Acute aerobic exercise effects on cognitive function in breast cancer survivors: A randomized crossover trial

Elizabeth A. Salerno, Kendrith M Rowland, Arthur F. Kramer, Edward McAuley

Research output: Contribution to journalArticle

Abstract

Background: Many breast cancer survivors (BCS) report deficits in cognitive function. Physical activity (PA) has been associated with better processing speed and memory in healthy adults and thus may be a useful method for improving cognition in BCS. The purpose of this study was to examine the effects of an acute bout of PA on processing speed and spatial working memory in a sample of BCS. Methods: Using a repeated measures, crossover design, BCS [N = 27; M age (SD) = 49.11(8.05)] completed two sessions in counterbalanced order: 30 min of moderate-intensity treadmill walking and 30 min of seated rest. Women completed cognitive tasks immediately before and after each session. Results: Within-subjects repeated measures analyses of variance revealed a significant time by session effect for processing speed reaction time [F (1,25) = 5.02, p =.03, η2 = 0.17]. This interaction was driven by significantly reduced reaction time (e.g., faster response) post-exercise and no change post-rest. Further between-subjects analyses indicated a significant time by session by moderate to vigorous physical activity (MVPA) split [F (1,25) = 5.23, p =.03, η2 = 0.17], such that women who engaged in ≥45 min of average daily MVPA reduced their reaction time post-exercise (p =.01) and increased RT post-rest (p =.06). Time by session effects for spatial working memory 3-item accuracy and 4-item reaction time trended towards significance, p = 0.08 and p = 0.10, respectively, again driven by better performance post-exercise. Conclusions: The moderate effect of acute exercise on domains of memory and processing speed in BCS is encouraging. Cancer-related cognitive impairment remains largely misunderstood; however, the results from the present study offer preliminary evidence for the positive relationship between acute exercise and cognition in BCS. Trial registration: ClinicalTrials.gov NCT02592070. Registered 30 October 2015. Retroactively registered.

Original languageEnglish (US)
Article number371
JournalBMC Cancer
Volume19
Issue number1
DOIs
StatePublished - Apr 23 2019

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Cross-Over Studies
Cognition
Survivors
Exercise
Breast Neoplasms
Reaction Time
Short-Term Memory
Walking
Analysis of Variance

Keywords

  • Acute exercise
  • Breast cancer
  • Cognitive function
  • Survivorship

ASJC Scopus subject areas

  • Genetics
  • Oncology
  • Cancer Research

Cite this

Acute aerobic exercise effects on cognitive function in breast cancer survivors : A randomized crossover trial. / Salerno, Elizabeth A.; Rowland, Kendrith M; Kramer, Arthur F.; McAuley, Edward.

In: BMC Cancer, Vol. 19, No. 1, 371, 23.04.2019.

Research output: Contribution to journalArticle

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