Chmielewski Michał, Szeremet Agnieszka, Stefańska Małgorzata, Jabłonowska-Babij Paula, Majcherek Maciej, Czyż Anna, Wróbel Tomasz, Malicka Iwona
Active Recovery, Non-Profit Foundation, 53-019 Wroclaw, Poland.
Department and Clinic of Hematology, Cellular Therapies and Internal Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.
J Clin Med. 2024 Dec 31;14(1):186. doi: 10.3390/jcm14010186.
Haematological malignancies and their treatment regimens often lead to various complications that impair patients' physical functioning. This study aimed to assess the level of physical activity and exercise capacity in patients with haematological malignancies who were qualified for haematopoietic stem cell transplantation (HSCT). A prospective, single-centre study was conducted on patients with haematological malignancies qualified for HSCT (study group, = 103) and a cohort of healthy volunteers (reference group, = 100). The assessment protocol included the International Physical Activity Questionnaire (IPAQ) and the 6-Minute Walk Test (6MWT). The median age was 57 years in the study group and 56 years in the reference group. In the IPAQ assessment, at least 50% of the study group reported no engagement in moderate or intense physical activity. In the 6MWT, the study group demonstrated a significantly shorter walking distance compared to the reference group ( < 0.0001). Factors such as group membership (study vs. reference group), age, gender, and body mass index (BMI) were found to have a significant impact on 6MWT performance. No significant differences were observed in IPAQ or 6MWT results among subgroups within the study group when categorized by diagnosis. Patients with haematological malignancies who qualified for HSCT often show physical activity levels below recommended standards, which can negatively impact their ability to endure physical exertion. Insufficient activity prior to transplantation may contribute to reduced exercise capacity. Therefore, prehabilitation programmes aimed at improving physical activity and structured exercise should be an integral part of their care.
血液系统恶性肿瘤及其治疗方案常常会引发各种并发症,损害患者的身体机能。本研究旨在评估符合造血干细胞移植(HSCT)条件的血液系统恶性肿瘤患者的身体活动水平和运动能力。对符合HSCT条件的血液系统恶性肿瘤患者(研究组,n = 103)和一组健康志愿者(参照组,n = 100)进行了一项前瞻性单中心研究。评估方案包括国际身体活动问卷(IPAQ)和6分钟步行试验(6MWT)。研究组的中位年龄为57岁,参照组为56岁。在IPAQ评估中,至少50%的研究组患者报告未参与中度或剧烈身体活动。在6MWT中,研究组的步行距离明显短于参照组(P < 0.0001)。研究发现,组群归属(研究组与参照组)、年龄、性别和体重指数(BMI)等因素对6MWT表现有显著影响。按诊断分类时,研究组各亚组在IPAQ或6MWT结果方面未观察到显著差异。符合HSCT条件的血液系统恶性肿瘤患者的身体活动水平往往低于推荐标准,这可能会对他们承受体力消耗的能力产生负面影响。移植前活动不足可能导致运动能力下降。因此,旨在改善身体活动和进行结构化锻炼的预康复计划应成为他们护理的一个组成部分。