School of Public Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
Transl Behav Med. 2011 Dec;1(4):539-44. doi: 10.1007/s13142-011-0082-7.
Evidence supporting the benefits of exercise following the diagnosis of breast cancer is overwhelming and compelling. Exercise reduces the severity and number of treatment-related side effects, optimizes quality of life during and following treatment, and may optimize survival. Yet, exercise does not uniformly form part of the standards of care provided to women following a breast cancer diagnosis. This commentary summarizes the evidence in support of exercise as a form of adjuvant treatment and identifies and discusses potential issues preventing the formal integration of exercise into breast cancer care. Proposed within the commentary is a model of breast cancer care that incorporates exercise prescription as a key component but also integrates the need for surveillance and management for common breast cancer treatment-related morbidities, as well as education. While future research evaluating the potential cost savings through implementation of such a model is required, a committed, collaborative approach by clinicians, allied health professionals, and researchers will be instrumental in bridging the gap between research and practice.
有充分证据表明，乳腺癌确诊后进行锻炼有益无害。锻炼可以减轻治疗相关副作用的严重程度和数量，改善治疗期间和之后的生活质量，并可能改善生存。然而，锻炼并没有统一成为乳腺癌确诊后女性护理标准的一部分。本评论总结了支持锻炼作为辅助治疗形式的证据，并确定和讨论了可能存在的问题，这些问题阻碍了锻炼正式纳入乳腺癌护理。评论中提出了一种乳腺癌护理模式，将运动处方作为一个关键组成部分，但也将监测和管理常见的乳腺癌治疗相关疾病以及教育纳入其中。虽然需要进一步研究评估通过实施这种模式可能带来的成本节约，但临床医生、医疗辅助专业人员和研究人员的承诺和协作方法将对缩小研究和实践之间的差距起到重要作用。
