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一项针对慢性淋巴细胞白血病患者的力量体育锻炼计划对生活质量、心理健康和虚弱状况的影响:一项随机对照试验研究方案

Effects of a strength physical exercise program in chronic lymphocytic leukemia patients on quality of life, mental health, and frailty: a randomized controlled trial study protocol.

作者信息

Sánchez-González Juan Luis, Fernández-Rodríguez Eduardo José, Méndez-Sánchez Roberto, Polo-Ferrero Luis, Puente-González Ana Silvia, de Ramón Cristina, Marcos-Asensio Sara, Blázquez-Benito Patricia, Navarro-Bailón Almudena, Sánchez-Guijo Fermín, Martín-Sánchez Carlos

机构信息

Department of Nursing and Physiotherapy, Universidad de Salamanca, Salamanca, Spain.

Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.

出版信息

Front Sports Act Living. 2025 Mar 10;7:1534861. doi: 10.3389/fspor.2025.1534861. eCollection 2025.

Abstract

BACKGROUND

Chronic lymphocytic leukemia (CLL) is a type of cancer that affects the blood and bone marrow, and it is the most prevalent form of leukemia in adults. Many patients experience symptoms that can significantly impact their quality of life, particularly in terms of physical ability, emotional health, and fatigue. Therapeutic exercise has shown to be an effective intervention for alleviating both physical and psychological symptoms in these patients. Specifically, strength training may help address some common treatment side effects.

OBJECTIVE

This study aims to evaluate the effects of a therapeutic exercise program, focused on frailty in patients with CLL, along with secondary objectives including impacts on functional capacity, quality of life, psychological status, sleep quality, body composition, anthropometric variables, lipid profile and on proteins related to the immune system and inflammation.

METHODS

An open label, randomized controlled trial will be carried out with 36 participants, divided into an intervention group (supervised resistance training twice a week and home exercises) and a control group (home exercise only). The primary outcome measure is fraility, assessed using Short Physical Performance Battery (SPPB). Secondary outcomes include assessments using HADS, FACT-F, EORTC QLQ-C30, EORT QLQ-CLL17.

RESULTS AND CONCLUSIONS

This study will explore how physical exercise can improve quality of life and various health metrics in patients with CLL. By creating customized exercise protocols, the research seeks to boost patient well-being, improve treatment outcomes, and lessen debilitating side effects, ultimately promoting the integration of physical activity into routine care.

CLINICAL TRIAL REGISTRATION

ClinicalTrials.gov, identifier (NCT06654206).

摘要

背景

慢性淋巴细胞白血病(CLL)是一种影响血液和骨髓的癌症,是成人中最常见的白血病形式。许多患者会出现严重影响其生活质量的症状,尤其是在身体能力、情绪健康和疲劳方面。治疗性运动已被证明是缓解这些患者身体和心理症状的有效干预措施。具体而言,力量训练可能有助于解决一些常见的治疗副作用。

目的

本研究旨在评估一项针对CLL患者虚弱状况的治疗性运动计划的效果,次要目标包括对功能能力、生活质量、心理状态、睡眠质量、身体成分、人体测量变量、血脂谱以及与免疫系统和炎症相关蛋白质的影响。

方法

将对36名参与者进行一项开放标签的随机对照试验,分为干预组(每周两次监督下的阻力训练和家庭锻炼)和对照组(仅家庭锻炼)。主要结局指标是虚弱状况,使用简短体能表现量表(SPPB)进行评估。次要结局包括使用医院焦虑抑郁量表(HADS)、癌症治疗功能评估量表-疲劳(FACT-F)、欧洲癌症研究与治疗组织核心生活质量问卷(EORTC QLQ-C30)、欧洲癌症研究与治疗组织慢性淋巴细胞白血病特异性问卷(EORT QLQ-CLL17)进行评估。

结果与结论

本研究将探索体育锻炼如何改善CLL患者的生活质量和各种健康指标。通过制定定制的运动方案,该研究旨在提高患者的幸福感,改善治疗效果,并减轻使人衰弱的副作用,最终促进将体育活动纳入常规护理。

临床试验注册

ClinicalTrials.gov,标识符(NCT06654206)。

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