运动计划模拟标准护理方法对乳腺癌患者的身体健康和患者自述结果产生积极影响:一项试点研究。
Exercise Programming Modelling a Standard of Care Approach Improves Physical Health and Patient-Reported Outcomes in Individuals Living with Breast Cancer: A Pilot Study.
发表日期:2023 Jul 26
作者:
Stephanie J Kendall, Stefan Heinze, Chris Blanchard, Joy C Chiekwe, Jennifer Melvin, Nicole Culos-Reed, Margaret L McNeely, Melanie R Keats, Scott A Grandy
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
控制研究广泛报道,锻炼能改善乳腺癌患者的健康。然而,许多乳腺癌患者的活动水平不足以获得锻炼的益处。通过“运动策略激活癌症社区”,我们计划扩大覆盖更多的癌症患者。本报告描述了一个为期12周的个体化运动计划对乳腺癌患者的体成分、身体健康和患者报告结果的影响。乳腺癌患者被招募参与该研究,并由临床运动生理学家监督每周两次的运动计划。共有43名参与者完成了运动干预,而有36名退出了研究。所有参与者在完成计划后,有显著提高的有氧健康水平、腰围、臀围、下肢耐力、身体活动行为、健康相关生活质量、情绪状态和疲劳水平。柔韧性、平衡性和睡眠质量未发生改变。这个12周个体化运动计划的结果与更多控制研究设计的结果基本一致。这些结果支持将运动疗法纳入乳腺癌患者标准护理的未来倡议。
Controlled study designs widely report that exercise improves the health of individuals living with breast cancer. Still, many individuals living with breast cancer are not active enough to experience the benefits of exercise. The Activating Cancer Communities through an Exercise Strategy for Survivors study was developed to reach more individuals living with cancer. This report describes the effects of a 12-week individualized exercise program that models a standard-of-care approach on body composition, physical fitness, and patient-reported outcomes in individuals living with breast cancer. Individuals living with breast cancer were recruited for the study and completed an exercise program twice weekly overseen by a Clinical Exercise Physiologist. A total of 43 participants completed the exercise intervention, and 36 withdrew from the study. All participants had significantly improved aerobic fitness, waist circumference, hip circumference, lower body endurance, physical activity behaviour, health-related quality of life, emotional status, and fatigue levels after completing the program. Flexibility, balance, and sleep scores did not change. The results from the 12-week individualized exercise program largely align with the results from more controlled study designs. These results support future initiatives integrating exercise therapy into the standard of care for individuals living with breast cancer.