Sussex Health Outcomes Research and Education in Cancer (SHORE-C), Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, BN1 9RX, UK.
Cancer United™ (charity No. 1155747), Millfield House, Station Road, Angmering, West Sussex, BN16 4HY, UK.
Support Care Cancer. 2018 Sep;26(9):3209-3216. doi: 10.1007/s00520-018-4179-0. Epub 2018 Apr 5.
Exercise levels often decline following cancer diagnosis despite growing evidence of its benefits. Treatment side effects, older age, lack of confidence and opportunity to exercise with others in similar circumstances influence this. Our study explored the experiences of people attending a cancer-specific community-based exercise programme (CU Fitter™).
A survey distributed to those attending the programme gathered demographic/clinical information, self-reported exercise levels, information provision and barriers to/benefits of exercise.
Sixty surveys were evaluable from 65/100 returned (62% female, 68% > 60 years, 66% breast/prostate cancer). Most (68%) were receiving treatment. Sixty-eight percent attended classes once or twice weekly. Fifty-five percent received exercise advice after diagnosis, usually from their hospital doctor/nurse. More (73%) had read about exercising, but less used the Internet to source information (32%). Self-reported exercise levels were higher currently than before diagnosis (p = 0.05). Forty-eight percent said their primary barrier to exercising was the physical impact of cancer/treatment. Improving fitness/health (40%) and social support (16%) were the most important gains from the programme. Many (67%) had made other lifestyle changes and intented to keep (50%) or increase (30%) exercising.
This community-based cancer-specific exercise approach engaged people with cancer and showed physical, psychological, and social benefits.
Community-grown exercise initiatives bring cancer survivors together creating their own supportive environment. Combining this with instructors familiar with the population and providing an open-ended service may prove particularly motivating and beneficial. Further work is required to provide evidence for this.
尽管有越来越多的证据表明锻炼有益，但癌症诊断后，锻炼水平往往会下降。治疗的副作用、年龄较大、缺乏信心以及在类似情况下与他人一起锻炼的机会都会影响这一点。我们的研究探讨了参加特定于癌症的社区基础锻炼计划（CU Fitter™）的人的体验。
向参加该计划的人分发了一份调查，收集人口统计学/临床信息、自我报告的锻炼水平、信息提供以及锻炼的障碍和益处。
从 100 份返回的问卷中评估了 60 份（62%为女性，68%年龄超过 60 岁，66%为乳腺癌/前列腺癌）。大多数（68%）正在接受治疗。68%的人每周参加一到两次课程。55%的人在诊断后收到了锻炼建议，通常来自他们的医院医生/护士。更多（73%）人阅读过有关锻炼的信息，但较少使用互联网获取信息（32%）。自我报告的锻炼水平目前高于诊断前（p=0.05）。48%的人表示，他们锻炼的主要障碍是癌症/治疗的身体影响。提高健康/健康（40%）和社会支持（16%）是该计划最重要的收益。许多人（67%）已经做出了其他生活方式的改变，并打算保持（50%）或增加（30%）锻炼。
这种基于社区的特定于癌症的锻炼方法吸引了癌症患者，并显示出身体、心理和社会的益处。
社区发展的锻炼计划将癌症幸存者聚集在一起，创造自己的支持环境。将这与熟悉该人群的教练结合起来，并提供一个开放式的服务，可能会特别有动力和有益。需要进一步的工作来为此提供证据。
