Skinner Tina L, Peeters Gmme Geeske, Croci Ilaria, Bell Katherine R, Burton Nicola W, Chambers Suzanne K, Bolam Kate A
The University of Queensland, Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, Brisbane, Queensland, Australia.
The University of Queensland, School of Public Health, Brisbane, Queensland, Australia.
Asia Pac J Clin Oncol. 2016 Sep;12(3):225-34. doi: 10.1111/ajco.12474. Epub 2016 Feb 28.
It is well established that exercise is beneficial for prostate cancer survivors. The challenge for health professionals is to create effective strategies to encourage survivors to exercise in the community. Many community exercise programs are brief in duration (e.g. <5 exercise sessions); whilst evidence for the efficacy of exercise within the literature are derived from exercise programs ≥8 weeks in duration, it is unknown if health benefits can be obtained from a shorter program. This study examined the effect of a four-session individualized and supervised exercise program on the physical and psychosocial health of prostate cancer survivors.
Fifty-one prostate cancer survivors (mean age 69±7 years) were prescribed 1 h, individualized, supervised exercise sessions once weekly for 4 weeks. Participants were encouraged to increase their physical activity levels outside of the exercise sessions. Objective measures of muscular strength, exercise capacity, physical function and flexibility; and self-reported general, disease-specific and psychosocial health were assessed at baseline and following the intervention.
Improvements were observed in muscle strength (leg press 17.6 percent; P < 0.001), exercise capacity (400-m walk 9.3 percent; P < 0.001), physical function (repeated chair stands 20.1 percent, usual gait speed 19.3 percent, timed up-and-go 15.0 percent; P < 0.001), flexibility (chair sit and reach +2.9 cm; P < 0.001) and positive well-being (P = 0.014) following the exercise program.
A four-session exercise program significantly improved the muscular strength, exercise capacity, physical function and positive well-being of prostate cancer survivors. This short-duration exercise program is safe and feasible for prostate cancer survivors and a randomized controlled trial is now required to determine whether a similar individualized exercise regimen improves physical health and mental well-being over the short, medium and long term.
运动对前列腺癌幸存者有益，这一点已得到充分证实。健康专业人员面临的挑战是制定有效的策略，鼓励幸存者在社区中进行运动。许多社区运动项目持续时间较短（例如，<5次运动课程）；而文献中关于运动效果的证据来自持续时间≥8周的运动项目，尚不清楚较短的项目是否能带来健康益处。本研究考察了一个为期四节的个体化且有监督的运动项目对前列腺癌幸存者身体和心理社会健康的影响。
51名前列腺癌幸存者（平均年龄69±7岁）被安排每周进行1次、每次1小时的个体化且有监督的运动课程，共持续4周。鼓励参与者在运动课程之外增加身体活动水平。在基线和干预后，评估肌肉力量、运动能力、身体功能和灵活性的客观指标；以及自我报告的总体、疾病特异性和心理社会健康状况。
运动项目后，肌肉力量（腿举增加17.6%；P<0.001）、运动能力（400米步行增加9.3%；P<0.001）、身体功能（重复坐立试验增加20.1%，平常步态速度增加19.3%，计时起立行走试验增加15.0%；P<0.001）、灵活性（椅子坐立前屈增加2.9厘米；P<0.001）和积极幸福感（P=0.014）均有改善。
一个为期四节的运动项目显著改善了前列腺癌幸存者的肌肉力量、运动能力、身体功能和积极幸福感。这个短疗程运动项目对前列腺癌幸存者是安全可行的，现在需要进行一项随机对照试验，以确定类似的个体化运动方案在短期、中期和长期是否能改善身体健康和心理健康。
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