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Breast Cancer And Exercise: The Role Of Physical Activity In Women With Breast Cancer

Linsey Gold • Oct 21, 2022

For many women, a diagnosis of breast cancer can be a shock. In addition to the emotional toll, a breast cancer diagnosis can also take a physical and mental toll.


One of the best things you can do for your mind and body is to get active and exercise regularly. Research suggests that exercise can play a role in helping to prevent breast cancer, and it can also help women who have been diagnosed with breast cancer.


Here, we'll discuss the role of exercise in breast cancer prevention and treatment, and how you can get started today.




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Exercising with Breast Cancer: The Effects of Staying Fit


About Breast Cancer


When it comes to breast cancer, there are a few things that we know for sure.


First, it's the most common type of cancer in women, and second, it's the second leading cause of cancer death in women.


In the United States, it's estimated that one in eight women will be diagnosed with invasive breast cancer at some point in their lifetime.


There are a number of risk factors for breast cancer, including:



  • age
  • family history
  • personal history of breast cancer
  • obesity
  • alcohol consumption
  • hormone replacement therapy


While there are many things that we can't control when it comes to our risk of developing breast cancer, there are some lifestyle choices that we can make that may help to reduce our risk, and one of those choices is exercise.


Exercise and Breast Cancer Risk


There's some evidence to suggest that exercise may help to reduce the risk of developing breast cancer by 12-21%.


There are several mechanisms by which exercise may lower breast cancer risk, including:



  • Exercise Helps to Control Your Weight


Obesity is a risk factor for many types of cancer, including breast cancer. By maintaining a healthy weight, you can help keep your breasts cancer-free. 


  • Exercise Helps Improve the Way Your Body Uses Insulin


Insulin is a hormone that helps your body turn sugar into energy. When your body doesn't use insulin effectively, it can lead to high levels of insulin in your blood (a condition known as insulin resistance).


Insulin resistance is a risk factor for several types of cancer, so keeping your insulin levels in check is important for cancer prevention. 


  • Exercise Helps Reduce Inflammation throughout Your Body


Inflammation is a natural process that helps our bodies heal from injury, but chronic inflammation can contribute to the development of cancer. So by keeping inflammation at bay with exercise, you can help lower your risk of developing breast cancer.


  • Exercise Helps to Improve Your Immune Response


Your immune system is your body's first line of defense against infection, and it also plays a role in cancer prevention. Exercise has been shown to boost the immune system, which means that it can help your body fight off cancer cells.


Exercise and Breast Cancer Treatment


Exercise isn't just good for preventing breast cancer; it's also beneficial for people who've already been diagnosed with the disease.


First and foremost, exercise can help improve your overall quality of life during breast cancer treatments by helping to reduce fatigue and improve your energy levels.


However, breast cancer patients who are undergoing radiation therapy may find it difficult to exercise due to fatigue and nausea. Additionally, they may be concerned about the side effects of radiation therapy.


However, there are many ways to stay physically active during radiation therapy, including walking, stretching, and lightweight exercises.


Furthermore, exercise has been shown to improve survival rates in women with high-risk breast cancer or metastatic breast cancer. One study found that women with breast cancer who exercised regularly were 28% less likely to die from their disease than women who didn't exercise. 


For breast cancer survivors, it's important to find a routine that's comfortable and safe. If you're unsure about starting an exercise program, talk to a healthcare professional or a certified fitness professional. They can help you develop an exercise plan that's right for you.


Exercise and Breast Cancer Recurrence


There's also some evidence to suggest that exercise may help to lower your recurrence risk.


One study found that women with breast cancer who exercised for at least 2.5 hours per week had a reduced risk of recurrence than women who didn't exercise.


Additionally, another study found that active women had a reduction of 26-40% in the risk of breast cancer recurrence.


So, if you're looking for ways to reduce your recurrence risk, consider adding more exercise to your routine. Not only will it make you feel better, but it could also save your life.


Exercise and Breast Cancer Surgery


Some people think that they should not exercise after breast surgery. However, exercise has actually many benefits for people who've undergone breast cancer surgery. It can help to:



  • improve mood
  • increase energy level
  • reduce stress
  • promote a sense of well-being


Of course, it's important to check with your doctor before starting any fitness program.


If you've had a mastectomy, you'll need to take care to protect your surgical incisions as you heal. Once your incisions have healed, you can start slowly adding some gentle exercises back into your routine.


If you've had a lumpectomy, you'll also need to take care of your incisions as they heal. Once they've healed, you can resume your normal exercise routine.


In either case, it's important to listen to your body and not push yourself too hard too soon.


You may find that wearing a supportive sports bra helps you to feel more comfortable as you ease back into exercising. Sports bras provide support and comfort while you're exercising and can help prevent pain and irritation.


There are many different types of sports bras available, so talk to your doctor or physical therapist to find one that's right for you. With the right precautions, exercise can be an important part of your post-surgery recovery.




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Exercises You Can Do after Breast Surgery


Here are some examples of exercises that you can do after surgery:



  • Range-Of-Motion Exercises


These exercises increase your flexibility and prevent stiffness. To do these, slowly move your arms and legs in a circular motion.


  • Shoulder Blade Squeeze


This improves your posture and prevents pain. To do this exercise, squeeze your shoulder blades together and hold for 5 seconds.


  • Deep Breathing Exercises


These exercises help to expand your lungs and improve circulation. They can be done by taking deep, slow breaths and exhaling slowly.


  • Side Bends


Side bends help to stretch your muscles in the sides of your body. To do this, stand with your feet shoulder-width apart and slowly bend to one side and then the other.


  • Shoulder Blade Stretch


This exercise improves the range of motion in your shoulders. It can be done by clasping the hands behind the head and gently pulling the elbows back.


  • Wall Push-Ups


Wall push-ups help to strengthen your chest muscles. To do this exercise, stand with the palms of your hands against a wall, then push away from the wall.


  • Wand Exercise


This strengthens the muscles in your arms. To perform this exercise, hold a lightweight wand in each hand, and move your arms in a wide, circular motion.


  • Elbow Winging


This exercise helps to stretch the muscles around your breast. It can be done by holding the elbows out to the sides and moving them up and down.


How Much Physical Activity Is Enough? 


The American Cancer Society and the U.S. Department of Health and Human Services recommend at least 150 minutes per week of moderate physical activity or aerobic exercise (such as brisk walking or riding a stationary bicycle). This equates to about 30 minutes of exercise five days per week. Muscle-strengthening activities should also be included two to three days per week. 


But remember, even small amounts of regular physical activity can have some benefits, so if you're just getting started, every little bit counts!


How Do You Stick to an Exercise Program?


If you're having trouble sticking to a fitness program, there are a few things you can do to make it easier:



  • Find an Activity That You Enjoy


If you don't enjoy the exercise you're doing, you're less likely to stick with it. So, find an activity that's enjoyable for you. This could be walking, swimming, biking, or even gardening.


  • Set Realistic Goals


Don't try to do too much too soon. Start slow and gradually build your activity level as you become more comfortable.


  • Find a Support System


It's easier to stick to an exercise program when you have someone to help motivate and encourage you. Ask a friend or family member to exercise with you or join a fitness class or group exercise program.


The Bottom Line


Exercise may play a role in both the prevention and treatment of breast cancer, so it's definitely worth incorporating into your life if you can.


However, it's important to remember that exercise is just one piece of the puzzle when it comes to breast cancer. There are a number of other things that you can do to reduce your risk, including maintaining a healthy weight, eating a healthy diet, limiting your alcohol consumption, and getting regular screenings.


But if you're looking for something that you can do right now to make a difference, then follow the physical activity guidelines above, start exercising, and make physical activity a part of your breast cancer journey!




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By Linsey Gold 06 Jan, 2023
Breast cancer is the most common type of cancer in women, and it can occur in any part of the breast. There are many different breast cancer types, but all of them start with abnormal cells that grow out of control. These abnormal cells can invade and damage nearby breast tissue, including the lymph nodes under your arm, which is why it’s important to get regular mammograms and checkups. Early detection is key to successful treatment. In this article, we'll discuss the eight different breast cancer types. We hope this information will help you become more aware of the various types of breast cancer and their potential risks. RELATED: Breast Cancer And Exercise: The Role Of Physical Activity In Women With Breast Cancer 8 Breast Cancer Types Ductal or Lobular Carcinoma The most common type of breast cancer, ductal or lobular carcinoma, begins in the breast ducts or the lobules. This type of cancer can be invasive or non-invasive, and it's usually treated with a combination of surgery, radiation therapy, and chemotherapy. Ductal Carcinoma in Situ (DCIS) or Intraductal Carcinoma or Stage 0 Breast Cancer Ductal carcinoma in situ is a pre-invasive or non-invasive breast cancer. This means that there are abnormal cells in the lining of the milk duct, and they haven't spread outside of the duct. In most cases, DCIS is found through a mammogram before it can be seen or felt. While DCIS isn't life-threatening, it's still considered cancer and should be treated as such. Left untreated, DCIS may develop into an invasive breast cancer, which can be much more serious. This is why many doctors recommend treatment for DCIS even though it's a noninvasive cancer. Surgery is the most common treatment for DCIS. The type of surgery depends on the size of the tumor and how far it has spread within the ducts. Radiation therapy is often used after surgery to kill any remaining breast cancer cells. Invasive Breast Cancer or Infiltrating Breast Cancer Invasive breast cancer is a more serious type because it has spread outside the milk ducts or lobules into surrounding breast tissue. Once the invasive breast tumors spread to other parts of the body, such as the bones or lungs, they become metastatic breast cancer. While early-stage invasive breast cancer may not cause any symptoms, advanced stages of the disease can cause a variety of symptoms, including: a lump or thickening in the breast bloody discharge from the nipple changes in the size or shape of the breast skin dimpling pain Treatment options for invasive breast cancer typically involve surgery to remove the cancerous breast tissue, as well as radiation therapy and/or chemotherapy to kill any remaining cancer cells. In some cases, a combination of these treatments is necessary to achieve the best possible outcome. With early detection and proper treatment, most women with invasive breast cancer can go on to lead long, healthy lives. The two most common types of invasive breast cancer are: a. Invasive Ductal Carcinoma or Infiltrating Ductal Carcinoma (IDC) Invasive ductal carcinomas are the most common breast cancer type, accounting for about 80% of all diagnosed cases. It begins in the milk ducts, but quickly spreads beyond ducts and into the surrounding breast tissue. Although ductal carcinoma can occur in any part of the breast, it most commonly affects the upper outer quadrant. It can occur in any age group, but is more often diagnosed in post-menopausal women. Invasive ductal carcinoma is also the most common type of male breast cancer. b. Invasive Lobular Carcinoma (ILC) ILC is a type of invasive breast cancer that accounts for approximately 10-15% of all invasive breast cancers. Unlike other breast cancer types, which typically first form in the milk ducts, lobular carcinoma begins in the milk-producing glands (lobules) Invasive lobular breast cancer is often harder to detect on mammograms than other breast cancer types, so it's important for women to be aware of the signs and symptoms. While it can occur in women of any age, ILC is most commonly diagnosed in women over the age of 50. Apart from these two most common types, there are other rare breast cancers that are sub-types of invasive breast cancer. These breast cancers have cells with unique characteristics: Medullary carcinoma: This type is characterized by the presence of large cancer cells and is more likely to occur in women with a family history of breast cancer. Tubular carcinoma: Under a microscope, breast cancer cells from a tubular carcinoma look like tubes. This type makes up about 2% of all breast cancers. Mucinous (or colloid) carcinoma: This cancer looks very different from other types of breast cancer because it contains a large amount of mucin. Mucin is a jelly-like substance that's normally found in small amounts in mucous membranes, such as the lining of the gastrointestinal tract. Papillary carcinoma: This is characterized by long and thin tumors, similar in appearance to finger-like growths. It's usually found in older women. Adenoid cystic carcinoma: This is a type of cancer that typically affects the salivary glands. However, it can also occur in other tissues, such as the breast. It's characterized by the presence of two different types of cells--luminal and basaloid. Low-grade adenosquamous carcinoma: This is a rare variant of metaplastic breast cancer that's characterized by both glandular and squamous differentiation. Some subtypes of breast cancer have the same or even worse prognoses than invasive carcinoma, including: Mixed carcinoma: The prognosis of mixed carcinoma of the breast is quite good, with an average of eight-year disease-free survival. Metaplastic breast cancer: The five-year survival rate for this type is around 63%. Micropapillary carcinoma: This type is usually associated with a poorer prognosis than other types of breast cancer, but can be successfully treated in some cases. HER2-Positive Breast Cancer This is a type of breast cancer that's characterized by an overgrowth of the HER2 protein. This protein is found on the surface of healthy cells, and it helps to regulate cell growth. However, in HER2-positive breast cancer, the protein is produced in excess, causing the cells to grow and divide at an abnormally fast rate. Triple Negative Breast Cancer (TNBC) TNBC is an aggressive type of invasive breast cancer that's named "triple negative" because it's characterized by the lack of receptors commonly found in breast cancer: estrogen receptor progesterone receptor human epidermal growth factor receptor 2 (HER2) This means that the tumor cells aren't sensitive to hormone therapy, making it difficult to treat. They also tend to grow and spread more quickly than other types of breast cancer. Women with triple negative breast cancers are typically diagnosed at a younger age and have a higher risk of recurrence . RELATED: How To Improve Breast Health Inflammatory Breast Cancer (IBC) Inflammatory breast cancer is a rare form of locally advanced breast cancer, meaning that it has already progressed locally but has not yet spread through the lymph nodes or outside the breast. IBC accounts for only 1-5% of all breast cancer cases and typically occurs in younger women and in African American women. Symptoms can include: redness swelling warmth in the affected breast inverted nipple discharge from the nipple IBC is often mistaken for a breast infection, which can delay treatment and result in the cancer spreading. If you experience any of these symptoms, it's important to see a doctor as soon as possible. Less Common Types of Breast Cancers Some types of breast cancer are less common than others. This doesn't mean they're any less serious, but it does mean that they may not be as well-known. Here are three less common types of breast cancer: Paget's Disease of the Breast Paget disease is a rare form of cancer that affects the nipple and areola (the dark area of skin around the nipple). The disease gets its name from Sir James Paget, the doctor who first described it in 1874. Common symptoms include:  a rash or crusting around the nipple itching burning pain Angiosarcoma Angiosarcoma is a type of cancer that develops in the lining of blood vessels or lymph vessels. It can occur anywhere in the body, but it most commonly develops in the skin, breast, or liver. Angiosarcoma is rare, and it's often diagnosed at an advanced stage. The prognosis for angiosarcoma is generally poor, but it varies depending on the location and stage of the cancer. With early diagnosis and treatment, some patients are able to achieve long-term remission. Phyllodes Tumor A phyllodes tumor is a rare type of breast tumor that arises from the breast's connective tissue, specifically the stroma. Its name comes from the Greek word "phyllodes," meaning "leaf-like." Phyllodes tumors tend to be large and bulky, and they can grow quickly. They're usually benign (non-cancerous), but in some cases, they can be malignant (cancerous). Phyllodes tumors are relatively rare, accounting for less than 1% of all breast tumors. Final Thoughts Breast cancer comes in many different forms and can affect people of any age, gender, or race. Understanding its different types is key to getting an accurate diagnosis and finding the best treatment plan. While breast cancer can be a serious illness, it's important to remember that it can also be successfully treated with early detection and advanced treatments. If you're ever concerned about a potential breast cancer symptom, don't hesitate to talk to your doctor. They can help you determine if it's something to be concerned about and make sure you get the care you need. Most importantly, remember to take your health into your own hands as much as possible—schedule regular check-ups with your doctor, maintain a healthy lifestyle, and stay up-to-date on breast health screenings. Doing this could save your life! Remember, early diagnosis is key for successful treatment of any type of breast cancer. Up Next: How To Take Care Of Your Breast Prostheses What Is A Mastectomy? | Everything You Need To Know The Best Bras After Breast Surgery
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