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Activity trackers with walking programs increase activity levels in early-stage breast cancer patientsActivity Trackers Help Breast Cancer Patients Maintain Exercise Levels

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Key Takeaway
Note that activity trackers with training guidance can increase sustained physical activity in patients on aromatase inhibitors.

This multicenter randomized controlled trial enrolled 320 patients with early-stage breast cancer receiving aromatase inhibitor endocrine therapy. Participants were assigned to either a 24-week walking program with a user-friendly activity tracker (arm A) or an unspecified recommendation of physical activity (arm B).

In arm A, 94% completed the intervention phase and 68% reached the recommended physical activity goal. Patients in arm A achieved a higher median daily number of steps compared to arm B (8542 vs. 7742; p=0.015). Activity levels were also higher in arm A at the end of the intervention (79.1% vs. 72.8%), at 12-month follow-up (79.1% vs. 69.8%), and at 24-month follow-up (69.6% vs. 61.1%).

Regarding safety and symptoms, there was no difference in the incidence of AIA during the intervention phase (58.2% vs. 56.2%) or in reported pain levels between arms. While activity trackers with training guidance may help maintain physical activity over time, the study did not report a statistically significant difference in specific AIA symptom burden or medication adherence.

How this fits prior evidence

How this fits prior evidence: This finding addresses a gap regarding non-pharmacological interventions for managing side effects in early-stage breast cancer. While previous coverage noted that RJBC-APP did not significantly improve 12-month adjuvant treatment compliance, this study suggests that activity trackers and walking programs may specifically support maintaining higher physical activity levels over a 24-month period.

Researchers conducted a trial involving 320 patients with early-stage breast cancer who were undergoing aromatase inhibitor endocrine therapy. The study compared two groups: one group used an activity tracker and followed a 24-week walking program, while the other group received general recommendations for physical activity.

The results showed that women using the activity tracker took more steps daily and maintained higher activity levels at the 12-month and 24-month follow-up marks compared to those without trackers. While the tracker helped patients stay active over a long period, it did not result in a difference in the number of people who experienced joint pain or reported higher pain levels during the program.

This study suggests that wearable trackers with clear instructions can be helpful tools for staying consistent with exercise goals. However, because this was a specific trial on activity levels, patients should talk to their doctors about how much and what type of exercise is safest for their specific condition.

What this means for you:
Wearable trackers may help breast cancer patients maintain higher activity levels over a 24-month period.

Common questions

Does using a tracker reduce pain for breast cancer patients?

The study found no difference in the incidence of joint-related issues or reported pain levels between the group using an activity tracker and the group receiving standard advice. While the tracker helped with consistency, it did not change the amount of pain reported by patients during the intervention phase.

How much more active were the women using trackers?

Women using the activity tracker took an average of 8,542 steps per day compared to 7,742 steps for those without one. They also showed higher activity levels at both the 12-month and 24-month follow-up points compared to the group that did not use a tracker.

Is it safe to use an activity tracker during treatment?

The study did not report any specific safety concerns or adverse events related to using an activity tracker. However, you should always consult with your medical team before starting a new exercise program to ensure it is appropriate for your specific health needs.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up5.5 mo
PublishedAug 2026
View Original Abstract ↓
BACKGROUND: Aromatase inhibitor (AI) induced arthralgia/myalgia (AIA) is a frequent side-effect of adjuvant breast cancer (BC) endocrine therapy. We investigated the effect of a user-friendly activity tracker to accompany a 24-week walking program, from the start of adjuvant AI-therapy, on patient AIA symptom burden and medication adherence. METHODS: 320 early-stage BC patients were included and randomly allocated to the intervention (arm A, n = 158) or control arm (arm B, n = 162). The intervention in arm A was aimed at briskly walking outdoors for 30 min continuously with 100 steps/minute for 5 days a week, versus an unspecified recommendation of physical activity (PA) in arm B. The patients wore an activity tracker with a customized display. RESULTS: The intervention compliance in arm A was high, 94% of patients completed the 24-week intervention phase and 68% reached the recommended intervention PA goal. Median daily number of steps was higher in arm A (8542 vs. 7742; p = 0.015). At the end of the intervention phase, activity levels were higher in the intervention group (79.1% vs. 72.8%). These higher values remained unchanged in the follow-up phase at 12 months (79.1% vs. 69.8%) and at 24 months (69.6% vs. 61.1%). Neither the high incidence of AIA during the intervention phase (A:58.2% vs. B:56.2%) nor the reported pain levels differed between the trial arms. CONCLUSION: BC patients are highly motivated to pursue new approaches for health promotion in addition to oncological therapies. Activity trackers with training instructional guidance are useful for maintaining training levels achieved over a longer period of time.
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