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在接受抗淋巴瘤治疗的成年和老年患者中进行运动训练(ET)是可行的,并且可能改善护理的提供。

Exercise training (ET) in adult and elderly patients receiving anti-lymphoma treatments is feasible and may improve the provision of care.

机构信息

Haematology Unit, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.

Haematology Department, King's College Hospital NHS Trust, London, UK.

出版信息

Leuk Lymphoma. 2021 Mar;62(3):560-570. doi: 10.1080/10428194.2020.1842396. Epub 2020 Nov 24.

Abstract

Lymphoma treatments can produce adverse effects leading to a reduced quality-of-life (QoL). Besides, in patients ≥65years, it can promote an accelerated geriatric decay. We conducted a prospective study on supervised Exercise-Training (ET), in consecutive, patients aged 18-80years, during anti-lymphoma treatments.16/30 (53%), median-age = 65.5y, participated to the ET sessions, this was the Interventional Group (IG); 14/30 (47%), median-age = 63y, were the Reference Group (RG). Both groups participated to the fitness and the QoL assessments, at baseline (T0), 3-months (T1) and 6-months (T2) after the start of chemotherapy. The adherence to the ET program was 50% (95% CI:36-64%). The IG showed substantial improvements compared to the CG in cardiorespiratory fitness (Cooper test) at both T1 and T2 and in all the functional domain of the QoL questionnaire (QLQ-C30) at T2. This study showed ET, during chemotherapy, is feasible and safe, even in patients ≥65 years. Furthermore, it may improve the provision of care.

摘要

淋巴瘤的治疗可能会产生不良反应,导致生活质量(QoL)下降。此外,对于≥65 岁的患者,这可能会加速老年衰退。我们对监督下的运动训练(ET)进行了一项前瞻性研究,该研究纳入了正在接受抗淋巴瘤治疗的连续患者,年龄在 18-80 岁之间。16/30(53%)名患者,中位年龄为 65.5 岁,参加了 ET 课程,这是干预组(IG);14/30(47%)名患者,中位年龄为 63 岁,为对照组(RG)。两组均在基线(T0)、化疗开始后 3 个月(T1)和 6 个月(T2)时参加了体能和生活质量评估。ET 方案的依从性为 50%(95%CI:36-64%)。与 CG 相比,IG 在 T1 和 T2 时的心肺功能(库珀测试)以及 T2 时的所有 QoL 问卷(QLQ-C30)功能域都有显著改善。这项研究表明,即使在≥65 岁的患者中,化疗期间进行 ET 是可行且安全的,此外,它还可能改善护理水平。

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