患有乳腺癌和乳腺癌的患者经常会表现出多种副作用，这些副作用可能会影响生活质量和身体机能，远远超出诊断和癌症治疗的范围。传统的陆地运动已被证明可以有效减轻 BC 的多种症状，但人们对水中运动在改善身体和心理健康方面的作用知之甚少。 比较 BC 的陆地运动与水中运动训练幸存者改善 BC 患者的健康相关生活质量 (HRQoL)、癌症相关疲劳 (CRF)、身体机能、身体成分和体力活动。2020 年期间进行了一项随机、平行组 (1:1) 对照试验2022 年。患者被随机分配在 12 周内每周两次完成类似的运动训练，要么在陆地上 (LG) 使用传统健身器材，要么在游泳池 (WG) 使用自重练习和适合水上的配件。两组均由经验丰富的物理治疗师进行监督和监测。主要结果是 HRQoL（EORTC QLQ C30 和 B23 模块）和使用 Piper 量表测量的 CRF。次要变量包括 6 分钟步行测试 (6MWT) 的功能能力、上半身和下半身力量（握力和 30 英寸坐站 (STS) 测试）、身体成分和客观测量的体力活动。对 28 名患者进行了评估和评估研究期间随机分组。一名患者因皮肤问题没有接受分配的干预措施，一名患者在干预期间退出。时间对症状严重程度 (F(2,52) = 6.46, p = 0.003) 和整体功能 (F1.67,43.45 = 5.215, p =0 .013) 都有显着影响，但组间未发现交互作用和时间。没有报告对 CRF 产生影响。功能能力（时间效应 F1.231,32.019 = 16.818，p < 0.001）和下肢力量（时间效应 F2,52 = 15.120，p < 0.001）以及脂肪量（时间效应 F2,52）也有类似的发现= 4.38，p = 0.017）。值得注意的是，据报告，每组体力活动互动时间显着 (F2,52 = 6.349，p =0.003)，随着时间的推移，WG 中的患者 PA 水平显着提高，而 LG 中的患者则表现出明显下降。水中运动训练或在陆地上可以减轻症状严重程度并改善功能和身体成分。随着时间的推移，水上训练似乎比陆上锻炼更能有效改善身体活动模式。© 2024。作者获得日本乳腺癌协会独家许可。

Patients living with and beyond breast cancer frequently exhibit several side effects that can impact quality of life and physical functioning way beyond diagnosis and cancer therapies. Traditional on-land exercise has shown to be effective in reducing several symptoms of BC but little is known about the role of water-based exercise in improving physical and psychological well-being.To compare land- vs. water-based exercise training for BC survivors to improve Health-Related Quality of Life (HRQoL), cancer-related fatigue (CRF), physical functioning, body composition and physical activity in patients with BC.A randomised, parallel group (1:1) controlled trial was conducted between 2020 and 2022. Patients were randomly allocated to complete a similar exercise training twice weekly during 12 weeks either on land (LG) using traditional gym equipment or in a swimming pool (WG) using body-weight exercises and water-suitable accessories. Both groups were supervised and monitored by an experienced physiotherapist. Main outcome was HRQoL (EORTC QLQ C30 and B23 module) and CRF measured with the Piper Scale. Secondary variables included functional capacity with the 6 Minutes Walking Test (6MWT), upper and lower body strength (handgrip strength and 30″ Sit-to-Stand (STS) test), body composition and objectively measured physical activity.28 patients were assessed and randomised during the study period. One patient did not receive the allocated intervention due to skin issues and one patient was dropped out during the intervention. A significant effect of time was found for both symptom severity (F(2,52) = 6.46, p = 0.003) and overall functioning (F1.67,43.45 = 5.215, p =0 .013) but no interaction was found between group and time. No effects were reported for CRF. Similar findings were reported for functional capacity (time effect F1.231,32.019 = 16.818, p < 0.001) and lower body strength (time effect F2,52 = 15.120, p < 0.001) as well as fat mass (time effect F2,52 = 4.38, p = 0.017). Notably, a significant time per group interaction was reported for physical activity (F2,52 = 6.349, p =0.003) with patients in the WG significantly improving PA levels over time while patients in the LG exhibited a marked decreased.Exercise training either in water or on land can decrease symptom severity and improve functionality and body composition. Water-based training seems more effecting than land-based exercise to improve physical activity patterns over time.© 2024. The Author(s), under exclusive licence to The Japanese Breast Cancer Society.