Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Computational Neuroscience Outcomes Center (CNOC), Boston, Masachusettts, United States of America.
PLoS One. 2023 Dec 15;18(12):e0295907. doi: 10.1371/journal.pone.0295907. eCollection 2023.
Patients with pituitary tumors may experience persistent fatigue and reduced physical activity, based on subjective measures after treatment. These symptoms may persist despite gross total resection of their tumors and biochemical normalization of pituitary function. While reduced quality of life has been commonly acknowledged in pituitary tumor patients, there is a lack of studies on what interventions may be best implemented to ameliorate these issues, particularly when hormonal levels have otherwise normalized. Aerobic exercise programs have been previously described to ameliorate symptoms of chronic fatigue and reduced physical capacity across a variety of pathologies in the literature. As such, a prescribed aerobic exercise program may be an underrecognized but potentially impactful intervention to address quality of life in pituitary tumor patients. This review seeks to summarize the existing literature on aerobic exercise interventions in patients with pituitary tumors. In addition, future areas of study are discussed, including tailoring exercise programs to the hormonal status of the patient and incorporating more objective measures in monitoring response to interventions.
基于治疗后的主观测量,患有垂体瘤的患者可能会经历持续的疲劳和体力活动减少。这些症状可能会持续存在,即使肿瘤已完全切除且垂体功能的生化指标已正常化。尽管垂体瘤患者的生活质量普遍下降已得到公认,但缺乏关于可以实施哪些干预措施来改善这些问题的研究,特别是当激素水平已经正常化时。在文献中,先前已经描述了有氧运动方案可以改善各种病理情况下的慢性疲劳和体力活动减少的症状。因此,规定的有氧运动方案可能是一种被低估但具有潜在影响力的干预措施,可以解决垂体瘤患者的生活质量问题。本综述旨在总结现有关于垂体瘤患者有氧运动干预的文献。此外,还讨论了未来的研究领域,包括根据患者的激素状态调整运动方案以及在监测干预反应时纳入更客观的措施。