Impact of 300 virtual multicomponent physical exercise classes for women who are breast cancer survivors

Background: Physical activity improves quality of life in women with breast cancer. It is essential to implement strategies to encourage healthier habits in the continuum of cancer, especially during survival.

Purpose: This study aims to present the impact and current logic model resulting from the implementation of 300 multicomponent physical exercise sessions for Brazilian women who are breast cancer survivors.

Methods: Since 2013, the Cancer Institute, Sports Practice Center and University of São Paulo have implemented the Remama Program, which aims to improve the quality of life through canoeing training and has a university extension arm. In 2017, the University began developing research with this population. By 2020, owing to the COVID-19 pandemic and sanitary restrictions, researchers identified the need to offer an alternative way to exercise and counteract increased sedentary time and its consequent adverse effects on the health of these women (n=56). The ONcoFITT Program emerged offering virtual classes with multicomponent exercises through physical teleconditioning.

Results: ONcoFITT’s logic model comprises: a) classes twice a week for one hour a day (n=300), b) activities based on functional capabilities, c) specific cognition activities, self-massage and meditation, d) monitoring adhesion (35%), adherence (26%) and subjective perception of effort (average 6 to 8), e) quarterly virtual physical assessment (n=12), f) monthly thematic actions and social networks (n=47). Management occurs by a multidisciplinary team and the Program aims to maintain and/or improve body strength and flexibility, and social support.

Conclusions: ONcoFITT and Remama together form a hybrid Program that promotes positive impacts on the health of women breast cancer survivors, guided by a robust logic model according to their needs.

Practical implications: Offer free and accessible sessions and qualified guidance on adopting healthy lifestyles for women after breast cancer.

Funding: Coordination of Superior Level Staff Improvement.

Keywords: Women; Oncology; Physical activity.