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一项针对结直肠癌幸存者的为期12周的有监督运动干预的可行性和有效性

Feasibility and efficacy of a 12-week supervised exercise intervention for colorectal cancer survivors.

作者信息

Sellar Christopher M, Bell Gordon J, Haennel Robert G, Au Heather-Jane, Chua Neil, Courneya Kerry S

机构信息

a Faculty of Physical Education and Recreation, E459 Van Vliet Center, University of Alberta, Edmonton, AB T6G 2H9, Canada.

出版信息

Appl Physiol Nutr Metab. 2014 Jun;39(6):715-23. doi: 10.1139/apnm-2013-0367. Epub 2013 Nov 15.

Abstract

Exercise training improves health-related physical fitness and patient-reported outcomes in cancer survivors, but few interventions have targeted colorectal cancer (CRC) survivors. This investigation aimed to determine the feasibility and efficacy of a 12-week supervised exercise training program for CRC survivors. Feasibility was assessed by tracking participant recruitment, loss to follow-up, assessment completion rates, participant evaluation, and adherence to the intervention. Efficacy was determined by changes in health-related physical fitness. Over a 1-year period, 72 of 351 (21%) CRC survivors screened were eligible for the study and 29 of the 72 (40%) were enrolled. Two participants were lost to follow-up (7%) and the completion rate for all study assessments was ≥93%. Mean adherence to the exercise intervention was 91% (standard deviation = ±18%), with a median of 98%. Participants rated the intervention positively (all items ≥ 6.6/7) and burden of testing low (all tests ≤ 2.4/7). Compared with baseline, CRC survivors showed improvements in peak oxygen uptake (mean change (MC) = +0.24 L·min(-1), p < 0.001), upper (MC = +7.0 kg, p < 0.001) and lower (MC = +26.5 kg, p < 0.001) body strength, waist circumference (MC = -2.1 cm, p = 0.005), sum of skinfolds (MC = -7.9 mm, p = 0.006), and trunk forward flexion (MC = +2.5 cm, p = 0.019). Exercise training was found to be feasible and improved many aspects of health-related physical fitness in CRC survivors that may be associated with improved quality of life and survival in these individuals.

摘要

运动训练可改善癌症幸存者与健康相关的身体素质及患者报告的结局,但针对结直肠癌(CRC)幸存者的干预措施较少。本研究旨在确定一项为期12周的针对CRC幸存者的监督运动训练计划的可行性和有效性。通过跟踪参与者招募情况、失访情况、评估完成率、参与者评价以及对干预措施的依从性来评估可行性。通过与健康相关的身体素质变化来确定有效性。在1年的时间里,351名接受筛查的CRC幸存者中有72名(21%)符合研究条件,其中72名中的29名(40%)被纳入研究。2名参与者失访(7%),所有研究评估的完成率≥93%。运动干预的平均依从率为91%(标准差=±18%),中位数为98%。参与者对干预措施评价积极(所有项目≥6.6/7),测试负担较低(所有测试≤2.4/7)。与基线相比,CRC幸存者的峰值摄氧量有所改善(平均变化(MC)=+0.24 L·min⁻¹,p<0.001),上肢力量(MC=+7.0 kg,p<0.001)和下肢力量(MC=+26.5 kg,p<0.001)、腰围(MC=-2.1 cm,p=0.005)、皮褶厚度总和(MC=-7.9 mm,p=0.006)以及躯干前屈(MC=+2.5 cm,p=0.019)均有所改善。研究发现,运动训练是可行的,并且改善了CRC幸存者与健康相关身体素质的多个方面,这可能与这些个体生活质量的提高和生存率的改善有关。

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