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Effect of bi-weekly supervised training sessions and prepared meals on the body weight and body composition of breast cancer survivors


Effect of bi-weekly supervised training sessions and prepared meals on the body weight and body composition of breast cancer survivors

Kim, Helene (2020) Effect of bi-weekly supervised training sessions and prepared meals on the body weight and body composition of breast cancer survivors. Masters thesis, Concordia University.

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Kim_MSc_S2020.pdf - Accepted Version


Breast cancer is ranked the most common cancer among Canadian women, with statistics showing that 1 in 8 women will be diagnosed with breast cancer in her lifetime. While advanced treatments contribute to higher survival rates, the quality of life to which the breast cancer survivors live is negatively affected. The psychological and physical impact of breast cancer is a challenge during and after treatment, as treatment leave sequalae for breast cancer survivors including fatigue, fear of cancer recurrence, body image issue, depression, all of which lead to a sedentary lifestyle. A sedentary lifestyle is associated with weight gain, which contributes to accumulation of fat tissue. An excess amount of weight that contributes to a high body mass index greater or equal to 25 kg/m2 is associated with negative health outcomes including cardiovascular and metabolic diseases and co-morbidities. Particularly in breast cancer survivors, fat tissue contains properties that produce estrogen, a hormone that promotes the development of breast cancer, hence increasing the risk of recurrence of breast cancer. The inflammatory properties of fat tissue also promote the development of breast cancer. Therefore, while the survival rates of breast cancer increase, emphasis to the management of body weight should be addressed. The combination of physical activity and healthy nutrition is widely known to manage body weight in breast cancer survivors. However, the level physical activity achieved by breast cancer survivors are low, particularly women with obesity.

Divisions:Concordia University > Faculty of Arts and Science > Health, Kinesiology and Applied Physiology
Item Type:Thesis (Masters)
Authors:Kim, Helene
Institution:Concordia University
Degree Name:M. Sc.
Program:Exercise Science
Date:1 April 2020
Thesis Supervisor(s):Kilgour, Robert
Keywords:Breast cancer, lymphedema, exercise, diet
ID Code:986636
Deposited By: HELENE KIM
Deposited On:26 Jun 2020 13:19
Last Modified:26 Jun 2020 13:19


Akram, M., Iqbal, M., Daniyal, M., & Khan, A. U. (2017). Awareness and current knowledge of breast cancer. Biological Research, 50(1), 33. https://doi.org/10.1186/s40659-017-0140-9
Alsaker, M. D. K., Janszky, I., Opdahl, S., Vatten, L. J., & Romundstad, P. R. (2013). Weight change in adulthood and risk of postmenopausal breast cancer: The HUNT study of Norway. British Journal of Cancer, 109(5), 1310–1317. https://doi.org/10.1038/bjc.2013.403
American College of Sports Medicine, Moore, G., Durstine, L., & Painter, P. (2016). ACSM’s Exercise Management for Persons with Chronic Diseases and Disabilities-4th Edition (4th ed.). Human Kinetics.
Andò, S., Gelsomino, L., Panza, S., Giordano, C., Bonofiglio, D., Barone, I., & Catalano, S. (2019). Obesity, Leptin and Breast Cancer: Epidemiological Evidence and Proposed Mechanisms. Cancers, 11(1), 62. https://doi.org/10.3390/cancers11010062
Armer, J. M., & Stewart, B. R. (2005). A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population. Lymphatic Research and Biology, 3(4).
Borman, P. (n.d.). Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists. 19.
Bower, J. E. (2014). Cancer-related fatigue—Mechanisms, risk factors, and treatments. Nature Reviews Clinical Oncology, 11(10), 597–609. https://doi.org/10.1038/nrclinonc.2014.127
Bower, J. E., Ganz, P. A., Desmond, K. A., Bernaards, C., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2006). Fatigue in long-term breast carcinoma survivors: A longitudinal investigation. Cancer, 106(4), 751–758. https://doi.org/10.1002/cncr.21671
Brisken, C., & O’Malley, B. (2010). Hormone Action in the Mammary Gland. Cold Spring Harbor Perspectives in Biology, 2(12), a003178–a003178. https://doi.org/10.1101/cshperspect.a003178
Calado, A., Neves, P. M., Santos, T., & Ravasco, P. (2018). The Effect of Flaxseed in Breast Cancer: A Literature Review. Frontiers in Nutrition, 5, 4. https://doi.org/10.3389/fnut.2018.00004
Campbell, K. L., & McTiernan, A. (2007). Exercise and Biomarkers for Cancer Prevention Studies. The Journal of Nutrition, 137(1), 161S-169S. https://doi.org/10.1093/jn/137.1.161S
Cleary, M. P., & Grossmann, M. E. (2009). Obesity and Breast Cancer: The Estrogen Connection. Endocrinology, 150(6), 2537–2542. https://doi.org/10.1210/en.2009-0070
Cummings, S. R., Eckert, S., Krueger, K. A., Grady, D., Powles, T. J., Cauley, J. A., Norton, L., Nickelsen, T., Bjarnason, N. H., Morrow, M., Lippman, M. E., Black, D., Glusman, J. E., Costa, A., & Jordan, V. C. (2000). The Effect of Raloxifene on Risk of Breast Cancer in Postmenopausal Women: Results From the MORE Randomized Trial: Obstetrical & Gynecological Survey, 55(2), 100. https://doi.org/10.1097/00006254-200002000-00023
Dall, G. V., & Britt, K. L. (2017). Estrogen Effects on the Mammary Gland in Early and Late Life and Breast Cancer Risk. Frontiers in Oncology, 7, 110. https://doi.org/10.3389/fonc.2017.00110
Demark-Wahnefried, W., Campbell, K. L., & Hayes, S. C. (2012). Weight management and its role in breast cancer rehabilitation. Cancer, 118(S8), 2277–2287. https://doi.org/10.1002/cncr.27466
Dieli-Conwright, C. M., Parmentier, J.-H., Sami, N., Lee, K., Spicer, D., Mack, W. J., Sattler, F., & Mittelman, S. D. (2018). Adipose tissue inflammation in breast cancer survivors: Effects of a 16-week combined aerobic and resistance exercise training intervention. Breast Cancer Research and Treatment, 168(1), 147–157. https://doi.org/10.1007/s10549-017-4576-y
Dignam, J. J. (2003). Obesity, Tamoxifen Use, and Outcomes in Women With Estrogen Receptor-Positive Early-Stage Breast Cancer. CancerSpectrum Knowledge Environment, 95(19), 1467–1476. https://doi.org/10.1093/jnci/djg060
Dinarello, C. A. (2006). The paradox of pro-inflammatory cytokines in cancer. Cancer and Metastasis Reviews, 25(3), 307–313. https://doi.org/10.1007/s10555-006-9000-8
Elder, J. A., & Thacker, H. L. (2016, February). Menopause. Cleveland Clinic Center for Continuing Education. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/womens-health/menopause/
Fabian, C. J., Kimler, B. F., & Hursting, S. D. (2015). Omega-3 fatty acids for breast cancer prevention and survivorship. Breast Cancer Research, 17(1), 62. https://doi.org/10.1186/s13058-015-0571-6
Freedman, R. J., Aziz, N., Albanes, D., Hartman, T., Danforth, D., Hill, S., Sebring, N., Reynolds, J. C., & Yanovski, J. A. (2004). Weight and Body Composition Changes during and after Adjuvant Chemotherapy in Women with Breast Cancer. The Journal of Clinical Endocrinology & Metabolism, 89(5), 2248–2253. https://doi.org/10.1210/jc.2003-031874
Government of Canada. (2019, December 9). Breast Cancer. Government of Canada. https://www.canada.ca/en/public-health/services/chronic-diseases/cancer/breast-cancer.html
Gross, A. L., May, B. J., Axilbund, J. E., Armstrong, D. K., Roden, R. B. S., & Visvanathan, K. (2015). Weight Change in Breast Cancer Survivors Compared to Cancer-Free Women: A Prospective Study in Women at Familial Risk of Breast Cancer. Cancer Epidemiology Biomarkers & Prevention, 24(8), 1262–1269. https://doi.org/10.1158/1055-9965.EPI-15-0212
Han, D., Nie, J., Bonner, M. R., McCann, S. E., Muti, P., Trevisan, M., Ramirez-Marrero, F. A., Vito, D., & Freudenheim, J. L. (2006). Lifetime adult weight gain, central adiposity, and the risk of pre- and postmenopausal breast cancer in the Western New York exposures and breast cancer study. International Journal of Cancer, 119(12), 2931–2937. https://doi.org/10.1002/ijc.22236
Helyer, L. K., Varnic, M., Le, L. W., Leong, W., & McCready, D. (2010). Obesity is a Risk Factor for Developing Postoperative Lymphedema in Breast Cancer Patients. The Breast Journal, 16(1), 48–54. https://doi.org/10.1111/j.1524-4741.2009.00855.x
Heymsfield, SB, Gonzalez, MC, Redman, Shen W., & Thomas, D. (2014). Weight loss composition is one-fourth fat-free mass: A critical review and critique of this widely cited rule. Obesity Review, 15, 310–321.
Inoue, M., Nakagomi, H., Nakada, H., Furuya, K., Ikegame, K., Watanabe, H., Omata, M., & Oyama, T. (2017). Specific sites of metastases in invasive lobular carcinoma: A retrospective cohort study of metastatic breast cancer. Breast Cancer, 24(5), 667–672. https://doi.org/10.1007/s12282-017-0753-4
Institute of Medicine. (2003). Weight-Loss and Maintenance Strategies. In Weight Mangement: State of the Science and Opportunities for Military Programs. The National Academies Press.
Iqbal, N., & Iqbal, N. (2014). Human Epidermal Growth Factor Receptor 2 (HER2) in Cancers: Overexpression and Therapeutic Implications. Molecular Biology International, 2014, 1–9. https://doi.org/10.1155/2014/852748
Irwin, M. L., McTiernan, A., Bernstein, L., Baumgartner, R., & Baumgartner, K. (2010). Physical activity levels among breast cancer survivors. 17.
Key, T. J., Allen, N. E., Verkasalo, P. K., & Banks, E. (2001). Energy balance and cancer: The role of sex hormones. Proceedings of the Nutrition Society, 60(1), 81–89. https://doi.org/10.1079/PNS200068
Kris-Etherton, P., Binkoski, A., Zhao, G., Coval, S., Clemmer, K., Hecker, K., Jacques, H., & Etherton, T. (2002). Dietary fat: Assessing the evidence in support of a moderate-fat diet; the benchmark based on lipoprotein metabolism. Proceedings of the Nutrition Society, 61(2), 287–298. https://doi.org/10.1079/PNS2002157
Kwan, M. L. (2010). Risk Factors for Lymphedema in a Prospective Breast Cancer Survivorship Study: The Pathways Study. Archives of Surgery, 145(11), 1055. https://doi.org/10.1001/archsurg.2010.231
Lange, C. A., & Yee, D. (2008). Progesterone and Breast Cancer. Women’s Health, 4(2), 151–162. https://doi.org/10.2217/17455057.4.2.151
Ligibel, J. A., Basen-Engquist, K., & Bea, J. W. (2019). Weight Management and Physical Activity for Breast Cancer Prevention and Control. American Society of Clinical Oncology Educational Book, 39, e22–e33. https://doi.org/10.1200/EDBK_237423
Liu, K., Zhang, W., Dai, Z., Wang, M., Tian, T., Liu, X., Kang, H., Guan, haitao, Zhang, S., & Dai, Z. (2018). Association between body mass index and breast cancer risk: Evidence based on a dose–response meta-analysis. Cancer Management and Research, Volume 10, 143–151. https://doi.org/10.2147/CMAR.S144619
Ma, R., Feng, Y., Lin, S., Chen, J., Lin, H., Liang, X., Zheng, H., & Cai, X. (2015). Mechanisms involved in breast cancer liver metastasis. Journal of Translational Medicine, 13(1), 64. https://doi.org/10.1186/s12967-015-0425-0
McCann, S. E., Thompson, L. U., Nie, J., Dorn, J., Trevisan, M., Shields, P. G., Ambrosone, C. B., Edge, S. B., Li, H.-F., Kasprzak, C., & Freudenheim, J. L. (2010). Dietary lignan intakes in relation to survival among women with breast cancer: The Western New York Exposures and Breast Cancer (WEB) Study. Breast Cancer Research and Treatment, 122(1), 229–235. https://doi.org/10.1007/s10549-009-0681-x
Meeske, K., Smith, A. W., Alfano, C. M., McGregor, B. A., McTiernan, A., Baumgartner, K. B., Malone, K. E., Reeve, B. B., Ballard-Barbash, R., & Bernstein, L. (2007). Fatigue in breast cancer survivors two to five years post diagnosis: A HEAL Study report. Quality of Life Research, 16(6), 947–960. https://doi.org/10.1007/s11136-007-9215-3
Mehrara, B. J., & Greene, A. K. (2014). Lymphedema and Obesity: Is There a Link? Plastic and Reconstructive Surgery, 134(1), 154e–160e. https://doi.org/10.1097/PRS.0000000000000268
Mehrgou, A., & Akouchekian, M. (2016). The importance of BRCA1 and BRCA2 genes mutations in breast cancer development. Med J Islam Repub Iran, 30, 12.
Meneses-Echávez, J. F., Jiménez, E. G., Río-Valle, J. S., Correa-Bautista, J. E., Izquierdo, M., & Ramírez-Vélez, R. (2016). The insulin-like growth factor system is modulated by exercise in breast cancer survivors: A systematic review and meta-analysis. BMC Cancer, 16(1), 682. https://doi.org/10.1186/s12885-016-2733-z
Morrow, G. R., Andrews, P. L., Hickok, J. T., Roscoe, J. A., & Matteson, S. (2002). Fatigue associated with cancer and its treatment. Supportive Care in Cancer, 10(5), 389–398. https://doi.org/10.1007/s005200100293
Murkies, A. L., Wilcox, G., & Davis, S. R. (1998). Phytoestrogens. Journal of Clinical Endocrinology and Metabolism, 83(2), 297–303.
National Cancer Institute. (2018). BRCA Mutations: Cancer Risk and Genetic Testing. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet
Neuhouser, M. L., Aragaki, A. K., Prentice, R. L., Manson, J. E., Chlebowski, R., Carty, C. L., Ochs-Balcom, H. M., Thomson, C. A., Caan, B. J., Tinker, L. F., Urrutia, R. P., Knudtson, J., & Anderson, G. L. (2015). Overweight, Obesity, and Postmenopausal Invasive Breast Cancer Risk: A Secondary Analysis of the Women’s Health Initiative Randomized Clinical Trials. JAMA Oncology, 1(5), 611. https://doi.org/10.1001/jamaoncol.2015.1546
Nicolini, A., Carpi, A., & Rossi, G. (2006). Cytokines in breast cancer. Cytokine & Growth Factor Reviews, 17(5), 325–337. https://doi.org/10.1016/j.cytogfr.2006.07.002
Norman, S. A., Localio, A. R., Potashnik, S. L., Simoes Torpey, H. A., Kallan, M. J., Weber, A. L., Miller, L. T., DeMichele, A., & Solin, L. J. (2009). Lymphedema in Breast Cancer Survivors: Incidence, Degree, Time Course, Treatment, and Symptoms. Journal of Clinical Oncology, 27(3), 390–397. https://doi.org/10.1200/JCO.2008.17.9291
Ohira, T., Schmitz, K. H., Ahmed, R. L., & Yee, D. (2006). Effects of weight training on quality of life in recent breast cancer survivors: The Weight Training for Breast Cancer Survivors (WTBS) study. Cancer, 106(9), 2076–2083. https://doi.org/10.1002/cncr.21829
Ozaslan, C., & Kuru, B. (2004). Lymphedema after treatment of breast cancer. The American Journal of Surgery, 187(1), 69–72. https://doi.org/10.1016/j.amjsurg.2002.12.003
Pan, K., Luo, J., Aragaki, A. K., & Chlebowski, R. T. (2019). Weight loss, diet composition and breast cancer incidence and outcome in postmenopausal women. Oncotarget, 10(33). https://doi.org/10.18632/oncotarget.26864
Pierce, J. P., Natarajan, L., Caan, B. J., Parker, B. A., Greenberg, R., Flatt, Shirley W., Rock, Cheryl, Kealey, Sheila, Al-Delaimy, Wael K., Bardwell, Wayne A., Carlson, Robert W., Emond, Jennifer A., Faerber, Susan, Gold, Ellen B., Hajek, Richard A., Hollenbach, Kathryn, Jones, Lovell A., Karanja, Njeri, Madklensky, Lisa, … Stefanick, Marcia. (2007). Influence of a Diet Very High in Vegetables, Fruit, and Fiber and Low in Fat on Prognosis Following Treatment for Breast Cancer: The Women’s Healthy Eating and Living (WHEL) Randomized Trial. Journal of the American Medical Association, 298(3), 289–298.
Ravasco, P. (2010). Body fat and poor diet in breast cancer women. NUTRICION HOSPITALARIA, 3. https://doi.org/10.3305/nh.2010.25.3.4418
REEVES, M., WINKLER, E., MCCARTHY, N., LAWLER, S., TERRANOVA, C., HAYES, S., JANDA, M., DEMARK-WAHNEFRIED, W., & EAKIN, E. (2017). The Living Well after Breast Cancer Pilot Trial: A weight loss intervention for women following treatment of breast cancer. Asia-Pacific Journal of Clinical Oncology, 13, 125–136.
Rock, C. L., Flatt, S. W., Byers, T. E., Colditz, G. A., Demark-Wahnefried, W., Ganz, P. A., Wolin, K. Y., Elias, A., Krontiras, H., Liu, J., Naughton, M., Pakiz, B., Parker, B. A., Sedjo, R. L., & Wyatt, H. (2015). Results of the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) Trial: A Behavioral Weight Loss Intervention in Overweight or Obese Breast Cancer Survivors. Journal of Clinical Oncology, 33(28), 3169–3176. https://doi.org/10.1200/JCO.2015.61.1095
Rovito, D., Giordano, C., Plastina, P., Barone, I., De Amicis, F., Mauro, L., Rizza, P., Lanzino, M., Catalano, S., Bonofiglio, D., & Andò, S. (2015). Omega-3 DHA- and EPA–dopamine conjugates induce PPARγ-dependent breast cancer cell death through autophagy and apoptosis. Biochimica et Biophysica Acta (BBA) - General Subjects, 1850(11), 2185–2195. https://doi.org/10.1016/j.bbagen.2015.08.004
Scallan, J. P., Zawieja, S. D., Castorena-Gonzalez, J. A., & Davis, M. J. (2016). Lymphatic pumping: Mechanics, mechanisms and malfunction: Lymphatic pumping mechanisms. The Journal of Physiology, 594(20), 5749–5768. https://doi.org/10.1113/JP272088
Schmitz, K. H., Troxel, A. B., Dean, L. T., DeMichele, A., Brown, J. C., Sturgeon, K., Zhang, Z., Evangelisti, M., Spinelli, B., Kallan, M. J., Denlinger, C., Cheville, A., Winkels, R. M., Chodosh, L., & Sarwer, D. B. (2019). Effect of Home-Based Exercise and Weight Loss Programs on Breast Cancer–Related Lymphedema Outcomes Among Overweight Breast Cancer Survivors: The WISER Survivor Randomized Clinical Trial. JAMA Oncology, 5(11), 1605. https://doi.org/10.1001/jamaoncol.2019.2109
Schoemaker, M. J., Nichols, H. B., Brook, M. N., Jones, M. E., O’Brien, K. M., Adami, H.-O., Baglietto, L., Bernstein, L., Bertrand, K. A., Boutron-Ruault, M.-C., Braaten, T., Chen, Y., Connor, A. E., Dorronsoro, M., Dossus, L., Eliassen, A. H., Giles, G. G., Hankinson, S. E., Kaaks, R., … Swerdlow, A. J. (2018). Association of Body Mass Index and Age With Subsequent Breast Cancer Risk in Premenopausal Women. JAMA Oncology, 4(11), e181771. https://doi.org/10.1001/jamaoncol.2018.1771
Sestak, I., Harvie, M., Howell, A., Forbes, J. F., Dowsett, M., & Cuzick, J. (2012). Weight change associated with anastrozole and tamoxifen treatment in postmenopausal women with or at high risk of developing breast cancer. Breast Cancer Research and Treatment, 134(2), 727–734. https://doi.org/10.1007/s10549-012-2085-6
Shaw, C., Mortimer, P., & Judd, P. A. (2007a). Randomized controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema. Cancer, 109(10), 1949–1956. https://doi.org/10.1002/cncr.22638
Shaw, C., Mortimer, P., & Judd, P. A. (2007b). Randomized controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema. Cancer, 109(10), 1949–1956. https://doi.org/10.1002/cncr.22638
Sheppard, V. B., Hicks, J., Makambi, K., Hurtado-de-Mendoza, A., Demark-Wahnefried, W., & Adams-Campbell, L. (2016). The feasibility and acceptability of a diet and exercise trial in overweight and obese black breast cancer survivors: The Stepping STONE study. Contemporary Clinical Trials, 46, 106–113. https://doi.org/10.1016/j.cct.2015.12.005
Siiteri, P. K. (1987). Adipose tissue as a source of hormones. The American Journal of Clinical Nutrition, 45(1), 277–282.
Snoj, N., Dinh, P., Bedard, P., & Sotiriou, C. (2010). Molecular Biology of Breast Cancer. In Essential Concepts in Molecular Pathology (pp. 341–349). Elsevier Inc.
Spencer, L., Mann, C., Metcalfe, M., Webb, M., Pollard, C., Spencer, D., Berry, D., Steward, W., & Dennison, A. (2009). The effect of omega-3 FAs on tumour angiogenesis and their therapeutic potential. European Journal of Cancer, 45(12), 2077–2086. https://doi.org/10.1016/j.ejca.2009.04.026
Stefani, Laura, Palmerini, Davide, Corezzi, Michele, Mascherini, Gabriele, Petri, Cristian, Klika, Riggs J., & Galanti, Giorgio. (2017). Total Body Water Distribution in Breast Cancer Survivors Following Cancer Rehabilitation. Journal of Functional Morphology and Kinesiology, 1–8. https://doi.org/10.3390/jfmk2020012
Sullivan, G. M., & Feinn, R. (2012). Using Effect Size—Or Why the P Value Is Not Enough. Journal of Graduate Medical Education, 4(3), 279–282. https://doi.org/10.4300/JGME-D-12-00156.1
Thomas, G. A., Cartmel, B., Harrigan, M., Fiellin, M., Capozza, S., Zhou, Y., Ercolano, E., Gross, C. P., Hershman, D., Ligibel, J., Schmitz, K., Li, F.-Y., Sanft, T., & Irwin, M. L. (2017). The effect of exercise on body composition and bone mineral density in breast cancer survivors taking aromatase inhibitors: 12-Month Body Composition Changes in HOPE. Obesity, 25(2), 346–351. https://doi.org/10.1002/oby.21729
Thompson, H. J., Sedlacek, S. M., Playdon, M. C., Wolfe, P., McGinley, J. N., Paul, D., & Lakoski, S. G. (2015). Weight Loss Interventions for Breast Cancer Survivors: Impact of Dietary Pattern. PLOS ONE, 10(5), e0127366. https://doi.org/10.1371/journal.pone.0127366
Wanchai, A., & Armer, J. M. (2019). Effects of weight-lifting or resistance exercise on breast cancer-related lymphedema: A systematic review. International Journal of Nursing Sciences, 6(1), 92–98. https://doi.org/10.1016/j.ijnss.2018.12.006
Warren, M. P., Shu, A. R., & Dominguez, J. E. (2015). Menopause and Hormone Replacement. In Endotext (pp. 1–56). MDText.com. https://www.ncbi.nlm.nih.gov/books/NBK279050/
Wu, Saxena, Awaji, & Singh. (2019). Tumor-Associated Neutrophils in Cancer: Going Pro. Cancers, 11(4), 564. https://doi.org/10.3390/cancers11040564
Yang, E. J., Kim, S. Y., Lee, W. H., Lim, J.-Y., & Lee, J. (2018). Diagnostic Accuracy of Clinical Measures Considering Segmental Tissue Composition and Volume Changes of Breast Cancer-Related Lymphedema. Lymphatic Research and Biology, 16(4), 368–376. https://doi.org/10.1089/lrb.2017.0047
Zhang, X., Brown, J. C., Paskett, E. D., Zemel, B. S., Cheville, A. L., & Schmitz, K. H. (2017). Changes in arm tissue composition with slowly progressive weight-lifting among women with breast cancer-related lymphedema. Breast Cancer Research and Treatment, 164(1), 79–88. https://doi.org/10.1007/s10549-017-4221-9
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