Ray Andrew D, Twarozek Annamaria Masucci, Williams Brian T, Erwin Deborah O, Underwood Willie, Mahoney Martin C
Department of Rehabilitation Science, State University at Buffalo.
Department of Health Behavior, Roswell Park Comprehensive Cancer Center.
Rehabil Oncol. 2018 Oct;36(4):188-197. doi: 10.1097/01.REO.0000000000000125.
African-American (AA) colorectal cancer (CRC) survivors tend to be more obese and less physically active compared to white survivors.
PURPOSE/OBJECTIVE: To test the feasibility of an aerobic exercise program as well as explore perceptions about supervised exercise among AA CRC survivors.
A prospective supervised exercise intervention performed on a cycle ergometer 2 days/week for 12 weeks. Peak (VO) and sub-maximal exercise (6MWT) along with questionnaires (SF-36, Memorial Sloan Kettering Cancer Center Bowel Function Instrument (BFI), Functional Assessment of Cancer Therapy Scale-Colorectal (FACT-C) and Fatigue (FACIT-F), Brief Symptom Inventory (BSI). A second group of survivors participated in an interview evaluating perceptions regarding exercise.
Prospective case series and qualitative interview.
Research university and academic medical center.
African American and white colorectal cancer survivors.
A total of 237 letters were mailed to CRC survivors (112 white, 126 AAs). From the letters, 25 white and 15 AAs expressed interest; only five white (4.5%) and four AAs (3.2%) enrolled. Two AAs and five white survivors (7/9) finished the program. There was an improvement in peak exercise (p=0.011) and quality of life (QoL) (SF-36 total, p=0.035) post-training. 30 CRC survivors (12 AA and 18 white) participated in qualitative interviews and selected co-morbidity, motivation and location as primary barriers to exercise.
Small sample size.
Recruiting CRC survivors (regardless of race) into an exercise program is challenging, however, there are exercise and QoL benefits associated with participation. Barriers to exercise are similar between AA and white CRC survivors.
与白人结直肠癌（CRC）幸存者相比，非裔美国（AA）CRC幸存者往往更肥胖且身体活动较少。
测试有氧运动计划的可行性，并探索AA CRC幸存者对有监督运动的看法。
一项前瞻性有监督运动干预，每周2天在自行车测力计上进行，为期12周。测量峰值（VO）和次最大运动（6分钟步行试验），同时使用问卷（SF-36、纪念斯隆凯特琳癌症中心肠道功能仪器（BFI）、癌症治疗功能评估量表-结直肠癌（FACT-C）和疲劳量表（FACIT-F）、简明症状量表（BSI）。第二组幸存者参加了一项评估运动看法的访谈。
前瞻性病例系列和定性访谈。
研究型大学和学术医疗中心。
非裔美国人和白人结直肠癌幸存者。
共向CRC幸存者邮寄了237封信（112名白人，126名AA）。从这些信件中，25名白人及15名AA表示有兴趣；只有5名白人（4.5%）和4名AA（3.2%）登记参加。2名AA和5名白人幸存者（7/9）完成了该计划。训练后峰值运动能力（p=0.011）和生活质量（QoL）（SF-36总分，p=0.035）有所改善。30名CRC幸存者（12名AA和18名白人）参加了定性访谈，他们选择合并症、动机和地点作为运动的主要障碍。
样本量小。
招募CRC幸存者（无论种族）参加运动计划具有挑战性，然而，参与运动与运动能力和生活质量的改善相关。AA和白人CRC幸存者运动的障碍相似。
