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超重和肥胖乳腺癌幸存者的心肺适能、身体活动与心理社会变量之间的关系。

Relationships between cardiorespiratory fitness, physical activity, and psychosocial variables in overweight and obese breast cancer survivors.

机构信息

School of Exercise and Nutritional Sciences, San Diego State University, San Diego, CA, USA.

出版信息

Int J Behav Med. 2010 Dec;17(4):264-70. doi: 10.1007/s12529-010-9076-y.

Abstract

BACKGROUND

Breast cancer survivors not only experience distressing physical symptoms associated with treatments, but also are faced with psychosocial challenges. Despite growing scientific evidence that physical activity (PA) may mitigate psychosocial distress experienced by women treated for breast cancer, the literature is equivocal.

PURPOSE

This study investigated the relationships between cardiorespiratory fitness (CRF), PA, and psychosocial factors in breast cancer survivors.

METHOD

Data involving overweight or obese breast cancer survivors (N = 260) were examined. CRF was determined by a submaximal graded exercise test. PA, depressive symptoms, total fatigue, and global self-esteem were assessed with self-report measures. Pearson's correlations were conducted to determine associations among CRF, PA, depressive symptoms, total fatigue, and global self-esteem. Multiple regression models, with age and body mass index as covariates, were performed using continuous levels for CRF and PA.

RESULTS

Bivariate correlations suggested that CRF and PA were unrelated to the psychosocial variables. One of the regression models identified a marginally significant (P = 0.06) inverse association between depressive symptoms and PA.

CONCLUSION

CRF and PA were not associated with psychosocial factors in this sample of breast cancer survivors. However, minimal PA was reported by the majority of participants, so low PA variability likely influenced these findings.

摘要

背景

乳腺癌幸存者不仅经历与治疗相关的令人痛苦的身体症状,还面临心理社会挑战。尽管越来越多的科学证据表明,身体活动(PA)可能减轻接受乳腺癌治疗的女性的心理社会困扰,但文献结果存在矛盾。

目的

本研究调查了乳腺癌幸存者的心肺功能(CRF)、PA 和心理社会因素之间的关系。

方法

研究纳入了超重或肥胖的乳腺癌幸存者(N=260)。CRF 通过次最大递增运动试验确定。PA、抑郁症状、总疲劳和总体自尊用自我报告量表进行评估。采用 Pearson 相关分析确定 CRF、PA、抑郁症状、总疲劳和总体自尊之间的关联。使用连续水平的 CRF 和 PA 进行多元回归模型,以年龄和体重指数为协变量。

结果

双变量相关性表明,CRF 和 PA 与心理社会变量无关。其中一个回归模型发现,抑郁症状与 PA 之间存在边缘显著的负相关(P=0.06)。

结论

在本乳腺癌幸存者样本中,CRF 和 PA 与心理社会因素无关。然而,大多数参与者报告的 PA 量较少,因此 PA 变化的可变性可能影响了这些发现。

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