一项基于家庭的有导师指导的蔬菜种植干预措施证明了其可行性，并且可以提高乳腺癌幸存者的身体活动能力和表现。
A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors.
机构信息
Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama.
Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, Alabama.
出版信息
Cancer. 2018 Aug;124(16):3427-3435. doi: 10.1002/cncr.31559. Epub 2018 Jun 22.
BACKGROUND
The current study assessed the feasibility of a mentored home-based vegetable gardening intervention and examined changes in health-related outcomes among breast cancer survivors (BCS).
METHODS
BCS were randomized to either a year-long vegetable gardening intervention to begin immediately or a wait-list control. Master Gardeners mentored participants in planning, planting, and maintaining 3 seasonal gardens over the course of 1 year. Participant accrual, retention, and satisfaction rates of ≥80% served as feasibility (primary outcome) benchmarks. Secondary outcomes (ie, vegetable consumption, physical activity, performance and function, anthropometrics, biomarkers, and health-related quality of life) were collected at baseline and post-intervention (1-year follow-up) using subjective and objective measures.
RESULTS
The trial surpassed all feasibility benchmarks at 82% of targeted accrual, 95% retention, and 100% satisfaction (ie, experience ratings of "good to excellent" and willingness to "do it again"). Compared with the controls, intervention participants reported significantly greater improvements in moderate physical activity (+14 vs -17 minutes/week) and demonstrated improvements in the 2-Minute Step Test (+22 vs + 10 steps), and Arm Curl (+2.7 vs + 0.1 repetitions) (P values < .05). A trend toward improved vegetable consumption was observed (+0.9 vs + 0.2 servings/day; P = .06). Approximately 86% of participants were continuing to garden at the 2-year follow-up.
CONCLUSIONS
The results of the current study suggest that a mentored, home-based vegetable gardening intervention is feasible and offers an integrative and durable approach with which to improve health behaviors and outcomes among BCS. Harvest for Health led to the establishment of a group of trained Master Gardeners and gave rise to local and global community-based programs. Larger studies are needed to confirm the results presented herein and to define applicability across broader populations of survivors.
背景
本研究评估了基于家庭的有指导蔬菜种植干预措施的可行性，并研究了乳腺癌幸存者（BCS）健康相关结果的变化。
方法
BCS 随机分为接受为期 1 年的蔬菜种植干预组（立即开始）或等待名单对照组。园艺大师指导参与者规划、种植和维护 3 个季节性花园，历时 1 年。参与者获得率、保留率和满意度≥80%作为可行性（主要结果）的基准。次要结果（即蔬菜消费、身体活动、表现和功能、人体测量、生物标志物和健康相关生活质量）在基线和干预后（1 年随访）使用主观和客观测量收集。
结果
该试验在 82%的目标入组率、95%的保留率和 100%的满意度（即“良好到优秀”的体验评分和“愿意再次进行”）方面均超过了所有可行性基准。与对照组相比，干预组参与者报告的中度身体活动显著改善（+14 分钟/周与-17 分钟/周），并在 2 分钟踏步测试（+22 步与+10 步）和手臂卷曲测试（+2.7 次与+0.1 次）中表现出改善（P 值均<0.05）。观察到蔬菜消费的改善趋势（+0.9 份与+0.2 份/天；P=0.06）。大约 86%的参与者在 2 年随访时仍在继续园艺。
结论
本研究结果表明，基于家庭的有指导蔬菜种植干预措施是可行的，为改善 BCS 的健康行为和结果提供了一种综合且持久的方法。“健康收获”计划促成了一群经过培训的园艺大师的成立，并在当地和全球范围内产生了基于社区的项目。需要更大规模的研究来确认本文所呈现的结果，并确定其在更广泛的幸存者人群中的适用性。
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