Zhou Changming, Mo Miao, Wang Zezhou, Shen Jie, Chen Jiajian, Tang Lichen, Qiu Jiajia, Ling Yiqun, Ding Huiping, Jiang Qin, Wang Hui, Shao Zhimin, Zheng Ying
Department of Cancer Prevention, Fudan University Shanghai Cancer Center, Shanghai, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Front Oncol. 2020 Oct 20;10:563566. doi: 10.3389/fonc.2020.563566. eCollection 2020.
A healthy body composition can improve the prognosis of breast cancer survivors. The study aimed to describe the body composition profile of breast cancer survivors and find out whether a short-term (3 months) wearable device-based lifestyle intervention had an effect on patients' body weight and body composition.
A before-and-after study was conducted on patients with stage I-III postoperative breast cancer, aged 18-70 years. Body composition was analyzed at baseline, and then patients went for a health education program. A wearable activity tracker and a goal of calorie consumption based on each individual's weight were provided to each participant, and they were required to be equipped for 90 days. After 3 months, body composition was analyzed again.
Of 113 patients who completed the study, 65.49% showed a normal body mass index (BMI) at baseline assessment, 71.68% had a body fat percentage of more than 30%, and 41.59% had less skeleton muscle mass. During the intervention, the daily step count was 8,851.28 ± 2,399.31, and 59.21% reached the set goal calorie consumption. After a 3-month intervention, the patients had a significant reduction in body weight, fat mass, BMI, body fat percentage, and visceral fat area, but not in protein mass and skeleton muscle mass. Patients of different age, molecular classification, and therapy benefited from the intervention.
Wearable technology with body composition analysis and health education for breast cancer survivors may help reduce weight and improve body composition even in a short time.
http://www.chictr.org.cn/showproj.aspx?proj=40672, identifier ChiCTR1900024258.
健康的身体成分可改善乳腺癌幸存者的预后。本研究旨在描述乳腺癌幸存者的身体成分特征,并探究基于可穿戴设备的短期(3个月)生活方式干预对患者体重和身体成分是否有影响。
对年龄在18 - 70岁的Ⅰ - Ⅲ期乳腺癌术后患者进行前后对照研究。在基线时分析身体成分,然后患者参加一个健康教育项目。为每位参与者提供一个可穿戴活动追踪器,并根据其体重设定卡路里消耗目标,要求他们佩戴90天。3个月后,再次分析身体成分。
在完成研究的113例患者中,65.49%在基线评估时体重指数(BMI)正常,71.68%的体脂百分比超过30%,41.59%的骨骼肌质量较低。在干预期间,每日步数为8,851.28 ± 2,399.31,59.21%的人达到了设定的目标卡路里消耗。经过3个月的干预,患者的体重、脂肪量、BMI、体脂百分比和内脏脂肪面积显著降低,但蛋白质质量和骨骼肌质量没有变化。不同年龄、分子分类和治疗方式的患者均从干预中获益。
对乳腺癌幸存者采用结合身体成分分析的可穿戴技术并进行健康教育,即使在短时间内也可能有助于减轻体重并改善身体成分。
http://www.chictr.org.cn/showproj.aspx?proj=40672,标识符ChiCTR1900024258 。