Pardo-Hernández Rocío, Fernández-Solana Jessica, González-Bernal Jerónimo J, Romero-Pérez Ena Monserrat, Horta-Gim Mario Alberto, Riojas Pesqueira Luis Enrique, Muñoz-Alcaraz María Nieves, González-Santos Josefa, Santamaría-Peláez Mirian
Department of Health Sciences, University of Burgos, 09001 Burgos, Spain.
Division of Biological Sciences and Health, University of Sonora, Hermosillo 83000, Mexico.
Healthcare (Basel). 2024 Dec 27;13(1):29. doi: 10.3390/healthcare13010029.
BACKGROUND/AIMS: This cross-sectional study investigates body composition and strength in female breast cancer survivors, focusing on the effects of radical mastectomy and the presence of upper extremity lymphoedema. The main objective was to understand body composition, volumetry, and strength, as well as response to strength training in female breast cancer survivors.
Twenty-three women (aged 42-74 years old) with radical mastectomy in the last five years were assessed by measuring body composition (weight, water percentage, fat, muscle, and lean mass), maximal strength, perimeters, and brachial volumes. Participants completed a 10-week strength training program of moderate intensity with 20 training sessions. No significant differences were found between the affected/healthy hemispheres in terms of composition, perimeters, and volumetrics. However, 11 women were found to have lymphoedema (47.8%). No statistically significant differences were found between hemibodies after the intervention, although improvements were obtained in pectoral strength and manual grip, as well as in muscle mass and lean mass [ = 0.002 each]. Cases with lymphoedema were reduced to 5 (21.73%).
While strength training is shown to benefit body composition, strength, and the incidence of lymphoedema in mastectomized women, further scientific evidence is needed with larger controlled trials and follow-up studies to validate these findings, as well as the impact on the quality of life of these survivors.
背景/目的:本横断面研究调查了女性乳腺癌幸存者的身体成分和力量,重点关注根治性乳房切除术的影响以及上肢淋巴水肿的存在情况。主要目的是了解女性乳腺癌幸存者的身体成分、体积测量和力量,以及对力量训练的反应。
对23名在过去五年内接受根治性乳房切除术的女性(年龄42 - 74岁)进行评估,测量其身体成分(体重、水分百分比、脂肪、肌肉和瘦体重)、最大力量、周长和肱部体积。参与者完成了一个为期10周、强度适中的力量训练计划,共20次训练课程。在身体成分、周长和体积测量方面,患侧/健侧之间未发现显著差异。然而,发现11名女性存在淋巴水肿(47.8%)。干预后两侧身体之间未发现统计学上的显著差异,尽管胸肌力量、握力以及肌肉质量和瘦体重均有改善[每项p = 0.002]。淋巴水肿病例减少至5例(21.73%)。
虽然力量训练对接受乳房切除术的女性的身体成分、力量和淋巴水肿发生率有益,但需要进一步的科学证据,通过更大规模的对照试验和随访研究来验证这些发现,以及对这些幸存者生活质量的影响。