Lucas Alexander R, Klepin Heidi D, Porges Stephen W, Rejeski W Jack
1 Wake Forest University School of Medicine, Winston-Salem, NC, USA.
2 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Integr Cancer Ther. 2018 Mar;17(1):5-15. doi: 10.1177/1534735416682087. Epub 2016 Dec 21.
Compelling evidence suggests that physical activity is an effective intervention for cancer survivors, including for those undergoing active cancer treatments. However, to date most evidence has emerged from interventions that have promoted moderate to vigorous physical activity. In this conceptual review, we argue that attention should be given to the entire continuum of physical activity from reducing sedentary behavior to increasing higher levels of physical activity when possible. In addition, considerable evidence in the cancer literature supports the value of mindfulness-based interventions as a means of helping patients and survivors cope with the variety of threats that accompany this disease. Based on the success of these two areas of research, we argue for conceptualizing and promoting physical activity as Mindfulness-Based Movement, using Polyvagal Theory as a theoretical framework to understand the role and value of Mindfulness-Based Movement as a potential intervention for cancer care and control.
有力证据表明，体育活动对癌症幸存者是一种有效的干预措施，包括对那些正在接受积极癌症治疗的患者。然而，迄今为止，大多数证据都来自促进中度至剧烈体育活动的干预措施。在这篇概念性综述中，我们认为应关注体育活动的整个连续体，从减少久坐行为到尽可能增加更高水平的体育活动。此外，癌症文献中的大量证据支持基于正念的干预措施的价值，将其作为帮助患者和幸存者应对伴随这种疾病而来的各种威胁的一种手段。基于这两个研究领域的成功，我们主张将体育活动概念化为基于正念的运动，并使用多元迷走神经理论作为理论框架，以理解基于正念的运动作为癌症护理和控制潜在干预措施的作用和价值。
