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瑜伽干预与乳腺癌患者的炎症稳态

Yoga Intervention and Inflammatory Homoeostasis in Breast Cancer Patients.

作者信息

Kaje Kaini Cecilia, Dsilva Fatima, Shetty Praveen Kumar, Mohan Rajashekar, Kumar Shishir, Dsouza Neevan, D'souza Caren, Kalladka Shwetha Shetty, Alagundagi Dhananjay B, Kalladka Krithika

机构信息

Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, NITTE (Deemed to be University), Mangaluru, Karnataka, India.

Department of Biochemistry, K.S. Hegde Medical Academy, NITTE (Deemed to be University), Mangaluru, Karnataka, India.

出版信息

Indian J Palliat Care. 2025 Jan-Mar;31(1):1-7. doi: 10.25259/IJPC_181_2024. Epub 2024 Oct 7.

Abstract

OBJECTIVES

Yoga, renowned for its ability to maintain physical, mental and spiritual well-being, has recently gained prominence as a supportive therapy during conventional breast cancer (BC) treatment. This paradigm shift reflects a growing trend of people embracing yoga to enhance their overall health and aid in managing BC. The objective of this study was to determine the yoga intervention and inflammatory homoeostasis in newly diagnosed BC patients.

MATERIALS AND METHOD

This study recruited 44 newly diagnosed BC patients at stages II, III and IV (without distant metastasis or other inflammatory diseases), all admitted for neoadjuvant chemotherapy followed by surgery. A prospective non-randomised control design was employed. Baseline assessments were conducted before the first chemotherapy cycle, with follow-ups before the 2 and 3 chemotherapy cycles, before surgery, and 2 months post-surgery. The outcome was compared with the control group.

RESULTS

The study showed significant within-subject effects in the yoga intervention group on serum tumour necrosis factor-alpha, interleukin (IL)-1-beta and IL-6 levels, while no significant changes were observed in the control group. Although between groups did not show statistically significant, the mean values indicated a consistent downregulation of proinflammatory markers over time in the yoga group.

CONCLUSION

Incorporating yoga as a complementary therapy alongside conventional BC treatment significantly improved the health outcomes of BC patients by modulating proinflammatory markers.

摘要

目的

瑜伽以其维持身体、心理和精神健康的能力而闻名,最近在传统乳腺癌(BC)治疗期间作为一种辅助疗法受到关注。这种模式转变反映了人们越来越倾向于通过练习瑜伽来增强整体健康并辅助乳腺癌治疗。本研究的目的是确定瑜伽干预与新诊断乳腺癌患者炎症稳态之间的关系。

材料与方法

本研究招募了44例新诊断的II、III和IV期乳腺癌患者(无远处转移或其他炎症性疾病),所有患者均接受新辅助化疗后进行手术。采用前瞻性非随机对照设计。在第一个化疗周期前进行基线评估,在第2和第3个化疗周期前、手术前以及术后2个月进行随访。将结果与对照组进行比较。

结果

研究表明,瑜伽干预组患者血清肿瘤坏死因子-α、白细胞介素(IL)-1-β和IL-6水平有显著的个体内效应,而对照组未观察到显著变化。虽然组间差异无统计学意义,但平均值表明瑜伽组促炎标志物随时间持续下调。

结论

将瑜伽作为传统乳腺癌治疗的辅助疗法,通过调节促炎标志物,显著改善了乳腺癌患者的健康结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/391f/11866663/96c73d0e9fd2/IJPC-31-001-g001.jpg

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