Culos-Reed S Nicole, Carlson Linda E, Daroux Lisa M, Hately-Aldous Susi
Faculty of Kinesiology, University of Calgary, Calgary, Canada.
Psychooncology. 2006 Oct;15(10):891-7. doi: 10.1002/pon.1021.
Physical activity provides a number of physical and psychological benefits to cancer survivors, including lessening the impact of detrimental cancer-related symptoms and treatment side-effects (e.g. fatigue, nausea), and improving overall well-being and quality of life. The purpose of the present pilot study was to examine the physical and psychological benefits afforded by a 7-week yoga program for cancer survivors.
Eligible participants (per-screened with PAR-Q/PAR-MED-X) were randomly assigned to either the intervention (n=20) or control group (n=18). All participants completed pre- and post-testing assessments immediately before and after the yoga program, respectively.
The yoga program participants (M age=51.18 (10.33); 92% female) included primarily breast cancer survivors, on average 55.95 (54.39) months post-diagnosis. Significant differences between the intervention and the control group at post-intervention were seen only in psychosocial (i.e. global quality of life, emotional function, and diarrhea) variables (all p's <0.05). There were also trends for group differences, in the hypothesized directions, for the psychosocial variables of emotional irritability, gastrointestinal symptoms, cognitive disorganization, mood disturbance, tension, depression, and confusion (all p's <0.10). Finally, there were also significant improvements in both the program participants and the controls from pre- to post-intervention on a number of physical fitness variables.
These initial findings suggest that yoga has significant potential and should be further explored as a beneficial physical activity option for cancer survivors. Future research might attempt to include a broader range of participants (e.g. other types of cancer diagnoses, male subjects), a larger sample size, and a longer program duration in an RCT.
体育活动对癌症幸存者有诸多生理和心理益处,包括减轻与癌症相关的有害症状和治疗副作用(如疲劳、恶心)的影响,以及改善整体幸福感和生活质量。本试点研究的目的是检验为期7周的瑜伽项目给癌症幸存者带来的生理和心理益处。
符合条件的参与者(通过PAR-Q/PAR-MED-X预先筛查)被随机分配到干预组(n = 20)或对照组(n = 18)。所有参与者分别在瑜伽项目开始前和结束后立即完成前测和后测评估。
瑜伽项目参与者(平均年龄 = 51.18(10.33)岁;92%为女性)主要是乳腺癌幸存者,平均诊断后55.95(54.39)个月。干预后干预组和对照组之间仅在心理社会变量(即总体生活质量、情绪功能和腹泻)上存在显著差异(所有p值<0.05)。在情绪易激惹、胃肠道症状、认知紊乱、情绪障碍、紧张、抑郁和困惑等心理社会变量方面,也存在符合假设方向的组间差异趋势(所有p值<0.10)。最后,在一些身体素质变量方面,项目参与者和对照组从干预前到干预后均有显著改善。
这些初步研究结果表明,瑜伽具有显著潜力,应作为癌症幸存者有益的体育活动选项进一步探索。未来的研究可能会尝试在随机对照试验中纳入更广泛的参与者(如其他类型的癌症诊断、男性受试者)、更大的样本量和更长的项目持续时间。