Sweegers Maike G, Depenbusch Johanna, Aaronson Neil K, Hiensch Anouk E, Wengström Yvonne, Backman Malin, Gunasekara Nadira, Clauss Dorothea, Belloso Jon, Lachowicz Milena, May Anne M, Steindorf Karen, Stuiver Martijn M
Center for Quality of Life, Netherlands Cancer Institute/Antoni Van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Support Care Cancer. 2024 Dec 18;33(1):39. doi: 10.1007/s00520-024-09068-z.
We aimed to identify metastatic breast cancer (MBC) patients' preferences for exercise programs and identify patients' characteristics associated with these preferences, to facilitate implementation of exercise programs for MBC patients.
We used data from a multinational cross-sectional survey conducted among MBC patients. Patients reported their preferred exercise frequency, intensity, type, session duration, and supervision mode. We used latent class analysis to identify subgroups with similar preferences and descriptive statistics to compare demographic and clinical characteristics of patients within subgroups.
Four distinct classes were identified based on data from 409 participants. Class 1 (47% of participants) is characterized by a preference for moderate exercise with supervision within the health care setting. Most participants in this class had bone metastases. Class 2 (30%) is characterized by a preference for vigorous exercise with supervision. This class included participants who were, on average, younger, and had a higher education level. Class 3 (13%) is characterized by a preference for active walking. These participants were less likely to have bone metastases or comorbidities. Class 4 (10%) is characterized by a preference for recreational walking and included participants who were, on average, older, and less likely to be employed.
We identified four classes of patients with different preferences for exercise programs. Many patients with MBC express exercise preferences that meet the current guideline recommendations. Some patients with MBC may benefit from targeted education to align their preferences and behavior with the amount of exercise that is necessary to gain health benefits.
我们旨在确定转移性乳腺癌（MBC）患者对运动项目的偏好，并确定与这些偏好相关的患者特征，以促进MBC患者运动项目的实施。
我们使用了一项针对MBC患者开展的跨国横断面调查的数据。患者报告了他们偏好的运动频率、强度、类型、时长和监督模式。我们使用潜在类别分析来确定偏好相似的亚组，并使用描述性统计来比较亚组内患者的人口统计学和临床特征。
基于409名参与者的数据确定了四个不同的类别。第1类（占参与者的47%）的特征是偏好医疗环境下有监督的适度运动。该类中的大多数参与者有骨转移。第2类（30%）的特征是偏好有监督的剧烈运动。这类参与者平均年龄较小，教育水平较高。第3类（13%）的特征是偏好积极步行。这些参与者发生骨转移或合并症的可能性较小。第4类（10%）的特征是偏好休闲步行，包括平均年龄较大、就业可能性较小的参与者。
我们确定了四类对运动项目有不同偏好的患者。许多MBC患者表达的运动偏好符合当前的指南建议。一些MBC患者可能受益于有针对性的教育，使他们的偏好和行为与获得健康益处所需的运动量保持一致。
