Geriatric Oncology Service, NHO Kyushu Cancer Center, Fukuoka, Japan.
Department of Gastrointestinal and Medical Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Support Care Cancer. 2024 Nov 5;32(12):773. doi: 10.1007/s00520-024-08965-7.
We developed a self-directed Leg And Walking Self-exercise (LAWS) program informed by the Exercise is Medicine initiative and evaluated the feasibility and acceptability of this program in older adults with cancer.
Over a 1-year period, we prospectively enrolled 40 older adults who received a comprehensive geriatric assessment (CGA) at a geriatric oncology service and initiated a new line of systemic therapy for advanced cancer as inpatients. LAWS is a tailored, self-directed exercise program consisting of leg resistance training and walking. Exercise adherence was recorded using an exercise diary to assess feasibility. Patient perspectives on this program were evaluated using the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), with a score range of 1-5, higher being better.
Overall, 28% of patients were fit, 53% pre-frail, and 20% frail based on the CGA. During hospitalization (average 12 days), 63% of the patients adhered to exercises at lowest intensity during more than 50% of their inpatient stay: on average, 2.8 leg exercises, 23 repetitions a day, 5.6 days/week, and 19 min of walking a day, 4.9 days/week. Patients rated their perceived exertion at 3.0 for leg exercise and 3.0 for walking on a 1-10 Likert scale. During the period between discharge and their first outpatient appointment (average 11 days), 71% of patients adhered to the LAWS program. Mean scores of FIM and AIM were 4.2 (SD = 0.5) and 4.2 (SD = 0.7), respectively.
For older adults undergoing cancer treatment, LAWS is a feasible and acceptable self-directed exercise program.
我们根据“运动是良医”倡议开发了一个自我指导的腿部和步行自我锻炼（LAWS）计划，并评估了该计划在老年癌症患者中的可行性和可接受性。
在一年的时间里，我们前瞻性地招募了 40 名在老年肿瘤科接受全面老年评估（CGA）并开始新的一线系统治疗晚期癌症的住院患者。LAWS 是一种量身定制的自我指导的锻炼计划，包括腿部阻力训练和步行。使用运动日记记录运动依从性以评估可行性。使用可行性干预措施量表（FIM）和可接受性干预措施量表（AIM）评估患者对该计划的看法，评分范围为 1-5，分数越高越好。
总体而言，根据 CGA，28%的患者健康，53%的患者处于虚弱前期，20%的患者虚弱。住院期间（平均 12 天），63%的患者在住院期间至少 50%的时间以最低强度进行锻炼：平均每天进行 2.8 次腿部锻炼，23 次重复，每周 5.6 天，每天步行 19 分钟，每周 4.9 天。患者对腿部锻炼的感知用力程度评分为 3.0，对步行的感知用力程度评分为 3.0，均采用 1-10 的李克特量表。在出院到首次门诊预约期间（平均 11 天），71%的患者坚持 LAWS 计划。FIM 和 AIM 的平均得分为 4.2（SD=0.5）和 4.2（SD=0.7）。
对于接受癌症治疗的老年患者，LAWS 是一种可行且可接受的自我指导的锻炼计划。
