Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil.
Universidade Federal do Maranhão, São Luís, MA, Brazil.
Rev Bras Ginecol Obstet. 2023 May;45(5):242-252. doi: 10.1055/s-0043-1770126. Epub 2023 Jun 20.
Evaluate the effect of combined training on body image (BI), body composition and functional capacity in patients with breast cancer. As also the relationship of BI with body composition and functional capacity.
This was a Controlled Clinical Trial study, this study including 26 patients with breast cancer (30 to 59 years). The training group (n = 13) underwent 12 weeks of training, including three 60-min sessions of aerobic exercise and resistance training, and two sessions of flexibility training per week; each flexibility exercise lasted 20s. The Control Group (n = 13) received only the standard hospital treatment. Participants were evaluated at baseline and after 12 weeks. BI (primary outcomes) was assessed using the Body Image After Breast Cancer Questionnaire; Body composition was estimated with the indicators: Body mass index; Weight, Waist hip Ratio; Waist height ratio; Conicity index; Reciprocal ponderal index; Percentage of fat; Circumference of the abdomen and waist; Functional capacity by cardiorespiratory fitness (cycle ergometer) and strength (manual dynamometer). The statistic was performed in the Biostatistics and Stata 14.0 (α = 5%).
The patients in the training group showed a reduction in the limitation dimension (p = 0.036) on BI, However, an increase in waist circumference was observed in both groups. In addition an increase in VO2max (p < 0.001) and strength in the right (p = 0.005) and left arms (p = 0.033).
Combined training demonstrates to be an effective and non-pharmacological strategy to patients with breast cancer, with improvement on BI and functional capacity, changing related variables negatively when there is no physical training.
评估综合训练对乳腺癌患者体像(BI)、身体成分和功能能力的影响。并探讨 BI 与身体成分和功能能力的关系。
这是一项对照临床试验研究,纳入了 26 名(30 至 59 岁)乳腺癌患者。训练组(n=13)接受了 12 周的训练,包括每周 3 次 60 分钟的有氧运动和阻力训练,以及 2 次柔韧性训练;每次柔韧性训练持续 20 秒。对照组(n=13)仅接受标准的医院治疗。参与者在基线和 12 周后进行评估。BI(主要结局)采用乳腺癌后体像问卷进行评估;身体成分通过以下指标进行评估:体重指数;体重、腰臀比;腰高比;肥胖指数;倒数体重指数;体脂百分比;腹部和腰围周长;心肺功能(测功计)和力量(手动测力计)的功能能力。统计分析采用 Biostatistics 和 Stata 14.0(α=5%)。
训练组患者在 BI 的限制维度上(p=0.036)出现了下降,但两组患者的腰围都有所增加。此外,两组患者的 VO2max(p<0.001)和右臂(p=0.005)和左臂(p=0.033)力量都有所增加。
综合训练对乳腺癌患者是一种有效且非药物的策略,可改善 BI 和功能能力,当没有身体训练时,会改变相关变量的负面变化。