Table 3

Effects and moderators of the effects of exercise on upper body muscle strength, lower body muscle strength, lower body muscle function and aerobic fitness.

UBMSLBMSLBMFAerobic fitness
χ2 (df), p valuesβ (95% CI)χ2 (df), p valuesβ (95% CI)χ2 (df), p valuesβ (95% CI)χ2 (df), p valuesβ (95% CI)
Effect of exercise0.20 (0.14 to 0.26)*0.29 (0.23 to 0.35)*0.16 (0.08 to 0.24)*0.28 (0.23 to 0.34)*
Demographic moderators
 Age continuous0.10 (1), 0.760.57 (1), 0.450.70 (1), 0.406.22 (1), 0.01*
  Age < 500.41 (0.31 to 0.52)*
  Age 50–700.22 (0.15 to 0.29)*
  Age > 700.23 (0.07 to 0.40)*
Sex0.97 (1), 0.320.59 (1), 0.442.17 (1), 0.140.00 (1), 0.98
Marital status1.90 (1), 0.175.12 (1), 0.02*0.84 (1), 0.361.78 (1), 0.18
  Partner0.22 (0.14 to 0.30)*
  Unmarried/living alone0.37 (0.23 to 0.51)*
Education level0.02 (1), 0.882.71 (1), 0.102.03 (1), 0.160.97 (1), 0.33
Clinical moderators
 BMI continuous0.68 (1), 0.410.19 (1), 0.661.15 (1), 0.280.00 (1), 0.98
 Cancer type0.77 (4), 0.940.26 (1), 0.612.06 (4), 0.73 7.69 (5), 0.17
 Breast cancer versus other cancer types0.47 (1), 0.500.26 (1), 0.610.58 (1), 0.450.77 (1), 0.38
 Surgery0.32 (1), 0.571.71 (1), 0.190.02 (1), 0.883.34 (1), 0.07
 Chemotherapy0.06 (1), 0.810.00 (1), 0.952.42 (1), 0.120.34 (1), 0.56
 Radiotherapy0.61 (1), 0.432.88 (1), 0.091.80 (1), 0.180.60 (1), 0.44
 Hormone therapy for breast cancer0.84 (1), 0.360.00 (1), 0.960.58 (1), 0.451.83 (1), 0.18
Intervention-related moderators
Timing of intervention4.17 (1), 0.04*0.02 (1), 0.901.04 (1), 0.312.05 (1), 0.15
  During0.26 (0.17 to 0.36)*
  Following0.13 (0.06 to 0.21)*
Delivery mode†– supervised versus unsupervised0.19 (0.05 to 0.34)*†0.30 (0.12 to 0.48)*†0.02 (-0.16 to 0.19)†0.23 (0.12 to 0.34)*†
  Supervised0.23 (0.17 to 0.30)*0.30 (0.25 to 0.36)*0.34 (0.28 to 0.40)*
  Unsupervised0.11 (−0.06 to 0.28)0.13 (−0.17 to 0.44)0.19 (0.07 to 0.32)*
Intervention duration (weeks)1.69 (2), 0.432.57 (2), 0.281.10 (2), 0.588.47 (2), 0.01*‡
  ≤120.38 (0.30 to 0.46)*
  > to 12–240.27 (0.17 to 0.38)*
  > to 240.14 (−0.02 to 0.30)
Exercise-related moderators for supervised exercise
Frequency17.11 (1), < to 0.01*0.01 (1), 0.920.05 (1), 0.830.29 (1), 0.59
  < to 3 times/week0.16 (0.11 to 0.22)*
  ≥3 times/week0.49 (0.28 to 0.70)*
Intensity†– Moderate–vigorous and vigorous versus low–moderate and moderate0.11 (−0.04 to 0.27)†−0.12 (−0.34 to 0.09)†−0.04 (−0.17 to 0.10)†0.04 (−0.09 to 0.17)†
Type†
  AE+RE versus AE0.26 (0.07 to 0.44)*0.42 (0.25 to 0.59)*−0.08 (−0.22 to 0.06)
  RE versus AE0.54 (0.37 to 0.71)*0.29 (0.14 to 0.44)*−0.31 (−0.49 to -0.13)*
  RE+impact training versus AE0.27 (0.04 to 0.50)*0.28 (0.07 to 0.48)*−0.21 (−0.48 to 0.06)
  RE versus AE+RE0.28 (0.14 to 0.43)*−0.13 (−0.26 to -0.01)*−0.23 (−0.42 to -0.03)*
  RE+impact training versus AE+RE0.02 (−0.16 to 0.19)−0.14 (−0.30 to 0.02)-0.00 (-0.16 to 0.16)−0.13 (−0.37 to 0.12)
  RE+impact training versus RE−0.27 (−0.47 to -0.07)*−0.01 (−0.18 to 0.16)0.10 (−0.20 to 0.40)
Time of exercise session (min)14.01 (2), 0.01*9.07 (2), 0.01*0.05 (1), 0.831.48 (2), 0.48
  ≥ 300.49 (0.28 to 0.70)*0.31 (0.15 to 0.47)*
  > to 30–600.16 (0.09 to 0.23)*0.26 (0.19 to 0.34)*
  > to 600.42 (0.24 to 0.60)*0.51 (0.40 to 0.62)*
Weekly exercise volume3.48 (1), 0.061.46 (1), 0.230.05 (1), 0.830.10 (1), 0.75
Exercise-related moderators for unsupervised exercise
 Frequency0.56 (1), 0.461.47 (1), 0.22
Intensity†– moderate–vigorous and vigorous versus0.14 (−0.17 to 0.45)†
  low-moderate and moderate
Type†– AE+RE versus AE0.12 (−0.23 to 0.47)−0.16 (−0.39 to 0.06)
Time of exercise session (min)0.03 (1), 0.868.86 (1), < to 0.01*
  ≤ 300.28 (0.13 to 0.42)*
  > to 30–60− 0.14 (−0.39 to 0.11)
Weekly exercise volume1.47 (1), 0.23
  • *Statistically significant.

  • †Interaction testing for a study-level moderator was not possible, and differences between subgroups were tested using dummy variables. Regression coefficients (β difference_in_effect) and 95% CIs are reported, which represent the between group difference in z-scores.

  • ‡Log likelihood ratio not significant after correction for delivery mode (χ2=4.35, p=0.11).

  • AE, aerobic exercise; LBMS, lower body muscle strength; LBMF, lower body muscle function; RE, resistance exercise; UBMS, upper body muscle strength.