Haematology Unit, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.
Haematology Department, King's College Hospital NHS Trust, London, UK.
Leuk Lymphoma. 2021 Mar;62(3):560-570. doi: 10.1080/10428194.2020.1842396. Epub 2020 Nov 24.
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.
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。