Fang Yuan-Yuan, Wang Cheng-Ping, Chen Yen-Ju, Lou Pei-Jen, Ko Jenq-Yuh, Lin Jiu-Jenq, Chen Min-Ru, Lai Yeur-Hur
School of Nursing, College of Medicine, National Taiwan University, No.1, Jen-Ai Rd., Sec. 1, Taipei City, 100, Taiwan.
College of Medicine, National Taiwan University, No.1, Jen-Ai Rd., Sec. 1, Taipei City, 100, Taiwan.
Support Care Cancer. 2021 Nov;29(11):6807-6817. doi: 10.1007/s00520-021-06192-y. Epub 2021 May 17.
The purposes of the study were (1) to assess the physical activity (PA) status, muscle strength (MS), and flexibility of survivors of head and neck cancer (HNC) and compare these findings with normative data from national labor fitness measures; (2) to examine the differences among PA subgroups, as categorized using Godin's scores; and (3) to examine the association between stretching exercises and cervical range of motion (CROM).
A cross-sectional study with consecutive sampling was used to recruit HNC survivors from a medical center in Northern Taiwan who had completed either radiation therapy (RT) or multimodality treatments including RT within the current 5 years. The level of PA, daily function, fatigue, quality of life (QOL), MS (handgrip and hip flexor), BMI, and flexibility (CROM and fingertip-to-floor tests) of the participants were assessed.
A total of 108 participants completed the assessments from 135 eligible patients (80% response rate). Although 60.2% reported engaging in PA, only 16.7% met WHO guidelines. Compared to subjects in the normative data, the survivors of HNC in this study had poorer handgrip strength, BMI, and CROM, but better forward flexion. The participants who were consistent with WHO PA guidelines reported less fatigue, better right hip flexor MS, and better QOL than those who did not engage in any PA.
Lack of sufficient PA and generally poorer fitness were found in study subjects. Longitudinal research to explore changes in fitness and barriers to PA compliance is strongly suggested to better enhance HNC patients' PA and fitness.
本研究的目的是：（1）评估头颈癌（HNC）幸存者的身体活动（PA）状况、肌肉力量（MS）和柔韧性，并将这些结果与国家劳动体能测量的标准数据进行比较；（2）检查使用戈丁评分分类的PA亚组之间的差异；（3）检查伸展运动与颈椎活动范围（CROM）之间的关联。
采用连续抽样的横断面研究，从台湾北部一家医疗中心招募在过去5年内完成放疗（RT）或包括RT在内的多模式治疗的HNC幸存者。评估参与者的PA水平、日常功能、疲劳、生活质量（QOL）、MS（握力和髋屈肌）、BMI和柔韧性（CROM和指尖触地测试）。
共有108名参与者完成了评估，来自135名符合条件的患者（应答率为80%）。尽管60.2%的人报告进行了PA，但只有16.7%的人符合世界卫生组织的指南。与标准数据中的受试者相比，本研究中的HNC幸存者握力、BMI和CROM较差，但前屈较好。与未进行任何PA的参与者相比，符合世界卫生组织PA指南 的参与者报告的疲劳更少、右髋屈肌MS更好、QOL更好。
研究对象中发现缺乏足够的PA且总体健康状况较差。强烈建议进行纵向研究，以探索健康状况的变化和PA依从性的障碍，以更好地提高HNC患者的PA和健康水平。
