Integrative medicine and lifestyle in women survivors of breast cancer: an integrative review
DOI:
https://doi.org/10.29289/2594539420220026Keywords:
integrative medicine, lifestyle, cancer survivors, breast cancerAbstract
ABSTRACT: Breast cancer is the most frequent among women in the world and in Brazil. New treatment strategies are considerably increasing survival rates in the context of Breast cancer, making it important to study the physical, social, and emotional effects of the disease and its treatments. In this context, integrative medicine emerges as a strategy based on scientific evidence, along with conventional therapy, with a mind-body approach with the use of natural products and lifestyle changes. The aim of this study was to carry out a brief literature review on integrative medicine and lifestyle in women who survived Breast cancer. This is an integrative review carried out with studies indexed in PubMed. Eight search strategies were carried out using the keywords: “survivorship,” “breast cancer,” “lifestyle,” “nutrition,” “physical activity,” “alcohol,” “tobacco,” “sleep,” “distress,” and “relationship,” respecting the period between 2015 and 2021. In all, 166 articles were found. Studies that considered other types of cancer and did not focus on the lifestyle of cancer survivors were excluded from the analysis. The remaining 28 articles referring to the proposed theme were read and analyzed in full.
The results were described according to the six pillars of a healthy lifestyle proposed by the American College of Lifestyle Medicine, being addressed as follows: (1) nutrition, (2) physical activity, (3) stress, (4) substance abuse (alcohol and tobacco), (5) sleep, and (6) healthy relationships (marital relationships and social support), showing the importance of training health services and professionals in cancer survival programs to provide better guidance to patients with Breast cancer on how to use integrative therapies properly and what lifestyle changes can help optimize various aspects of your health, reducing the risk of recurrence or a new cancer.
Downloads
References
Ferrini K, Ghelfi F, Mannucci R, Titta L. Lifestyle, nutrition and breast cancer: facts and presumptions for consideration. Ecancermedicalscience. 2015;9:557. https://doi.org/10.3332/ecancer.2015.557
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. 2019 [cited on Aug 21 2022]. Available from: https://inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil
Bodai BI, Nakata TE. Breast Cancer: Lifestyle, the Human Gut Microbiota/Microbiome, and Survivorship. Perm J. 2020;24:19.129. https://doi.org/10.7812/TPP/19.129
Bodai BI, Tuso P. Breast cancer survivorship: a comprehensive review of long-term medical issues and lifestyle recommendations. Perm J. 2015 Spring;19(2):48-79. https://doi.org/10.7812/TPP/14-241
Viscuse PV, Price K, Millstine D, Bhagra A, Bauer B, Ruddy KJ. Integrative medicine in cancer survivors. Curr Opin Oncol. 2017;29(4):235-42. https://doi.org/10.1097/CCO.0000000000000376
Grant SJ, Hunter J, Seely D, Balneaves LG, Rossi E, Bao T. Integrative Oncology: International Perspectives. Integr Cancer Ther. 2019;18:1534735418823266. https://doi.org/10.1177/1534735418823266
7. Lyman GH, Greenlee H, Bohlke K, Bao T, DeMichele AM, Deng GE, et al. Integrative Therapies During and After Breast Cancer Treatment: ASCO Endorsement of the SIO Clinical Practice Guideline. J Clin Oncol. 2018;36(25):2647-55. https://doi.org/10.1200/JCO.2018.79.2721
8. Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. CA Cancer J Clin. 2016;66(1):43-73. https://doi.org/10.3322/caac.21319
9. De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and breast cancer: a literature review on prevention, treatment and recurrence. Nutrients. 2019;11(7):1514. https://doi.org/10.3390/nu11071514
10. Lofterød T, Frydenberg H, Flote V, Eggen AE, McTiernan A, Mortensen ES, et al. Exploring the effects of lifestyle on breast cancer risk, age at diagnosis, and survival: the EBBA-Life study. Breast Cancer Res Treat. 2020;182(1):215-27. https://doi.org/10.1007/s10549-020-05679-2
11. American College of Lifestyle Medicine. What is lifestyle medicine? 2022 [cited on Aug 21 2022]. Available from: https://lifestylemedicine.org/What-is-Lifestyle-Medicine
12. Montagnese C, Porciello G, Vitale S, Palumbo E, Crispo A, Grimaldi M, et al. Quality of life in women diagnosed with breast cancer after a 12-month treatment of lifestyle modifications. Nutrients. 2020;13(1):136. https://doi.org/10.3390/nu13010136
13. Demark-Wahnefried W, Schmitz KH, Alfano CM, Bail JR, Goodwin PJ, Thomson CA, et al. Weight management and physical activity throughout the cancer care continuum. CA Cancer J Clin. 2018;68(1):64-89. https://doi.org/10.3322/caac.21441
14. Zhang YB, Pan XF, Chen J, Cao A, Zhang YG, Xia L, et al. Combined lifestyle factors, incident cancer, and cancer mortality: a systematic review and meta-analysis of prospective cohort studies. Br J Cancer. 2020;122(7):1085-93. https://doi.org/10.1038/s41416-020-0741-x
15. Moore HCF. Breast cancer survivorship. Semin Oncol. 2020;47(4):222-8. https://doi.org/10.1053/j.seminoncol.2020.05.004
16. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®): Survivorship: Version 1.2022 — March 30, 2022. [cited on Aug 21 2022]. Available from: https://nccn.org/guidelines/guidelines-detail?category=3&id=1466>
17. Mijwel S, Jervaeus A, Bolam KA, Norrbom J, Bergh J, Rundqvist H, et al. High-intensity exercise during chemotherapy induces beneficial effects 12 months into breast cancer survivorship. J Cancer Surviv. 2019;13(2):244-56. https://doi.org/10.1007/s11764-019-00747-z
18. Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, et al. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J Clin Oncol. 2014;32(15):1605-19. https://doi.org/10.1200/JCO.2013.52.4611
19. D'Souza V, Daudt H, Kazanjian A. Survivorship care plans for breast cancer patients: understanding the quality of the available evidence. Curr Oncol. 2017;24(6):e446-65. https://doi.org/10.3747/co.24.3632
20. Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 2017;1(1):CD010802. https://doi.org/10.1002/14651858.CD010802.pub2
21. Gudenkauf LM, Ehlers SL. Psychosocial interventions in breast cancer survivorship care. Breast. 2018;38:1-6. https://doi.org/10.1016/j.breast.2017.11.005
22. Passarelli MN, Newcomb PA, Hampton JM, Trentham-Dietz A, Titus LJ, Egan KM, et al. Cigarette smoking before and after breast cancer diagnosis: mortality from breast cancer and smoking-related diseases. J Clin Oncol. 2016;34(12):1315-22. https://doi.org/10.1200/JCO.2015.63.9328
23. Parker BA, Pierce JP. Importance of Smoking Cessation to Reduce Breast Cancer Mortality. J Clin Oncol. 2016;34(12):1295-6. https://doi.org/10.1200/JCO.2015.66.0910
24. Jizzini M, Raghavendra AS, Ibrahim NK, Kypriotakis G, Cinciripini PM, Seoudy K, et al. The impact of treatment for smoking on breast cancer patients' survival. Cancers (Basel). 2022;14(6):1464. https://doi.org/10.3390/cancers14061464
25. Kwak A, Jacobs J, Haggett D, Jimenez R, Peppercorn J. Evaluation and management of insomnia in women with breast cancer. Breast Cancer Res Treat. 2020;181(2):269-77. https://doi.org/10.1007/s10549-020-05635-0
26. Zhou ES, Partridge AH, Syrjala KL, Michaud AL, Recklitis CJ. Evaluation and treatment of insomnia in adult cancer survivorship programs. J Cancer Surviv. 2017;11(1):74-9. https://doi.org/10.1007/s11764-016-0564-1
27. Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2016;165(2):125-33. https://doi.org/10.7326/M15-2175
28. Shrout MR, Renna ME, Madison AA, Alfano CM, Povoski SP, Lipari AM, et al. Relationship satisfaction predicts lower stress and inflammation in breast cancer survivors: A longitudinal study of within-person and between-person effects. Psychoneuroendocrinology. 2020;118:104708. https://doi.org/10.1016/j.psyneuen.2020.104708
29. American College of Surgeons. Optimal Resources for Cancer Care (2020 Standards). 2020 [cited on Aug 21 2022]. Available from: https://facs.org/quality-programs/cancer-programs/commission-on-cancer/standards-and-resources/2020/.
30. Lloyd GR, Hoffman SA, Welch WA, Blanch-Hartigan D, Gavin KL, Cottrell A, et al. Breast cancer survivors' preferences for social support features in technology-supported physical activity interventions: findings from a mixed methods evaluation. Transl Behav Med. 2020;10(2):423-34. https://doi.org/10.1093/tbm/iby112
31. Ochayon L, Tunin R, Yoselis A, Kadmon I. Symptoms of hormonal therapy and social support: Is there a connection? Comparison of symptom severity, symptom interference and social support among breast cancer patients receiving and not receiving adjuvant hormonal treatment. Eur J Oncol Nurs. 2015;19(3):260-7. https://doi.org/10.1016/j.ejon.2014.11.003
32. Paladino AJ, Anderson JN, Graff JC, Krukowski RA, Blue R, Jones TN, et al. A qualitative exploration of race-based differences in social support needs of diverse women with breast cancer on adjuvant therapy. Psychooncology. 2019;28(3):570-6. https://doi.org/10.1002/pon.4979
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Rafael Everton Assunção Ribeiro da Costa, Rafael dos Santos Nunes, Samara Fernanda Vieira Valença, Rodrigo José de Vasconcelos Valença

This work is licensed under a Creative Commons Attribution 4.0 International License.




