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一项为期 12 个月的运动方案对乳腺癌幸存者身体机能和生活质量的影响。

Effectiveness of a 12-month exercise program on physical performance and quality of life of breast cancer survivors.

机构信息

Department of Oncology, Helsinki University Central Hospital, Helsinki, Finland.

出版信息

Anticancer Res. 2012 Sep;32(9):3875-84.

Abstract

AIM

The study aimed at determining whether physical exercise training improves the quality of life (QoL) and physical fitness of breast cancer survivors.

PATIENTS AND METHODS

A total of 573 breast cancer survivors were randomized into an exercise or a control group, 12-months after adjuvant treatments. EORTC QLQ-C30 and BR-23 questionnaires were used for evaluation of QoL, FACIT-F for fatigue and the Finnish modified version of Beck's 13-item depression scale (RBDI) for depression. Physical fitness was assessed by a 2-km walking test, and a figure-8 running test and physical activity (PA) by metabolic equivalent (MET) hours per week (MET-h/wk).

RESULTS

Figure-8 running time improved significantly among the patients of the intervention group compared with the controls (p<0.001). No significant between-group differences were observed in 2-km walking time, in PA, EORTC-QLQ-C30, BR-23, FACIT-F or BDI. However, there was a linear relationship between increased PA and improved QoL (p=0.006), irrespective of the intervention.

CONCLUSION

Increase in physical activity was associated with improved QoL, but no effect of the exercise intervention was observed.

摘要

目的

本研究旨在确定体育锻炼训练是否能提高乳腺癌幸存者的生活质量(QoL)和身体健康水平。

患者和方法

在辅助治疗后 12 个月,共有 573 名乳腺癌幸存者被随机分为锻炼组和对照组。使用 EORTC QLQ-C30 和 BR-23 问卷评估 QoL,使用 FACIT-F 评估疲劳,使用芬兰改良版贝克 13 项抑郁量表(RBDI)评估抑郁。通过 2 公里步行测试评估身体状况,通过 8 字形跑步测试评估身体活动(PA)。

结果

与对照组相比,干预组的患者 8 字形跑步时间显著提高(p<0.001)。2 公里步行时间、PA、EORTC-QLQ-C30、BR-23、FACIT-F 或 BDI 两组间无显著差异。然而,PA 的增加与 QoL 的改善呈线性关系(p=0.006),与干预无关。

结论

身体活动的增加与 QoL 的改善相关,但锻炼干预没有效果。

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