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乳腺癌患者的健康相关生活质量和身体适应性:一项针对无运动经验女性的监督式身体锻炼计划的影响。

Health-related quality of life and physical fitness in breast cancer patients: the impact of a supervised physical exercise program in women with no exercise experience.

机构信息

a Research Center in Sport Sciences, Health and Human Development (CIDESD), Department of Sport Sciences , University of Beira Interior , Covilhã , Portugal.

b Associação de Cuidados de Suporte em Oncologia (AICSO) , Santa Maria da Feira , Portugal.

出版信息

Psychol Health Med. 2019 Oct;24(9):1038-1046. doi: 10.1080/13548506.2019.1597978. Epub 2019 Mar 30.

DOI:10.1080/13548506.2019.1597978
PMID:30929464
Abstract

After breast cancer diagnosis (BCD), localized breast cancer (BC) patients are treated with curative intent by several therapeutic modalities. Despite the benefit of those therapies, the induction of side effects is acommon consequence affecting psychosocial and physiological outcomes. This quasi-experimental study compared physical fitness in recent-term (14-30 months; n= 11) and later-term (74-92 months; n= 8) BCD patients. After inclusion, recent-term BCD patients were engaged in asupervised exercise program and was explored its impact on physical fitness, health-related quality of life (HR-QOL) and fatigue. At baseline (M1) and after 8 (M2) and 16 weeks (M3) of this period, HR-QOL and fatigue were evaluated by the EORTC QLQ-C30 questionnaire and physical fitness through the estimation of maximum oxygen consumption (VO2max,ml.kg.min-1), handgrip force (kg) and sit-stand test. At baseline, women with later-term BCD have revealed better VO2max (p < 0.05) than recent-term BCD patients. There was asignificant time*group interaction for physical fitness outcomes and only the patients who have participated in the exercise program reported significant changes between baseline and at 16 weeks. The observed results demonstrated that performing regular exercise is associated with effective psychosocial and physiological recovery after BCD.

摘要

在乳腺癌诊断(BCD)后,局部乳腺癌(BC)患者通过多种治疗方法接受治愈性治疗。尽管这些疗法有好处,但诱导副作用是一种常见的后果,会影响心理社会和生理结果。这项准实验研究比较了近期(14-30 个月;n=11)和晚期(74-92 个月;n=8)BCD 患者的身体健康状况。纳入后,近期 BCD 患者参加了一项监督锻炼计划,并探讨了其对身体健康、健康相关生活质量(HR-QOL)和疲劳的影响。在基线(M1)和 8 周(M2)和 16 周(M3)后,通过 EORTC QLQ-C30 问卷评估 HR-QOL 和疲劳,通过估计最大摄氧量(VO2max,ml.kg.min-1)、握力(kg)和坐站测试评估身体健康。在基线时,晚期 BCD 的女性表现出更好的 VO2max(p<0.05)比近期 BCD 患者。在身体健康结果方面存在时间*组间交互作用,只有参加锻炼计划的患者在基线和 16 周之间报告了显著变化。观察到的结果表明,定期锻炼与 BCD 后有效的心理社会和生理恢复有关。

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