Mayo Clinic.
Medical College of Wisconsin.
Clin J Oncol Nurs. 2020 Jun 1;24(3):305-315. doi: 10.1188/20.CJON.305-315.
Regular physical activity after breast cancer diagnosis improves survival rates and quality of life (QOL). However, breast cancer survivors rarely meet guidelines for recommended levels of physical activity. Wellness coaching interventions (WCIs) have improved exercise and health behaviors in other patient populations.
This study assessed the feasibility and effectiveness of WCIs for increasing physical activity in breast cancer survivors; secondary measures included changes in dietary habits, weight, and QOL.
20 obese or overweight breast cancer survivors who recently completed active breast cancer treatment were recruited into a single-arm, 12-week WCI pilot feasibility study. The intervention was comprised of one in-person wellness coaching visit followed by four telephone calls over 12 weeks and 12 weekly emails containing wellness recommendations.
Significant improvements from pre- to postintervention were seen in physical activity level, dietary habits, and in some aspects of QOL. Forty percent of participants achieved the 3% postintervention weight-loss goal, but this was not sustained at 30 weeks.
乳腺癌诊断后的定期身体活动可提高生存率和生活质量（QOL）。然而，乳腺癌幸存者很少达到推荐的身体活动水平的指南要求。健康促进教练干预（WCIs）已改善了其他患者群体的运动和健康行为。
本研究评估了针对乳腺癌幸存者的 WCIs 增加身体活动的可行性和有效性；次要措施包括饮食习惯、体重和 QOL 的变化。
招募了 20 名肥胖或超重的乳腺癌幸存者，这些患者最近完成了积极的乳腺癌治疗，参加了一项为期 12 周的单臂 WCI 初步可行性研究。干预措施包括一次面对面的健康促进教练访问，随后在 12 周内进行 4 次电话通话和 12 次每周电子邮件，其中包含健康建议。
从干预前到干预后，身体活动水平、饮食习惯和生活质量的某些方面均有显著改善。40%的参与者达到了干预后 3%的减重目标，但在 30 周时未维持该目标。
