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运动对肢端肥大症患者生活质量和身体自我认知的影响。

Impact of exercise on quality of life and body-self perception of patients with acromegaly.

作者信息

Hatipoglu Esra, Topsakal Nuri, Atilgan Oya Erkut, Alcalar Nilufer, Camliguney Asiye Filiz, Niyazoglu Mutlu, Cotuk Hasan Birol, Kadioglu Pinar

机构信息

Division of Endocrinology and Metabolism, Department of Internal Medicine, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.

出版信息

Pituitary. 2014 Feb;17(1):38-43. doi: 10.1007/s11102-013-0463-7.

Abstract

In acromegaly the impact of therapy on well-being and self-perception of patients is not clearly defined. The data existing on the effect of treatment on health-related quality of life in patients with acromegaly is inconclusive. In this study we addressed the effect of exercise on health-related quality of life, symptoms of depression and perception of body image in patients with acromegaly. Patients with acromegaly were stratified into two groups according to their participation in a prescheduled program of exercise. Participants in the study group performed exercise for 75 min a day for 3 days a week during cosecutive 3 months. Warming, cardio, strength, balance and stretching moves applied in every course. Both the exercise group and control group were asked to complete a questionnaire on quality of life, symptoms of depression and self-perception of body image. Each questionnaire was answered by both groups before the beginning of the exercise program (at month-0) and after the completion of the program (at month-3). In exercise group after the completion of exercise period there was a tendency towards decreament in body mass index and IGF-I, although not statistically significant (p = 0.08 and p = 0.09). Self-assessment of body image improved significantly after participation in the exercise program (p = 0.01). Present findings support that exercise may be an adjunctive method for patients with acromegaly to improve self esteem and perception.

摘要

在肢端肥大症中,治疗对患者幸福感和自我认知的影响尚不清楚。关于治疗对肢端肥大症患者健康相关生活质量影响的现有数据尚无定论。在本研究中,我们探讨了运动对肢端肥大症患者健康相关生活质量、抑郁症状和身体形象认知的影响。肢端肥大症患者根据其参与预定运动计划的情况分为两组。研究组参与者在连续3个月内每周进行3天运动,每天运动75分钟。每个疗程都进行热身、有氧运动、力量训练、平衡训练和伸展运动。运动组和对照组都被要求完成一份关于生活质量、抑郁症状和身体形象自我认知的问卷。两组在运动计划开始前(第0个月)和计划完成后(第3个月)都回答了每份问卷。运动组在运动期结束后,体重指数和胰岛素样生长因子-I有下降趋势,尽管无统计学意义(p = 0.08和p = 0.09)。参与运动计划后,身体形象的自我评估有显著改善(p = 0.01)。目前的研究结果支持运动可能是肢端肥大症患者提高自尊和认知的辅助方法。

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