Published Online: December 8, 2010. doi:10.1001 /jama.2010.1837
Author Contributions: Dr Schmitz had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Schmitz, Ahmed, Cheville.
Acquisition of data: Schmitz, Lewis-Grant, Bryan.
Analysis and interpretation of data: Schmitz, Troxel, Cheville, Smith, Williams-Smith, Chittams.
Drafting of the manuscript: Schmitz, Cheville.
Critical revision of the manuscript for important intellectual content: Schmitz, Ahmed, Troxel, Cheville, Lewis-Grant, Smith, Bryan, Williams-Smith, Chittams.
Statistical analysis: Troxel, Williams-Smith, Chittams.
Obtained funding: Schmitz, Ahmed.
Administrative, technical, or material support: Schmitz, Lewis-Grant.
Study supervision: Schmitz, Lewis-Grant, Smith.
Financial Disclosures: None reported.
Funding/Support: This work was supported by grant R01-CA106851 from the National Cancer Institute (Dr Schmitz) and by the Public Health Services Research grant RR024134 from the National Institutes of Health to the University of Pennsylvania. In addition, BSN Medical provided in-kind support in the form of custom-fitted compression garments and the fitness centers where the weight lifting intervention was delivered discounted membership fees for study participants (YMCA of Philadelphia and Vicinity, Sisters in Shape, the Family YMCA of Burlington County, New Jersey, and the Community YMCA of Eastern Delaware County).
Role of the Sponsors: None of these funding sources had any role in the design and conduct of the study, in the collection, management, analysis, and interpretation of the data, or in the preparation, review, or approval of the manuscript.
Additional Contributions: We thank the lymphedema therapists at Penn Therapy and Fitness who evaluated and treated the participants in this study, including Joy C. Cohn, PT, CLT-LANA; Nicole L. Dugan, PT, DPT, CLT-LANA; Bernadette Erikson, PT, CLT-LANA; Rebecca Maurer, DPT, CLT-LANA; Beth Anne Morris, MSPT, CLT-LANA; Nancy Stewart, PT, MEd, MPT, CLT; and Bryan Spinelli, PT, MS, OCS, CLT. All of these lymphedema therapists were compensated for their work on the PAL trial. We also thank the paid staff of the PAL trial at the University of Pennsylvania, including Amy Rogerino, MPH (recruitment and data management), and Damali Mason, MS (measurement). The exercise protocol, including progression in which the exercises were taught, is available upon request.