A Systematic Review of Electronic Health (eHealth) interventions to improve physical activity in patients with breast cancer

  • Sara Dorri
  • Farkhondeh AsadiEmail author
  • Asiie Olfatbakhsh
  • Alireza Kazemi
Review Article



Electronic Health (eHealth) may have a positive effect on healthcare, such as patient education and decreasing the costs of healthcare services. Evidence suggests that such interventions can also improve physical activity (PA) of patients. This systematic review aimed to investigate the effects of PA interventions provided through eHealth on breast cancer patients.


This study was conducted through a search in electronic databases up to July 2018. PubMed, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, Science Direct, and Google Scholar databases were searched without time limitation.


In total, 2187 articles were retrieved and finally 16 articles remained. Five were pre/post and 11 were randomized trial studies. Different platforms were used in these studies including web-based, mobile-based, both web-and-mobile-based and email. In total, these articles comprise 2304 breast cancer patients with the mean age of 51 years and 50% were conducted in the USA. Four studies measured PA using wearable devices such as accelerometers and pedometers. All studies reported an increase in PA level at least in one of moderate or vigorous PA, although not all these results were significant.


The results show that eHealth interventions can improve the level of PA in breast cancer patients. Although there are numerous eHealth interventions focusing on PA in cancer patients, there is still an essential need for eHealth interventions to be tailored for breast cancer patients specifically. Clinical trials with appropriate methodology, enough intervention time and follow-up are needed to make evidence-based results more generalizable.

Trial Registration

PROSPERO CRD42018092422;


eHealth mHealth Physical activity Systematic review Breast cancer 



This study was part of a PhD project conducted at Shahid Beheshti University of Medical Sciences.



Compliance with ethical standards

Conflict of interest

The authors declare no conflicts of interest.

Supplementary material

12282_2019_982_MOESM1_ESM.docx (17 kb)
Supplementary file1 (DOCX 16 kb)


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Copyright information

© The Japanese Breast Cancer Society 2019

Authors and Affiliations

  1. 1.Medical Informatics, Department of Health Information Technology and Management, School of Allied Medical SciencesShahid Beheshti University of Medical SciencesTehranIran
  2. 2.Department of Health Information Technology and Management, School of Allied Medical SciencesShahid Beheshti University of Medical SciencesTehranIran
  3. 3.Breast Diseases Department, Breast Cancer Research Center, Motamed Cancer InstituteACECRTehranIran

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