{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:47:53Z","timestamp":1789829273412,"version":"4.0.1"},"reference-count":114,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Spanish Ministry of Economy and Competitiveness"},{"name":"Fondo de Investigaci\u00f3n Sanitaria del Instituto de Salud Carlos","award":["PI18\/01840"],"award-info":[{"award-number":["PI18\/01840"]}]},{"name":"Fondos Estructurales de la Uni\u00f3n Europea"},{"name":"Spanish Ministry of Education Cultura y Deporte","award":["FPU17\/00939"],"award-info":[{"award-number":["FPU17\/00939"]}]},{"name":"Spanish Ministry of Education Cultura y Deporte","award":["FPU16\/04201"],"award-info":[{"award-number":["FPU16\/04201"]}]},{"name":"Excellence Actions: Units of Excellence\u2013Unit of Excellence on Exercise and Health"},{"name":"Junta de Andaluc\u00eda, Consejeria de Conocimiento, Investigaci\u00f3n y Universidades"},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["SOMM17\/6107\/UGR"],"award-info":[{"award-number":["SOMM17\/6107\/UGR"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Therapeutic exercise is already used to ameliorate some of the side effects of cancer treatment. Recent studies examined its preventive potential regarding treatment-related toxicity, which can increase the risk of functional decline and lead to disease recurrence and death. This trial will examine whether the Tailored Therapeutic Exercise and Recovery Strategies (ATOPE) program, performed before treatment, can mitigate the onset and extent of cardiotoxicity beyond that achieved when the program is followed during treatment in recently diagnosed breast cancer patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The intervention has a preparatory phase plus 12 to 18 sessions of tailored, high-intensity exercise, and post-exercise recovery strategies. A total of 120 women recently diagnosed with breast cancer, at risk of cardiotoxicity due to anticancer treatment awaiting surgery followed by chemotherapy and\/or radiotherapy, will be randomized to either group. In a feasibility study, measurements related to recruitment rate, satisfaction with the program, adherence to them, the retention of participants, safety, and adverse effects will be explored. In the main trial, the efficacy of these interventions will be examined. The major outcome will be cardiotoxicity, assessed echocardiographically via the left ventricular ejection fraction. Other clinical, physical, and anthropometric outcomes and biological and hormonal variables will also be assessed after diagnosis, after treatment, 1\u00a0year after treatment ends, and 3\u00a0years after treatment ends.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Given its potential effect on patient survival, the mitigation of cardiotoxicity is a priority, and physical therapists have an important role in this mitigation. If the ATOPE intervention performed before treatment returns better cardioprotection results, it may be recommendable that patients recently diagnosed follow this program.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>The ATOPE program will highlight the need for a physical therapist intervention from the moment of diagnosis, in the prevention or mitigation of cardiotoxicity, in women with breast cancer. It could help physical therapists to establish an adequate therapeutic exercise dose adapted to breast cancer patients and to propose correct therapeutic exercise prescription according to the assimilation of the sessions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzab014","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T20:01:00Z","timestamp":1610654460000},"source":"Crossref","is-referenced-by-count":11,"title":["Attenuating Treatment-Related Cardiotoxicity in Women Recently Diagnosed With Breast Cancer via a Tailored Therapeutic Exercise Program: Protocol of the ATOPE Trial"],"prefix":"10.1093","volume":"101","author":[{"given":"Paula","family":"Postigo-Martin","sequence":"first","affiliation":[{"name":"Health Sciences Faculty, University of Granada , Spain"},{"name":"Sport and Health Research Center (IMUDs), Granada , Spain"},{"name":"Institute for Biomedical Research (ibs.GRANADA) , University Hospital Complex of Granada, , 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