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1Department of Epidemiology and Public Health, Yale School of Medicine, New Haven, CT, USA. melinda.irwin@yale.edu
Exercise and Sport Sciences Reviews
|October 13, 2006
Abstract:
Observational studies demonstrate that women who exercise have a lower risk of developing breast cancer compared with sedentary women, but clinical trials are necessary to demonstrate a decreased effect of exercise on breast cancer. This review presents a rationale for randomized controlled exercise trials for breast cancer prevention and proposes a construct for designing such trials.
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Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Randomized Experiments
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
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