Department of Oncology, Helsinki University Central Hospital, Helsinki, Finland.
Anticancer Res. 2012 Sep;32(9):3875-84.
The study aimed at determining whether physical exercise training improves the quality of life (QoL) and physical fitness of breast cancer survivors.
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).
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.
Increase in physical activity was associated with improved QoL, but no effect of the exercise intervention was observed.
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。
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)。
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。
身体活动的增加与 QoL 的改善相关,但锻炼干预没有效果。