This clinical trial compares a physical activity program to a health education program for improving memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer. Compared to non-Hispanic White breast cancer survivors (BCS), Hispanic BCS report greater depressive symptoms, emotional distress, anxiety, fear of recurrence, pain, fatigue, and financial toxicity, in addition to more cancer-related psychosocial needs and lower quality of life and social well-being. Cancer-associated cognitive decline (CACD) is a related symptom that has gained increasing attention in clinical research. Based on disparities in other outcomes, it is likely that Hispanic BCS also experience greater CACD than non-Hispanic White BCS, but interventions targeting CACD in Hispanic BCS are non-existent and critically needed. The benefits of aerobic exercise among BCS are well documented and include improvement in health outcomes that are associated with cognitive function including fatigue, anxiety, depression, and sleep. A physical activity program that includes aerobic exercise may be more effective than simple health education for improving cognitive functions like memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer.
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Change in inhibitory control
Timeframe: Baseline to post-intervention (month 6)
Change in cognitive flexibility
Timeframe: Baseline to post-intervention (month 6)
Change in executive function processing
Timeframe: Baseline to post-intervention (month 6)
Change in short-term memory
Timeframe: Baseline to post-intervention (month 6)
Change in verbal memory
Timeframe: Baseline to post-intervention (month 6)
Change in working memory
Timeframe: Baseline to post-intervention (month 6)
Change in processing speed
Timeframe: Baseline to post-intervention (month 6)
Change in attention
Timeframe: Baseline to post-intervention (month 6)
Change in brain volume
Timeframe: Baseline to post-intervention (month 6)
Change in white matter integrity
Timeframe: Baseline to post-intervention (month 6)
Change in resting state functional connectivity
Timeframe: Baseline to post-intervention (month 6)
Change in self-reported cognitive function - FACT-Cog
Timeframe: Baseline to post-intervention (month 6)