Personal Story: Running marathons with metastatic breast cancer? Yes!
|At a glance
|What is known about exercise for MBC
|Questions to ask your doctor
This article is about:
The personal story of a breast cancer patient and how running marathons has improved her quality of life.
Since 2012 Sarah has run over 40 marathons (26.2 miles) and ultramarathons (any race longer than 26.2 miles). However, her ability to continue long-distance running came into question this July when she was diagnosed with metastic breast cancer.
Sarah asked her oncologist if she could still run long distances. Because her breast cancer had spread to her bones, Sarah was worried that extreme running might put her at risk for a fracture. Even in healthy long distance runners, stress fractures are not uncommon. Sarah’s oncologist reassured her that running can strengthen her bones. Her oncologist encouraged her to continue participating in the sport that made her happy, but advised her to listen to her body.
Benefits of exercise for breast cancer patients
Over 100 exercise intervention trials have shown that physical activity for women with breast cancer helps manage cancer-related symptoms, improves quality of life and can even lower the risk of recurrence and breast cancer related death. These studies have shown that exercise is safe and can provide health benefits to these patients both during and after treatment.
Yet, less is known about whether exercise is safe or beneficial for women with advanced breast cancer. In fact, they are often excluded from exercise intervention studies.
One small study from September 2019 looked at the benefits of exercise in 14 women with breast cancer.
Researchers the women to either a control group or an exercise group. The exercise group followed an 8-week home-based physical activity program, which included twice-weekly supervised resistance training and unsupervised walking.
When the exercise group was compared to the control group, the exercise group had less chronic fatigue, better ability to use oxygen, and performed better on a six-minute walk test.
An earlier study from April 2016 101 women with breast cancer to a 16-week moderate exercise intervention or a control group. About 40 percent of participants were undergoing chemotherapy at the time of enrollment.
This earlier study found that participants in the exercise group increased (although not significantly) their minutes of weekly exercise and improved their treadmill test scores and physical function (as measured by a survey designed to access an individual’s ability to complete daily living activities and more strenuous tasks).
Although both of these studies were small, they suggest that an exercise program for women with breast cancer may safely lead to better physical capacity and help them to live well with their disease. Much more work is needed to determine if an exercise intervention could help women with advanced disease live more fully with fewer symptoms from their disease and treatment.
Sarah’s latest marathon
Last September, Sarah ran the Columbus Marathon. She and her husband wore shirts with “Living with Breast Cancer,” on the front, and the phrase “Bound and Determined” on the back. A few days before she was feeling extreme fatigue. The morning of the race while waiting at the start line, she felt terrible until the song “Thunderstruck” by ACDC came on. It was then that she realized how much joy running brought to her life. Running had helped her deal with both the emotional and physical impact of her advanced disease.
Sarah is now more determined than ever to keep running. She’s encouraging people to stay active no matter what circumstances life throws at them. She wants to let breast cancer patients know that they should keep doing the things they love, whether it’s a 5K or 100 mile race. As Sarah said, “Just put a smile on your face and enjoy the heck out of it.”
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Smith, S as told to Shiffer, E. “I Have Breast Cancer—but I Won’t Stop Running Ultras”. Runner’s World. Dec 19, 2018
Yee J, Davis GM, Hackett D, PhD, et al. “Physical Activity for Symptom Management in Women With Breast Cancer: A Feasibility Trial on Physical Activity and Breast Metastases." Journal of Pain and Symptom Management. 2019 Jul 30. pii: S0885-3924(19)30435-X. doi: 10.1016/j.jpainsymman.2019.07.022. [Epub ahead of print]
Ligibel JA, Giobbie-Hurder A, Shockro L, Campbell N, Partridge AH, Tolaney SM, Lin NU, Winer EP. trial of a physical activity intervention in women with breast cancer. Cancer. 2016. 122(8):1169-77.
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This article is relevant for:
Women with metastatic breast cancer
This article is also relevant for:
people with metastatic or advanced cancer
Be part of XRAY:
- Physical activity and exercise recommendations should be tailored to each person's abilities and preferences.
- People should try to engage in some physical activity daily; this may include:
- taking the stairs.
- walking more.
- Each week, people should try to achieve the following:
- At least 150 minutes of moderate-intensity exercise, with an ideal goal of 300 minutes, 75 minutes of vigorous activity or a combination of the two.
- Two to three sessions of strength/resistance training that include all of the major muscle groups (chest, shoulders, arms, back, core and legs).
- Stretch major muscle groups at least two days per week.
- Avoid sitting or lying down for long periods and other prolonged sedentary behavior.
- Would an exercise program help me better manage my disease symptoms and treatment?
- If I exercise during treatment, what is the best frequency, length and intensity of my workouts.
- Are there any exercises that I should avoid?
- If I exercise during my treatment, what are some warning signs that may indicate a need to reduce my exercise program?
- Can you refer me to a personal trainer?
The following are studies focused on exercise for people diagnosed with breast cancer.
- NCT04000880: AMPLIFY: An Online Weight Loss Study Specifically for Cancer Survivors. AMPLIFY is a nation-wide, web-based diet and exercise study recruiting overweight survivors of early breast, , ovarian, renal, colorectal, endometrial cancer and multiple myeloma age 50 and older who are interested in becoming more active, eating better and losing weight.
- NCT04621721: Physical Activity at Home for Relief from Neuropathy Caused by Taxanes in People with Breast Cancer. This study will look at the effects of gain and balance training and resistance exercise (using bands) on gait, balance, and lower extremity muscle strength after a 16-week home-based exercise program compared to educational materials without an exercise program.
- NCT04298086: A Study of the Body's Response to Exercise and a Plant-Based Diet in Overweight Postmenopausal Women With Breast Cancer. This study is looking to find out what effects exercise and a plant-based diet have on aromatase levels in postmenopausal women who are overweight and being treated with an aromatase inhibitor for their HR+ breast cancer.
- NCT05327452: Testing Home-based Exercise Strategies in Underserved Minority Cancer Patients Undergoing Chemotherapy: the THRIVE Study. The purpose of this research is to determine whether a 16 week, home-based, aerobic and resistance exercise intervention will increase physical activity levels in Black and Hispanic breast, colorectal, or cancer patients.
- NCT03761706: Impact of Home-based Aerobic and Strength Exercises During Chemotherapy for Early Breast Cancer on Biomarkers of Aging. To determine if engagement in physical activity during chemotherapy will have a moderating effect on increases in p16 levels during chemotherapy.
- NCT03824145: Every Day Counts: A Lifestyle Program for Women With Breast Cancer (EDC).This study will examine dietary and activity patterns, body composition, blood and quality of life in breast cancer patients. The study will recruit 176 women with MBC in Milwaukee and Chicago.
NCT04298086: A Study of the Body's Response to Exercise and a Plant-Based Diet in Overweight Postmenopausal Women With Breast Cancer. This study is looking at the effects exercise and a plant-based diet have on aromatase levels in postmenopausal women who are overweight and being treated with an aromatase inhibitor.
The following organizations offer peer support services for people with, or at high risk for breast cancer:
- FORCE peer support:
- Our Message Boards allow people to connect with others who share their situation. Once you register, you can post on the Diagnosed With Cancer board to connect with other people who have been diagnosed.
- Our Peer Navigation Program will match you with a volunteer who shares your mutation and situation.
- Connect online with our Private Facebook Group.
- Join our virtual and in-person support meetings.
- Other organizations that offer breast cancer support: