{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T20:01:07Z","timestamp":1767211267716,"version":"3.41.2"},"reference-count":83,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Fondo de Investigaci\u00f3n Sanitaria del Instituto de Salud Carlos III","award":["FI19\/00230"],"award-info":[{"award-number":["FI19\/00230"]}]},{"name":"Fondos Estructurales de la Uni\u00f3n Europea","award":["PI18\/01840"],"award-info":[{"award-number":["PI18\/01840"]}]},{"name":"Spanish Ministry of Education Cultura y Deporte","award":["FPU18\/03575","FPU20\/05674"],"award-info":[{"award-number":["FPU18\/03575","FPU20\/05674"]}]},{"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"}]},{"DOI":"10.13039\/501100006393","name":"University of Granada","doi-asserted-by":"publisher","award":["PPJIB2021\u201313"],"award-info":[{"award-number":["PPJIB2021\u201313"]}],"id":[{"id":"10.13039\/501100006393","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Spanish Ministry of Economy and Competitiveness"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this study was to examine the feasibility, safety, adherence, and preliminary efficacy of the ATOPE program during radiotherapy (RT) or chemotherapy (CT) for women with breast cancer.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This single-blind, pretest\u2013posttest feasibility study included 38 women with breast cancer at the beginning of their treatment. The ATOPE program consisted of 12 to 18 sessions of a multimodal physical exercise program, prescribed based on daily heart rate variability and clinimetric assessments using the ATOPE+ mHealth system. Overall health was assessed with quality of life, autonomous balance, and body composition, whereas health-related fitness was measured through functional capacity, physical activity levels, and upper and lower limb strength.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The rates of recruitment, retention, and adherence were 52.35, 73.68, and 84.37%, respectively, and the satisfaction rating was 9.2 out of a possible 10 points. The perceived health status change score was 3.83 points, scored on a\u2009\u22125 to 5 point scale. No adverse effects were found. Compliance results showed that the ATOPE+ mHealth system was used on 73.38% of the days, and the Fitbit bracelet (Google, Mountain View, CA, USA) was used on 84.91% of the days. Women stayed physically active 55% of days. Regarding preliminary results, for overall health, the percentage of body fat in the RT group decreased by 1.93%, whereas it increased by 5.03% in the CT group. Lower limb strength increased in the RT group, specifically knee extensor isometric strength (6.07%), isokinetic knee flexors 180 degree\/second (1.53%), and isokinetic knee extensors 300 degree\/second (4.53%), in contrast with the reductions found in the CT group (11.07, 18.67, and 14.89%, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The ATOPE program, through nonlinear prescription based on daily monitoring with the ATOPE+ mHealth system, is feasible and safe for application during breast cancer treatment. The results suggest that the overall health can be maintained or even improved regarding most variables.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>This study focused on the feasibility, safety, and completion of a physical therapist-led program at early diagnosis for adults with breast cancer. The multimodal, supervised, tailored, nonlinear physical exercise program is feasible and safe, showed a good completion rate, and was able to prevent the quality-of-life deficits that are often triggered by systemic breast cancer treatment. This study highlights the importance of daily morning assessments using the ATOPE+ mHealth system in patients with breast cancer to prescribe nonlinear physical exercise.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzad070","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T22:36:02Z","timestamp":1687473362000},"source":"Crossref","is-referenced-by-count":3,"title":["Nonlinear, Multicomponent Physical Exercise With Heart Rate Variability-Guided Prescription in Women With Breast Cancer During Treatment: Feasibility and Preliminary Results (ATOPE Study)"],"prefix":"10.1093","volume":"103","author":[{"given":"\u00c1ngela","family":"Gonz\u00e1lez-Santos","sequence":"first","affiliation":[{"name":"Department of Physical Therapy , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"Sport and Health Research Center (IMUDs) , Granada , Spain"},{"name":"A02-Cu\u00eddate, Instituto de Investigaci\u00f3n Biosanitaria , Granada , Spain"},{"name":"Unit of Excellence on Exercise and Health (UCEES) , Granada , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9229-9673","authenticated-orcid":false,"given":"Maria","family":"Lopez-Garzon","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"Sport and Health Research Center (IMUDs) , Granada , Spain"},{"name":"A02-Cu\u00eddate, Instituto de Investigaci\u00f3n Biosanitaria , Granada , Spain"},{"name":"Unit of Excellence on Exercise and Health (UCEES) , Granada , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"Gil-Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Department of Nursing , Faculty of Health Sciences, CTS436 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, CTS436 Group, , Granada , Spain"},{"name":"MP07-Bases Fisiopatolog\u00eda y Terap\u00e9utica M\u00e9dica , Instituto de Investigaci\u00f3n Biosanitaria, Granada , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda del Mar","family":"Salinas-Asensio","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Postigo-Martin","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"Sport and Health Research Center (IMUDs) , Granada , Spain"},{"name":"A02-Cu\u00eddate, Instituto de Investigaci\u00f3n Biosanitaria , Granada , Spain"},{"name":"Unit of Excellence on Exercise and Health (UCEES) , Granada , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3834-1711","authenticated-orcid":false,"given":"Irene","family":"Cantarero-Villanueva","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"University of Granada , Faculty of Health Sciences, BIO277 Group, , Granada , Spain"},{"name":"Sport and Health Research Center (IMUDs) , Granada , Spain"},{"name":"A02-Cu\u00eddate, Instituto de Investigaci\u00f3n Biosanitaria , Granada , 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