Impact of Pilates Exercises on Bone Mineral Density in Breast Cancer Survivors Receiving Hormonal Therapy

This study is testing whether a 12-week Pilates exercise program can improve bone density in female breast cancer survivors who are taking hormonal therapy (aromatase inhibitors), which is known to weaken bones over time. **You may be eligible if...** - You are a female breast cancer survivor between 40 and 60 years old - You have confirmed Stage I–III breast cancer (by biopsy) - You have been taking aromatase inhibitor hormone therapy for at least 3 months - Your bone density is low (T-score ≤ –1.0 at spine or hip) - You are cleared for low-to-moderate exercise and can attend sessions three times per week for 12 weeks **You may NOT be eligible if...** - Your breast cancer has spread (Stage IV) or has come back - You have had a bone fracture from osteoporosis in the past year - You have severe heart, breathing, or joint conditions that prevent exercise - You have uncontrolled diabetes, high blood pressure, or thyroid problems - You are currently taking corticosteroids Talk to your doctor to see if this trial is right for you.