Moreira Tiago Rafael, Pimenta Nuno, Teixeira Alexandra, Pinheiro Bruno Nobre, Canário-Lemos Rui, Peixoto Rafael, Garrido Nuno Domingos, Vilaça-Alves José
Polytechnic Institute of Maia, 4475-690 Maia, Portugal.
Research Center of Polytechnic Institute of Maia (N2i), 4475-690 Maia, Portugal.
Int J Environ Res Public Health. 2025 Jan 12;22(1):94. doi: 10.3390/ijerph22010094.
Breast cancer (BC) is the most common cancer among women, with an incidence of 85-94 per 100,000 people annually in Europe. Despite the increasing incidence of BC, advancements in early detection and novel therapeutic approaches have improved survival rates. However, adjuvant treatments are associated with side effects, including a reduction in the left ventricular ejection fraction (LVEF), which can result in severe cardiac damage and progress to heart failure. Methods: Thirty-eight women undergoing BC treatment were included in the study. Eighteen women (47.2 ± 5.4 years old) participated in a supervised physical exercise (PE) program for 60 min/day, twice weekly, at moderate to high intensity (5 min joint mobilization, 20 min predominantly aerobic training, 30 min of strength training, and 5 min cooldown). The remaining 20 women (51.5 ± 9.5 years) were advised to remain active during treatments, but without specific supervision. In the PE group, a slight reduction in the LVEF was observed after chemotherapy (63.73 ± 3.34% vs. 61.00 ± 6.54%, = 0.131). In contrast, the control group showed a statistically significant reduction in the LVEF (64.93 ± 4.00% vs. 60.57 ± 4.86%, = 0.008). Although the results suggest a potential protective effect of regular physical exercise during BC treatment, the study was inconclusive regarding its role in preventing cardiac dysfunction. Further research with a larger sample size and longer follow-up is warranted.
乳腺癌(BC)是女性中最常见的癌症,在欧洲每年的发病率为每10万人中有85 - 94例。尽管BC的发病率不断上升,但早期检测的进展和新型治疗方法提高了生存率。然而,辅助治疗会带来副作用,包括左心室射血分数(LVEF)降低,这可能导致严重的心脏损伤并发展为心力衰竭。方法:38名接受BC治疗的女性被纳入研究。18名女性(47.2 ± 5.4岁)参加了一项有监督的体育锻炼(PE)计划,每天60分钟,每周两次,强度为中等到高强度(5分钟关节活动,20分钟主要是有氧运动训练,30分钟力量训练,5分钟放松)。其余20名女性(51.5 ± 9.5岁)被建议在治疗期间保持活跃,但没有具体监督。在PE组中,化疗后观察到LVEF略有下降(63.73 ± 3.34%对61.00 ± 6.54%,P = 0.131)。相比之下,对照组的LVEF有统计学意义的下降(64.93 ± 4.00%对60.57 ± 4.86%,P = 0.008)。尽管结果表明在BC治疗期间定期体育锻炼有潜在的保护作用,但该研究关于其在预防心脏功能障碍中的作用尚无定论。需要进行更大样本量和更长随访时间的进一步研究。