{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:42:40Z","timestamp":1790167360225,"version":"4.1.0"},"reference-count":105,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This systematic review investigated the effects of exercise interventions combined with diet and\/or dietary supplement interventions on anthropometry, body composition, metabolic biomarkers, physical function, healthy lifestyles, quality of life, psychosocial variables and fatigue for women with breast cancer. A systematic search was performed in the PubMed and Web of Science databases (from inception to 1 March 2022). A review was carried out following the Preferred Reporting Items for Systematic review and Meta-Analyses (PRISMA) guidelines. The methodological quality and the risk of bias of the included studies was assessed with the Physiotherapy Evidence Database (PEDro) scale. A total of 13 randomised controlled trial studies were included, comprising 1569 breast cancer patients. The main finding of this systematic review is that groups performing interventions combining exercise plus diet show significant improvements in cardiorespiratory fitness, muscular strength, body composition, quality of life, fatigue, anxiety, depression and sleep compared to control groups. On the other hand, the use of interventions combining exercise plus supplementation does not result in an improvement compared to groups using exercise alone or supplementation alone.<\/jats:p>","DOI":"10.3390\/nu15041013","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T01:36:37Z","timestamp":1676856997000},"page":"1013","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Effects of Combined Interventions of Exercise and Diet or Exercise and Supplementation on Breast Cancer Patients: A Systematic Review"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9824-7655","authenticated-orcid":false,"given":"Txomin","family":"P\u00e9rez-Bilbao","sequence":"first","affiliation":[{"name":"Department of Health and Human Performance, Faculty of Physical Activity and Sports Sciences (INEF), Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5800-853X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Alonso-Due\u00f1as","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, Faculty of Physical Activity and Sports Sciences (INEF), Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"},{"name":"GEICAM Spanish Breast Cancer Group, 28703 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4871-8682","authenticated-orcid":false,"given":"Ana B.","family":"Peinado","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, Faculty of Physical Activity and Sports Sciences (INEF), Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"},{"name":"LFE Research Group, Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7083-7610","authenticated-orcid":false,"given":"Alejandro F.","family":"San Juan","sequence":"additional","affiliation":[{"name":"Department of Health and Human Performance, Faculty of Physical Activity and Sports Sciences (INEF), Universidad Polit\u00e9cnica de Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"ref_1","unstructured":"(2022, May 15). 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