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乳腺癌幸存者心率变异性与身体功能适应性的关系:一项横断面研究。

Relationship between Heart Rate Variability and Functional Fitness in Breast Cancer Survivors: A Cross-Sectional Study.

作者信息

Martins Alexandre D, Brito João Paulo, Oliveira Rafael, Costa Tiago, Ramalho Fátima, Santos-Rocha Rita, Pimenta Nuno

机构信息

Institute of Santarém, Sports Science School of Rio Maior-Polytechnic, 2140-413 Rio Maior, Portugal.

CIEQV-Life Quality Research Centre, Av. Dr. Mário Soares No. 110, 2040-413 Rio Maior, Portugal.

出版信息

Healthcare (Basel). 2021 Sep 13;9(9):1205. doi: 10.3390/healthcare9091205.

DOI:10.3390/healthcare9091205
PMID:34574979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8469708/
Abstract

BACKGROUND

Breast cancer is the most common malignancy among women worldwide. The treatments may also cause neuromuscular and skeletal disorders; therefore, the aim of this study was to verify the existence of a relationship between heart rate variability and different functional fitness parameters in women survivors of breast cancer.

METHODS

This cross-sectional study included 25 women survivors of breast cancer, with a mean ± SD age, height, and body mass of 50.8 ± 8.8 years, 1.6 ± 0.7 m, and 67.1 ± 12.3 kg, respectively. Patients underwent measurements of heart rate variability with time and frequency domain analyses, as well as a "30 s chair-stand test", "6 min walking test", "timed up and go test", and "ball throwing test".

RESULTS

A multiple linear regression analysis showed that from the heart rate variability frequency domain, high frequency explained 21% (R = 0.21) of the "30 s chair-stand test" performance.

CONCLUSION

The findings of this study highlight high frequency as a predictor of "30 s chair-stand test" performance, regardless of age and time after diagnosis, suggesting its usefulness as a clinical indicator of functionality in breast cancer survivors. This study presents a straightforward and non-invasive methodology predicting functional fitness in women breast cancer survivors potentially applicable to clinical practice.

摘要

背景

乳腺癌是全球女性中最常见的恶性肿瘤。其治疗方法也可能导致神经肌肉和骨骼疾病;因此,本研究的目的是验证乳腺癌女性幸存者心率变异性与不同功能适应性参数之间是否存在关联。

方法

这项横断面研究纳入了25名乳腺癌女性幸存者,其平均年龄±标准差、身高和体重分别为50.8±8.8岁、1.6±0.7米和67.1±12.3千克。患者接受了心率变异性的时域和频域分析测量,以及“30秒坐立试验”、“6分钟步行试验”、“计时起立行走试验”和“投球试验”。

结果

多元线性回归分析表明,在心率变异性频域中,高频成分解释了“30秒坐立试验”表现的21%(R=0.21)。

结论

本研究结果突出了高频作为“30秒坐立试验”表现预测指标的作用,无论年龄和诊断后的时间如何,表明其作为乳腺癌幸存者功能临床指标的有用性。本研究提出了一种简单且无创的方法来预测女性乳腺癌幸存者的功能适应性,可能适用于临床实践。

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本文引用的文献

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Six-Minute Walk Distance in Breast Cancer Survivors-A Systematic Review with Meta-Analysis.乳腺癌幸存者的六分钟步行距离——一项荟萃分析的系统评价
Int J Environ Res Public Health. 2021 Mar 5;18(5):2591. doi: 10.3390/ijerph18052591.
2
Phase angle cutoff value as a marker of the health status and functional capacity in breast cancer survivors.相位角截断值作为乳腺癌幸存者健康状况和功能能力的标志物。
Physiol Behav. 2021 Jun 1;235:113400. doi: 10.1016/j.physbeh.2021.113400. Epub 2021 Mar 23.
3
Effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy - A systematic review and meta-analysis.运动对接受激素治疗的乳腺癌幸存者身体结果的影响——系统评价和荟萃分析。
Maturitas. 2020 Nov;141:71-81. doi: 10.1016/j.maturitas.2020.06.022. Epub 2020 Jun 26.
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Improvements in muscle strength, power, and size and self-reported fatigue as mediators of the effect of resistance exercise on physical performance breast cancer survivor women: a randomized controlled trial.肌肉力量、功率和大小的改善以及自我报告的疲劳感作为阻力训练对乳腺癌幸存者女性身体机能影响的中介:一项随机对照试验。
Support Care Cancer. 2020 Dec;28(12):6075-6084. doi: 10.1007/s00520-020-05429-6. Epub 2020 Apr 19.
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Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer.运动是肿瘤学的良药:让临床医生参与进来,帮助患者战胜癌症。
CA Cancer J Clin. 2019 Nov;69(6):468-484. doi: 10.3322/caac.21579. Epub 2019 Oct 16.
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Heart rate variability and heart rate recovery in lung cancer survivors eligible for long-term cure.肺癌幸存者中适合长期治愈者的心率变异性和心率恢复。
Respir Physiol Neurobiol. 2019 Nov;269:103264. doi: 10.1016/j.resp.2019.103264. Epub 2019 Jul 31.
7
Impact of exercise training on cardiotoxicity and cardiac health outcomes in women with breast cancer anthracycline chemotherapy: a study protocol for a randomized controlled trial.运动训练对接受蒽环类化疗的乳腺癌女性心脏毒性和心脏健康结局的影响:一项随机对照试验的研究方案。
Trials. 2019 Jul 15;20(1):433. doi: 10.1186/s13063-019-3499-9.
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Impact of supportive therapy modalities on heart rate variability in cancer patients - a systematic review.支持性治疗方式对癌症患者心率变异性的影响——系统评价。
Disabil Rehabil. 2020 Jan;42(1):36-43. doi: 10.1080/09638288.2018.1514664. Epub 2018 Dec 4.
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Exercise as a diagnostic and therapeutic tool for the prevention of cardiovascular dysfunction in breast cancer patients.运动作为一种诊断和治疗工具,用于预防乳腺癌患者的心血管功能障碍。
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