Schwartz A L
University of Utah College of Nursing, Salt Lake City, USA.
Oncol Nurs Forum. 1998 Apr;25(3):485-91.
PURPOSE/OBJECTIVES: To examine the physical activity patterns of cancer survivors who identify themselves as athletes to assess how much exercise athletic patients with cancer engaged in during treatment; to determine how cancer-related fatigue (CRF) affects athletic patients' ability to exercise, and to determine common problems and patterns associated with CRF experienced by athletic patients.
Cross-sectional, descriptive survey.
International.
219 cancer survivors who responded to a call for subjects in four sports magazines.
Investigator-developed, mailed survey.
The majority of respondents were physically active before diagnosis and continued to exercise during their treatments with modifications in their activity level. Respondents exercised an average of nine hours per week. Sixty-nine percent of the respondents experienced problems with CRF during treatment, with 52% describing their CRF as affecting their whole body. Although 26% of the respondents felt most fatigued before exercise, exercise and rest were the most commonly used strategies for managing their symptoms. Patients with non-Hodgkin's lymphoma experienced significantly different CRF than patients with breast or prostate cancer and reported fewer benefits from exercise.
The majority of respondents reported decreasing their activity level during treatment, but they believed that regular exercise would make them less likely to have health problems. Respondents used exercise both as an intervention to reduce CRF and as a means to have more energy. Patients with breast cancer reported more benefits from exercise than patients with non-Hodgkin's lymphoma.
The results provide indirect support for exercise as an intervention for CRF. Further research is needed to identify the optimal type and dose of exercise, clinical variables that influence the response to exercise, and the patients who will respond most favorably to exercise.
目的/目标：研究自认为是运动员的癌症幸存者的身体活动模式，以评估患癌的运动员患者在治疗期间进行了多少运动；确定癌症相关疲劳（CRF）如何影响运动员患者的运动能力，并确定运动员患者经历的与CRF相关的常见问题和模式。
横断面描述性调查。
国际。
219名回应了四家体育杂志招募受试者呼吁的癌症幸存者。
研究者自行设计并邮寄调查问卷。
大多数受访者在确诊前身体活跃，在治疗期间继续运动，但活动水平有所调整。受访者平均每周运动9小时。69%的受访者在治疗期间经历了CRF问题，其中52%表示他们的CRF影响全身。尽管26%的受访者在运动前感到最疲劳，但运动和休息是管理症状最常用的策略。非霍奇金淋巴瘤患者经历的CRF与乳腺癌或前列腺癌患者显著不同，且报告称运动带来的益处较少。
大多数受访者报告在治疗期间活动水平下降，但他们认为定期运动将降低出现健康问题的可能性。受访者将运动既用作减轻CRF的干预措施，也用作获得更多能量的手段。乳腺癌患者报告的运动益处比非霍奇金淋巴瘤患者更多。
结果为运动作为CRF的干预措施提供了间接支持。需要进一步研究以确定运动的最佳类型和剂量、影响运动反应的临床变量，以及对运动反应最有利的患者。
