NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Department of Clinical Medicine, Faculty of Medicine and Health Science, Macquarie University, Sydney, NSW, 2109, Australia.
BMC Complement Altern Med. 2019 Nov 21;19(1):332. doi: 10.1186/s12906-019-2747-6.
Weight gain is common after breast cancer (BC) treatment and may increase the risk of disease recurrence. Complementary medicine (CM) use is high amongst BC patients. This paper describes the use of CM from a cross-sectional self-administered survey on prevalence and management of weight after BC.
Use of CM was assessed using a question modified from the I-CAM Questionnaire. Participants were asked to rate perceived effectiveness, advantages and disadvantages, and which CM they were willing to use for weight management if there was evidence for effectiveness. The survey was emailed to members of the Breast Cancer Network Australia Survey and Review Group, the largest consumer advocacy group in Australia for people with breast cancer.
There were a total of 309 responses. Three quarters had used CM in the past 12 months. One third had tried CM for weight loss. Yoga, meditation and pilates were perceived to be effective for weight loss. Perceived advantages of CMs for weight loss were the ability to improve general wellbeing, relaxation, and being non-pharmacological while disadvantages were financial cost, finding a reliable practitioner, and lack of research for effectiveness. Three quarters would be willing to try CM for weight loss if there was evidence for effectiveness, with the most popular CMs being acupuncture, relaxation, yoga, supplements, and meditation.
The high use of CM in this group is consistent with previous research. Our research suggests that BC survivors would use acupuncture, meditation, supplements and yoga for weight loss if supported by scientifically-credible evidence. Research into the effectiveness of these treatments on weight loss after BC is warranted.
乳腺癌(BC)治疗后体重增加很常见,并且可能增加疾病复发的风险。BC 患者经常使用补充医学(CM)。本文描述了使用 CM 的情况,采用的方法是基于 BC 后体重管理的流行率和管理的横断面自我管理调查中修改过的问题。
使用 CM 的情况是通过对 I-CAM 问卷进行修改的问题来评估的。参与者被要求对感知效果、优点和缺点进行评分,如果有证据表明有效性,他们愿意使用哪些 CM 来进行体重管理。该调查通过电子邮件发送给澳大利亚乳腺癌网络调查和审查小组的成员,这是澳大利亚最大的乳腺癌患者消费者权益团体。
共收到 309 份回复。四分之三的人在过去 12 个月中使用过 CM。三分之一的人曾尝试过 CM 来减肥。瑜伽、冥想和普拉提被认为对减肥有效。人们认为 CM 减肥的优点是能够改善整体健康、放松身心,而且是非药物治疗,缺点是经济成本高、难以找到可靠的从业者以及缺乏有效性研究。如果有证据表明有效性,四分之三的人愿意尝试 CM 来减肥,最受欢迎的 CM 是针灸、放松、瑜伽、补充剂和冥想。
该组中 CM 的高使用率与之前的研究一致。我们的研究表明,如果有科学可信的证据支持,BC 幸存者将使用针灸、冥想、补充剂和瑜伽来减肥。有必要研究这些治疗方法对 BC 后体重减轻的有效性。