Ankara Yildirim Beyazit University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Kirsehir Ahi Evran University, Rectorship, Pilot University Coordinatorship of Health, Kirsehir, Turkey.
Support Care Cancer. 2023 Nov 3;31(12):667. doi: 10.1007/s00520-023-08139-x.
This study aimed to compare health-related physical fitness parameters of women with breast cancer-related lymphedema (BCRL) to a matched control group.
Thirty women with unilateral BCRL (lymphedema group, age = 55.00 (40.00-65.00) years) and 32 healthy women (control group, age = 49.00 (44.00-64.00) years) were included. Cardiorespiratory fitness with the UKK 2-km walk test, grip strength with a hand dynamometer, trunk muscle endurance with the McGill trunk muscle endurance tests, flexibility with the sit and reach test, body composition with a body composition analyzer, and waist-to-hip ratio were assessed.
In the lymphedema group, 36.7% of women had mild lymphedema, 36.7% had moderate, and 26.7% had severe lymphedema. It was found that maximal oxygen consumption, physical fitness index, grip strength, trunk extensor and lateral flexor muscle endurance, and flexibility scores were higher in the control group than in the lymphedema group (p < 0.05). In addition, body mass index, body fat percentage, and waist-to-hip ratio were found to be lower in the control group compared to the lymphedema group (p < 0.05). There was no significant difference between the trunk flexor muscle endurance scores (p > 0.05).
It was found that the health-related physical fitness parameters were adversely affected in women with BCRL compared to healthy women. The changes of physical fitness may be important for the assessment and the treatment of BCRL.
本研究旨在比较患有乳腺癌相关淋巴水肿(BCRL)的女性与匹配对照组的健康相关身体适应性参数。
纳入 30 名单侧 BCRL 女性(淋巴水肿组,年龄=55.00(40.00-65.00)岁)和 32 名健康女性(对照组,年龄=49.00(44.00-64.00)岁)。使用 UKK 2 公里步行测试评估心肺适应性,使用握力计评估握力,使用 McGill 躯干肌肉耐力测试评估躯干肌肉耐力,使用坐立前伸测试评估柔韧性,使用体成分分析仪评估身体成分,并用腰臀比评估腰臀比。
在淋巴水肿组中,36.7%的女性患有轻度淋巴水肿,36.7%的女性患有中度淋巴水肿,26.7%的女性患有重度淋巴水肿。与淋巴水肿组相比,对照组的最大耗氧量、身体素质指数、握力、躯干伸肌和侧屈肌耐力以及柔韧性评分更高(p<0.05)。此外,与淋巴水肿组相比,对照组的体重指数、体脂百分比和腰臀比更低(p<0.05)。而躯干屈肌耐力评分在两组之间没有显著差异(p>0.05)。
与健康女性相比,患有 BCRL 的女性的健康相关身体适应性参数受到不利影响。身体适应性的变化可能对 BCRL 的评估和治疗很重要。