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运动对接受雄激素剥夺治疗的前列腺癌患者身体功能和生活质量的影响:高强度间歇训练与中等强度持续训练的比较。

Effects of Exercise on Physical Function and Quality of Life in Prostate Cancer Patients Receiving Androgen Deprivation Therapy: High-Intensity Interval Training versus Moderate-Intensity Continuous Training.

机构信息

Department of Urology, Seoul National University Boramae Medical Center, Seoul, Republic of Korea.

Institute of Sport Science, Seoul National University, Seoul, Republic of Korea.

出版信息

Urol Int. 2023;107(6):624-631. doi: 10.1159/000527839. Epub 2023 Apr 25.

Abstract

INTRODUCTION

We assessed the effects of exercise on the physical function and health quality of life (hQoL) in prostate cancer patients underwent androgen deprivation therapy (ADT). Additionally, the effects of high-intensity interval training (HIIT) on the physical function and hQoL in these patients were compared with those of moderate-intensity continuous training (MICT).

METHODS

Seventeen prostate cancer patients who underwent ADT were prospectively allocated to either HIIT (n = 9) or MICT (n = 8). In these patients, physical function and hQoL were measured before and after 12 weeks of exercise and 3-6 months after the exercise program, respectively.

RESULTS

Although the whole-body total mass significantly increased after the exercise program, it was equivalent regardless of the exercise methods. After the exercise program, muscle strength and endurance improved and tended to be maintained until 3-6 months later. Improvement in muscle endurance was more prominent after HIIT, and that in muscle strength was more prominent after MICT. Performance in the senior fitness test improved after the exercise program, and HIIT was more effective for lower and upper muscle endurance and flexibility, although MICT was more effective for the others. The hQoL significantly improved 3-6 months after the exercise program.

CONCLUSION

The 12-week exercise program has a positive effect on the physical function and hQoL in prostate cancer patients who underwent ADT. In these patients, compared with MICT, HIIT may be a better option for improving muscle endurance, which is thought to be significant for preventing falls and fractures in elderly patients.

摘要

简介

我们评估了运动对接受雄激素剥夺治疗(ADT)的前列腺癌患者身体功能和健康相关生活质量(hQoL)的影响。此外,还比较了高强度间歇训练(HIIT)和中等强度持续训练(MICT)对这些患者身体功能和 hQoL 的影响。

方法

17 名接受 ADT 的前列腺癌患者前瞻性地分为 HIIT 组(n=9)和 MICT 组(n=8)。在这些患者中,分别在运动前和运动后 12 周以及运动计划结束后 3-6 个月测量身体功能和 hQoL。

结果

尽管全身总质量在运动后显著增加,但与运动方式无关。运动后肌肉力量和耐力均有改善,且在 3-6 个月后仍有维持。HIIT 后肌肉耐力改善更明显,MICT 后肌肉力量改善更明显。运动后高级体能测试成绩提高,HIIT 对下肢和上肢肌肉耐力和柔韧性更有效,而 MICT 对其他方面更有效。运动后 3-6 个月 hQoL 显著改善。

结论

为期 12 周的运动计划对接受 ADT 的前列腺癌患者的身体功能和 hQoL 有积极影响。与 MICT 相比,HIIT 可能是改善肌肉耐力的更好选择,而肌肉耐力对预防老年患者跌倒和骨折可能有重要意义。

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