":"2024","unstructured":"Weemaes AT, Beelen M, Weijenberg MP et al (2024) Effects of remote coaching following supervised exercise oncology rehabilitation on physical activity levels, physical fitness, and patient-reported outcomes: a randomised controlled trial. Int J Behav Nutr Phys Act 21:8","journal-title":"Int J Behav Nutr Phys Act"},{"key":"7892_CR43","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1007\/s12282-020-01211-y","volume":"28","author":"LF Wang","year":"2021","unstructured":"Wang LF, Eaglehouse YL, Poppenberg JT et al (2021) Effects of a personal trainer-led exercise intervention on physical activity, physical function, and quality of life of breast cancer survivors. Breast Cancer 28:737\u2013745","journal-title":"Breast Cancer"},{"key":"7892_CR44","doi-asserted-by":"publisher","first-page":"1238","DOI":"10.1634\/theoncologist.2017-0174","volume":"22","author":"KA Nyrop","year":"2017","unstructured":"Nyrop KA, Callahan LF, Cleveland RJ et al (2017) Randomized controlled trial of a home-based walking program to reduce moderate to severe aromatase inhibitor-associated arthralgia in breast cancer survivors. Oncologist 22:1238\u20131249. https:\/\/doi.org\/10.1634\/theoncologist.2017-0174","journal-title":"Oncologist"},{"key":"7892_CR45","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15194719","volume":"15","author":"LS Puklin","year":"2023","unstructured":"Puklin LS, Harrigan M, Cartmel B et al (2023) Randomized trial evaluating a self-guided lifestyle intervention delivered via evidence-based materials versus a waitlist group on changes in body weight, diet quality, physical activity, and quality of life among breast cancer survivors. Cancers (Basel) 15:4719","journal-title":"Cancers (Basel)"},{"key":"7892_CR46","doi-asserted-by":"publisher","first-page":"1557","DOI":"10.1016\/j.ijnurstu.2014.04.012","volume":"51","author":"MK Lee","year":"2014","unstructured":"Lee MK, Yun YH, Park HA et al (2014) A web-based self-management exercise and diet intervention for breast cancer survivors: pilot randomized controlled trial. Int J Nurs Stud 51:1557\u20131567. https:\/\/doi.org\/10.1016\/j.ijnurstu.2014.04.012","journal-title":"Int J Nurs Stud"},{"key":"7892_CR47","doi-asserted-by":"crossref","unstructured":"Pinto BM, Kindred M, Dunsiger S, et al (2025) Effects of web platform delivery of a physical activity program for breast cancer survivors: a randomized controlled trial. Journal of Cancer Survivorship 1\u201312","DOI":"10.1007\/s11764-025-01811-7"},{"key":"7892_CR48","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.breast.2017.06.001","volume":"35","author":"C Desbiens","year":"2017","unstructured":"Desbiens C, Filion M, Brien MC et al (2017) Impact of physical activity in group versus individual physical activity on fatigue in patients with breast cancer: a pilot study. Breast 35:8\u201313. https:\/\/doi.org\/10.1016\/j.breast.2017.06.001","journal-title":"Breast"},{"key":"7892_CR49","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1188\/19.Onf.185-197","volume":"46","author":"HJ Leach","year":"2019","unstructured":"Leach HJ, Covington KR, Voss C et al (2019) Effect of group dynamics-based exercise versus personal training in breast cancer survivors. Oncol Nurs Forum 46:185\u2013197. https:\/\/doi.org\/10.1188\/19.Onf.185-197","journal-title":"Oncol Nurs Forum"},{"key":"7892_CR50","first-page":"49","volume":"33","author":"AL Mulero Portela","year":"2025","unstructured":"Mulero Portela AL, Col\u00f3n Santaella CL, Rogers LQ, Missaghian Vissepo M (2025) Effect of low-and moderate-intensity endurance exercise on physical functioning among breast cancer survivors: a randomized controlled trial. Support Care Cancer 33:49","journal-title":"Support Care Cancer"},{"key":"7892_CR51","unstructured":"Vespa J, Armstrong DM, Medina L, et al (2018) Demographic turning points for the United States: Population Projections for 2020 to 2060"},{"key":"7892_CR52","doi-asserted-by":"publisher","first-page":"2758","DOI":"10.1200\/JCO.2008.20.8983","volume":"27","author":"BD Smith","year":"2009","unstructured":"Smith BD, Smith GL, Hurria A et al (2009) Future of cancer incidence in the United States: burdens upon an aging, changing nation. J Clin Oncol 27:2758\u20132765. https:\/\/doi.org\/10.1200\/JCO.2008.20.8983","journal-title":"J Clin Oncol"},{"key":"7892_CR53","doi-asserted-by":"publisher","first-page":"1029","DOI":"10.1158\/1055-9965.EPI-16-0133","volume":"25","author":"SM Bluethmann","year":"2016","unstructured":"Bluethmann SM, Mariotto AB, Rowland JH (2016) Anticipating the \u201cSilver Tsunami\u201d: prevalence trajectories and comorbidity burden among older cancer survivors in the United States. Cancer Epidemiol Biomarkers Prev 25:1029\u20131036. https:\/\/doi.org\/10.1158\/1055-9965.EPI-16-0133","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"7892_CR54","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1200\/JOP.2017.025288","volume":"14","author":"N Duma","year":"2018","unstructured":"Duma N, Vera Aguilera J, Paludo J et al (2018) Representation of minorities and women in oncology clinical trials: review of the past 14 years. J Oncol Pract 14:e1\u2013e10. https:\/\/doi.org\/10.1200\/JOP.2017.025288","journal-title":"J Oncol Pract"},{"key":"7892_CR55","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1249\/MSS.0000000000001446","volume":"50","author":"AA Kirkham","year":"2018","unstructured":"Kirkham AA, Bonsignore A, Bland KA et al (2018) Exercise prescription and adherence for breast cancer: one size does not FITT all. Med Sci Sports Exerc 50:177\u2013186","journal-title":"Med Sci Sports Exerc"},{"key":"7892_CR56","volume":"6","author":"WJ Smith","year":"2021","unstructured":"Smith WJ, Martin MY, Pisu M et al (2021) Promoting physical activity in rural settings: effectiveness and potential strategies. Transl J Am Coll Sports Med 6:e000180","journal-title":"Transl J Am Coll Sports Med"},{"key":"7892_CR57","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00407","volume":"17","author":"SC Modesitt","year":"2021","unstructured":"Modesitt SC, Eichner N, Penberthy JK et al (2021) Moving away from cancer\u201d prospective exercise trial for female rural cancer survivors: how can we step it up? JCO Oncol Pract 17:e16\u2013e25","journal-title":"JCO Oncol Pract"},{"issue":"3","key":"7892_CR58","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1007\/s10903-021-01261-0","volume":"24","author":"K Kiplagat","year":"2022","unstructured":"Kiplagat K, Antoine F, Ramos R, Nahid M, Forte V, Taiwo E, Godfrey K, Butryn M, Phillips E (2022) An acceptance based lifestyle intervention in black breast cancer survivors with obesity. J immigr minor health 24(3):645\u2013655","journal-title":"J immigr minor health"},{"key":"7892_CR59","doi-asserted-by":"publisher","first-page":"2320","DOI":"10.1002\/cncr.34184","volume":"128","author":"C Owusu","year":"2022","unstructured":"Owusu C, Margevicius S, Nock NL et al (2022) A randomized controlled trial of the effect of supervised exercise on functional outcomes in older African American and non-Hispanic White breast cancer survivors: are there racial differences in the effects of exercise on functional outcomes? Cancer 128:2320\u20132338. https:\/\/doi.org\/10.1002\/cncr.34184","journal-title":"Cancer"},{"key":"7892_CR60","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1093\/tbm\/iby124","volume":"10","author":"JM Ferrante","year":"2020","unstructured":"Ferrante JM, Devine KA, Bator A et al (2020) Feasibility and potential efficacy of commercial mHealth\/eHealth tools for weight loss in African American breast cancer survivors: pilot randomized controlled trial. Transl Behav Med 10:938\u2013948","journal-title":"Transl Behav Med"},{"key":"7892_CR61","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1016\/j.jgo.2021.08.003","volume":"13","author":"KM Winters-Stone","year":"2022","unstructured":"Winters-Stone KM, Torgrimson-Ojerio B, Dieckmann NF et al (2022) A randomized-controlled trial comparing supervised aerobic training to resistance training followed by unsupervised exercise on physical functioning in older breast cancer survivors. J Geriatr Oncol 13:152\u2013160","journal-title":"J Geriatr Oncol"},{"key":"7892_CR62","first-page":"1","volume":"1","author":"SM Bluethmann","year":"2022","unstructured":"Bluethmann SM, Flores E, Grotte M et al (2022) Adapting an evidence-based exercise and education program for older Breast Cancer survivors for the REJOIN trial. J Aging Phys Act 1:1\u20139","journal-title":"J Aging Phys Act"},{"key":"7892_CR63","doi-asserted-by":"publisher","first-page":"3992","DOI":"10.3390\/jcm11143992","volume":"11","author":"M Grimm","year":"2022","unstructured":"Grimm M, Radcliff L, Giles M et al (2022) Living with advanced breast cancer: A descriptive analysis of survivorship strategies. J Clin Med 11:3992","journal-title":"J Clin Med"},{"key":"7892_CR64","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.1158\/1078-0432.CCR-14-1214","volume":"22","author":"KH Schmitz","year":"2016","unstructured":"Schmitz KH, Gehlert S, Patterson RE et al (2016) TREC to WHERE? Transdisciplinary research on energetics and cancer. Clin Cancer Res 22:1565\u20131571","journal-title":"Clin Cancer Res"},{"key":"7892_CR65","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1056\/NEJMp1500523","volume":"372","author":"FS Collins","year":"2015","unstructured":"Collins FS, Varmus H (2015) A new initiative on precision medicine. N Engl J Med 372:793\u2013795","journal-title":"N Engl J Med"},{"key":"7892_CR66","doi-asserted-by":"crossref","unstructured":"Hopewell S, Chan A-W, Collins GS, et al (2025) CONSORT 2025 explanation and elaboration: updated guideline for reporting randomised trials. bmj 389:","DOI":"10.1136\/bmj-2024-081124"},{"key":"7892_CR67","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687","author":"TC Hoffmann","year":"2014","unstructured":"Hoffmann TC, Glasziou PP, Boutron I et al (2014) Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. https:\/\/doi.org\/10.1136\/bmj.g1687","journal-title":"BMJ"}],"container-title":["Breast Cancer Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10549-025-07892-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10549-025-07892-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10549-025-07892-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T12:09:35Z","timestamp":1770034175000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10549-025-07892-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":67,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["7892"],"URL":"https:\/\/doi.org\/10.1007\/s10549-025-07892-3","relation":{},"ISSN":["0167-6806","1573-7217"],"issn-type":[{"value":"0167-6806","type":"print"},{"value":"1573-7217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"9 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"56"}}