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一项运动方案对接受芳香化酶抑制剂治疗的老年乳腺癌幸存者生活质量的影响:一项随机对照试验。

The impact of an exercise program on quality of life in older breast cancer survivors undergoing aromatase inhibitor therapy: a randomized controlled trial.

机构信息

State University of Sao Paulo, UNESP, School of Technology and Sciences, Rua Roberto Simonsen, 305, Presidente Prudente, Sao Paulo, CEP 19060-900, Brazil.

Federal University of Rio Grande do Norte, UFRN, Natal, Brazil.

出版信息

Health Qual Life Outcomes. 2019 Jan 18;17(1):17. doi: 10.1186/s12955-019-1090-4.

Abstract

BACKGROUND

This study evaluated the impact of an exercise program on quality of life in older breast cancer survivors undergoing aromatase inhibitor therapy.

METHODS

Older breast cancer survivors were randomized into two groups: combined training: resistance + aerobic exercise program for nine months (n = 18) or control group (n = 18). Quality of life was assessed by the questionnaires SF36, EORTC QLQ-C30, and EORTC QLQ-BR23 at baseline, and at three, six, and nine months. The exercise group performed 40 min of resistance exercises on machines followed by 30 min of aerobic training on a treadmill 3x/wk. Repeated measures ANOVA was used to compare the groups over time.

RESULTS

Significant time x group interactions and moderate to high effect sizes were found for physical functioning, physical health, bodily pain, general health perception, vitality, social functioning, fatigue, sleep disturbance, body image, and upset by hair loss, favoring the exercise group.

CONCLUSION

This study demonstrated the potential benefits and high clinical relevance of exercise programs to improve quality of life in older breast cancer survivors undergoing aromatase inhibitor therapy.

摘要

背景

本研究评估了运动方案对正在接受芳香化酶抑制剂治疗的老年乳腺癌幸存者生活质量的影响。

方法

将老年乳腺癌幸存者随机分为两组:联合训练组(阻力+有氧运动方案,共 9 个月,n=18)或对照组(n=18)。在基线时以及 3、6 和 9 个月时,使用 SF36、EORTC QLQ-C30 和 EORTC QLQ-BR23 问卷评估生活质量。运动组每周进行 3 次、每次 40 分钟的器械阻力训练,随后进行 30 分钟的跑步机有氧运动。采用重复测量方差分析比较组间随时间的变化。

结果

在身体机能、生理健康、身体疼痛、总体健康感觉、活力、社会功能、疲劳、睡眠障碍、身体形象和脱发困扰方面,均发现时间与组间存在显著的交互作用和中到高度的效应量,有利于运动组。

结论

本研究表明,运动方案具有改善正在接受芳香化酶抑制剂治疗的老年乳腺癌幸存者生活质量的潜力和重要的临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f0/6339353/6215558e627e/12955_2019_1090_Fig1_HTML.jpg

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