居家锻炼对乳腺癌幸存者的有效性：一项随机临床试验。
Effectiveness of home-based exercise in breast cancer survivors: a randomized clinical trial.
作者信息
Farajivafa Vahid, Khosravi Nasim, Rezaee Nilofar, Koosha Maryam, Haghighat Shahpar
机构信息
Department of Physical Education and Sport Sciences, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.
Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht, Iran.
出版信息
BMC Sports Sci Med Rehabil. 2023 Aug 7;15(1):96. doi: 10.1186/s13102-023-00710-7.
BACKGROUND
Breast cancer patients are recommended to engage in regular exercise. In developing countries, where there is a lack of facilities to offer specialized, supervised exercise for this population, regularly exercising might be a challenge. We aimed to evaluate the effectiveness of a home-based intervention in this population.
METHODS
Breast cancer survivors were randomly assigned to either the home-based exercise program or the usual care group. Exercise intervention included walking, balance, and stretch exercises, along with weekly follow-up telephone calls. Quality of life (QOL) was evaluated using EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires and the predicted VO peak was measured using the Ebbeling submaximal treadmill test.
RESULTS
Eighty-nine patients were enrolled in the study. Reported minutes of exercise gradually increased from 40.7 min per week in week 1 to 116.9 min per week in week 12. This intervention improved global QOL (P = 0.001), social functioning (P = 0.04), and the predicted VO peak (P = 0.01).
CONCLUSION
This home-based exercise regime effectively increased quality of life and physical activity levels.
TRIAL REGISTRY
Iranian Registry of Clinical Trials identifier: IRCT20140810018746N1, prospectively registered 08/01/2018, https://en.irct.ir/trial/27959 .
背景
建议乳腺癌患者进行规律运动。在发展中国家，缺乏为该人群提供专门的、有监督的运动设施，因此定期锻炼可能是一项挑战。我们旨在评估针对该人群的家庭干预措施的有效性。
方法
将乳腺癌幸存者随机分为家庭运动计划组或常规护理组。运动干预包括步行、平衡和伸展运动，以及每周一次的随访电话。使用欧洲癌症研究与治疗组织（EORTC）QLQ-C30和EORTC QLQ-BR23问卷评估生活质量（QOL），并使用埃贝林亚极量跑步机测试测量预测的最大摄氧量（VO₂peak）。
结果
89名患者参与了该研究。报告的运动分钟数从第1周的每周40.7分钟逐渐增加到第12周的每周116.9分钟。该干预改善了总体生活质量（P = 0.001）、社会功能（P = 0.04）和预测的最大摄氧量（P = 0.01）。
结论
这种家庭运动方案有效地提高了生活质量和身体活动水平。
试验注册
伊朗临床试验注册中心标识符：IRCT20140810018746N1，于2018年1月8日前瞻性注册，https://en.irct.ir/trial/27959 。
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