Ribeiro Fernanda E, Tebar William R, Vanderlei Luiz Carlos M, Fregonesi Cristina E P T, Caldeira Daniela T, Tosello Giuliano, Palma Mariana R, Christofaro Diego G D
Department of Physiotherapy, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, SP, Brazil.
Department of Physical Education, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente, SP, Brazil.
Menopause. 2021 Jul 26;28(11):1233-1238. doi: 10.1097/GME.0000000000001837.
Treatments for breast cancer (BC) can lead to physical and mental impairments which may affect quality of life (QoL). Physical activity (PA) is highly recommended for this population due to its protective effect against BC relapse and its ability to reduce the health impact of treatment. However, it is not clear whether the different domains of PA are associated with better QoL of BC survivors. The current study aimed to verify the relationship between different PA domains with QoL of BC survivors.
The sample consisted of 128 women BC survivors, with a mean age of 58.2 ± 9.7 years. QoL was assessed using the Short-Form Health Survey questionnaire (SF-36) and PA was verified through the Baecke questionnaire, in domains of occupation, sports practice, and leisure time/commuting. The relationship between QoL and different PA domains was verified by linear regression, adjusted by age, marital status, and socioeconomic condition.
Occupational PA was negatively related to physical limitations [β= -15.36 (-29.04 to -1.68] and body pain [β=-6.61 (-14.53 to 1.31) marginal association]. Sports practice was positively related to functional capacity [β= 4.24 (0.60 to 7.88)]. Leisure time/commuting PA was positively related to functional capacity [β = 7.17 (3.09 to 11.26)], vitality [β = 4.30 (0.39 to 8.22)], social aspects [β= 5.47 (0.80 to 10.15)], and mental health [β = 4.08 (0.40 to 7.75)].
Sports practice and leisure time/commuting PA were positively related to QoL in BC survivors, while occupational PA was negatively related to QoL, independently of age, marital status, and socioeconomic condition.
乳腺癌（BC）治疗可导致身体和精神损伤，这可能会影响生活质量（QoL）。由于体育活动（PA）对预防BC复发具有保护作用，且能够减轻治疗对健康的影响，因此强烈推荐该人群进行体育活动。然而，尚不清楚体育活动的不同领域是否与BC幸存者更好的生活质量相关。本研究旨在验证体育活动的不同领域与BC幸存者生活质量之间的关系。
样本包括128名女性BC幸存者，平均年龄为58.2±9.7岁。使用简短健康调查问卷（SF-36）评估生活质量，并通过贝克问卷在职业、体育锻炼和休闲时间/通勤等领域验证体育活动情况。通过线性回归验证生活质量与不同体育活动领域之间的关系，并根据年龄、婚姻状况和社会经济状况进行调整。
职业体育活动与身体限制呈负相关[β=-15.36（-29.04至-1.68）]和身体疼痛呈负相关[β=-6.61（-14.53至1.31），边缘关联]。体育锻炼与功能能力呈正相关[β=4.24（0.60至7.88）]。休闲时间/通勤体育活动与功能能力呈正相关[β=7.17（3.09至11.26）]、活力呈正相关[β=4.30（0.39至8.22）]、社会方面呈正相关[β=5.47（0.80至10.15）]以及心理健康呈正相关[β=4.08（0.40至7.75）]。
体育锻炼和休闲时间/通勤体育活动与BC幸存者的生活质量呈正相关，而职业体育活动与生活质量呈负相关，且不受年龄、婚姻状况和社会经济状况的影响。
