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联合有氧和力量训练对新加坡乳腺癌患者生物衰老的影响:乳腺癌运动干预(BREXINT)初步研究方案。

Combined aerobic and strength exercise training on biological ageing in Singaporean breast cancer patients: protocol for the Breast Cancer Exercise Intervention (BREXINT) Pilot Study.

机构信息

Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.

Exercise Physiology & Biomarkers Laboratory, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.

出版信息

Geroscience. 2024 Dec;46(6):6029-6038. doi: 10.1007/s11357-024-01145-9. Epub 2024 Mar 28.


DOI:10.1007/s11357-024-01145-9
PMID:38546907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493934/
Abstract

Breast cancer (BC) is the most prominent cancer amongst women, but fortunately, early diagnosis and advances in multimodality treatments have improved patient survivability. Cancer survivors, however, experience increased biological ageing which may accelerate other co-morbidities. Exercise intervention is a promising clinical adjuvant approach to improve BC patients' physiological function, recovery from treatment, and quality of life. However, the effects of combined aerobic and strength exercise training on biological ageing in BC patients have not been studied. The Breast Cancer Exercise Intervention (BREXINT) Pilot Study will evaluate the effects of a 24-week combined aerobic and strength exercise intervention against usual care in 50 BC patients' post-treatment randomised to either group. The primary outcomes include changes in cardiorespiratory fitness, muscle strength, cancer-related symptoms, and rate of biological ageing following exercise intervention period. The secondary outcomes include habitual physical activity measured with tri-axial accelerometery and supporting questionnaires, including physical activity, food diary, and quality of life questionnaires. This study will identify the effects of combined aerobic exercise strength training on biological ageing in BC patients from Singapore. Results from this study could further support the implementation of regular exercise programmes as routine care for cancer patients.

摘要

乳腺癌(BC)是女性中最常见的癌症,但幸运的是,早期诊断和多模式治疗的进步提高了患者的生存率。然而,癌症幸存者经历了生物衰老的加速,这可能会加速其他合并症的发生。运动干预是一种有前途的临床辅助方法,可以改善 BC 患者的生理功能、治疗后的恢复和生活质量。然而,联合有氧和力量训练对 BC 患者生物衰老的影响尚未得到研究。乳腺癌运动干预(BREXINT)初步研究将评估 50 名接受治疗后的 BC 患者在 24 周的联合有氧和力量训练与常规护理相比的效果,这些患者被随机分配到两组中的任意一组。主要结局包括心肺功能、肌肉力量、癌症相关症状以及运动干预期后生物衰老率的变化。次要结局包括使用三轴加速度计和支持性问卷测量的习惯性体力活动,包括体力活动、食物日记和生活质量问卷。这项研究将确定来自新加坡的 BC 患者联合有氧力量训练对生物衰老的影响。这项研究的结果可能会进一步支持将定期运动计划作为癌症患者常规护理的实施。

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[1]
The impact of cardiovascular disease on all-cause and cancer mortality: results from a 16-year follow-up of a German breast cancer case-control study.

Breast Cancer Res. 2023-7-27

[2]
Meta-hallmarks of aging and cancer.

Cell Metab. 2023-1-3

[3]
Do Cancer and Cancer Treatments Accelerate Aging?

Curr Oncol Rep. 2022-11

[4]
Breast Cancer Metastasis: Mechanisms and Therapeutic Implications.

Int J Mol Sci. 2022-6-18

[5]
Prevalence of Sarcopenia in Women with Breast Cancer.

Nutrients. 2022-4-28

[6]
Cancer-related accelerated ageing and biobehavioural modifiers: a framework for research and clinical care.

Nat Rev Clin Oncol. 2022-3

[7]
Chronological age or biological age: What drives the choice of adjuvant treatment in elderly breast cancer patients?

Transl Oncol. 2022-1

[8]
Exercise reduces circulating biomarkers of cellular senescence in humans.

Aging Cell. 2021-7

[9]
High-intensity interval training in breast cancer survivors: a systematic review.

BMC Cancer. 2021-2-22

[10]
Body composition and breast cancer risk and treatment: mechanisms and impact.

Breast Cancer Res Treat. 2021-4

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