Federal University of Goiás (UFG), Goiania, GO, Brazil.
Federal Institute of Education, Science and Technology of Southeast of Minas Gerais, Campus Rio Pomba, Rio Pomba, MG, Brazil.
Biomed Res Int. 2017;2017:8367803. doi: 10.1155/2017/8367803. Epub 2017 Aug 1.
To analyse effects of resistance training (RT) in breast cancer survivors (BCS) and how protocols and acute variables were manipulated. Search was made at PubMed, Science Direct, and LILACS. All articles published between 2000 and 2016 were considered. Studies that met the following criteria were included: written in English, Spanish, or Portuguese; BCS who have undergone surgery, chemotherapy, and/or radiotherapy; additional RT only; analysis of muscle performance, body mass composition (BMC), psychosocial parameters, or blood biomarkers. Ten studies were included. PEDro score ranged from 5 to 9. Rest interval and cadence were not reported. Two studies reported continuous training supervision. All reported improvements in muscle strength, most with low or moderate effect size (ES), but studies performed with high loads presented large ES. Five described no increased risk or exacerbation of lymphedema. Most studies that analysed BMC showed no relevant changes. RT has been shown to be safe for BCS, with no increased risk of lymphedema. The findings indicated that RT is efficient in increasing muscle strength; however, only one study observed significant changes in BMC. An exercise program should therefore consider the manipulation of acute and chronic variables of RT to obtain optimal results.
分析了阻力训练(RT)对乳腺癌幸存者(BCS)的影响,以及如何对方案和急性变量进行操作。在 PubMed、Science Direct 和 LILACS 上进行了搜索。考虑了 2000 年至 2016 年期间发表的所有文章。符合以下标准的研究包括在内:用英语、西班牙语或葡萄牙语书写;已接受手术、化疗和/或放疗的 BCS;仅进行额外的 RT;肌肉性能、身体质量组成(BMC)、社会心理参数或血液生物标志物的分析。纳入了 10 项研究。PEDro 评分范围为 5 至 9 分。休息间隔和节拍未报告。有两项研究报告了连续训练监督。所有研究均报告肌肉力量的改善,大多数具有低或中效应量(ES),但使用高负荷进行的研究则具有较大的 ES。五项研究描述了没有增加淋巴水肿的风险或恶化。大多数分析 BMC 的研究没有显示出相关的变化。RT 已被证明对 BCS 是安全的,没有增加淋巴水肿的风险。研究结果表明,RT 能有效增强肌肉力量;然而,只有一项研究观察到 BMC 有显著变化。因此,运动计划应考虑 RT 的急性和慢性变量的操作,以获得最佳效果。