Ana Joaquim, Anabela Amarelo, Pedro Antunes, Catarina Garcia, Inês Leão, Eduardo Vilela, Madalena Teixeira, Bárbara Duarte, Micael Vieira, Vera Afreixo, Andreia Capela, Sofia Viamonte, Horácio Costa, Luisa A Helguero, Alberto Alves
{"title":"体育锻炼计划对乳腺癌幸存者生活质量和体能的影响:MAMA_MOVE Gaia 治疗后试验。","authors":"Ana Joaquim, Anabela Amarelo, Pedro Antunes, Catarina Garcia, Inês Leão, Eduardo Vilela, Madalena Teixeira, Bárbara Duarte, Micael Vieira, Vera Afreixo, Andreia Capela, Sofia Viamonte, Horácio Costa, Luisa A Helguero, Alberto Alves","doi":"10.1080/13548506.2023.2240074","DOIUrl":null,"url":null,"abstract":"<p><p>To assess the effects of a group class physical exercise program on health-related quality of life (HRQOL), physical fitness and activity, and safety in early breast cancer women after treatment, a double-phase trial [16-week control phase (CP) followed by a 16-week intervention phase (IP)] was designed. Outcomes were evaluated at baseline (T1), 8 (T2) and 16 (T3) weeks (CP), and 24 (T4) and 32 (T5) weeks (IP). The primary endpoint was global health status. Out of 82 enrolled patients, 37 completed the IP. Global health status decreased (-10,1; 95% CI -19.8 to -0.4; <i>p</i> = 0.040) during the CP and stabilized during the IP. Physical and sexual functioning increased during the IP (<i>p</i> = 0.008; <i>p</i> = 0.017), while cardiorespiratory fitness increased in the CP (<i>p</i> = 0.004). Upper limb strength and lower limb functionality increased during both phases [CP: <i>p</i> < 0.0001, <i>p</i> = 0.001 (surgical and nonsurgical arm), <i>p</i> = 0.028; IP: <i>p</i> < 0.0001, <i>p</i> = 0.002, <i>p</i> = 0.009]. Body mass index decreased in the IP (<i>p</i> = 0.026). Waist circumference increased in the CP (<i>p</i> = 0.001) and decreased in the IP (<i>p</i> = 0.010); sedentary behaviours and moderate and vigorous physical activity did not change. Adherence to 70% of the sessions was reported in 54% of patients. No serious adverse events related to the intervention were reported. In conclusion, the physical exercise program was able to prevent the decline in global health status and to improve other domains of HRQOL and physical fitness. As physical exercise is not the standard of care in many countries, the implementation of group class programs might be an option.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"964-987"},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a Physical Exercise Program on Quality of Life and Physical Fitness of Breast Cancer Survivors: the MAMA_MOVE Gaia After Treatment Trial.\",\"authors\":\"Ana Joaquim, Anabela Amarelo, Pedro Antunes, Catarina Garcia, Inês Leão, Eduardo Vilela, Madalena Teixeira, Bárbara Duarte, Micael Vieira, Vera Afreixo, Andreia Capela, Sofia Viamonte, Horácio Costa, Luisa A Helguero, Alberto Alves\",\"doi\":\"10.1080/13548506.2023.2240074\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>To assess the effects of a group class physical exercise program on health-related quality of life (HRQOL), physical fitness and activity, and safety in early breast cancer women after treatment, a double-phase trial [16-week control phase (CP) followed by a 16-week intervention phase (IP)] was designed. Outcomes were evaluated at baseline (T1), 8 (T2) and 16 (T3) weeks (CP), and 24 (T4) and 32 (T5) weeks (IP). The primary endpoint was global health status. Out of 82 enrolled patients, 37 completed the IP. Global health status decreased (-10,1; 95% CI -19.8 to -0.4; <i>p</i> = 0.040) during the CP and stabilized during the IP. Physical and sexual functioning increased during the IP (<i>p</i> = 0.008; <i>p</i> = 0.017), while cardiorespiratory fitness increased in the CP (<i>p</i> = 0.004). Upper limb strength and lower limb functionality increased during both phases [CP: <i>p</i> < 0.0001, <i>p</i> = 0.001 (surgical and nonsurgical arm), <i>p</i> = 0.028; IP: <i>p</i> < 0.0001, <i>p</i> = 0.002, <i>p</i> = 0.009]. Body mass index decreased in the IP (<i>p</i> = 0.026). Waist circumference increased in the CP (<i>p</i> = 0.001) and decreased in the IP (<i>p</i> = 0.010); sedentary behaviours and moderate and vigorous physical activity did not change. Adherence to 70% of the sessions was reported in 54% of patients. No serious adverse events related to the intervention were reported. In conclusion, the physical exercise program was able to prevent the decline in global health status and to improve other domains of HRQOL and physical fitness. As physical exercise is not the standard of care in many countries, the implementation of group class programs might be an option.</p>\",\"PeriodicalId\":54535,\"journal\":{\"name\":\"Psychology Health & Medicine\",\"volume\":\" \",\"pages\":\"964-987\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology Health & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13548506.2023.2240074\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/8/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2023.2240074","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/29 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Effects of a Physical Exercise Program on Quality of Life and Physical Fitness of Breast Cancer Survivors: the MAMA_MOVE Gaia After Treatment Trial.
To assess the effects of a group class physical exercise program on health-related quality of life (HRQOL), physical fitness and activity, and safety in early breast cancer women after treatment, a double-phase trial [16-week control phase (CP) followed by a 16-week intervention phase (IP)] was designed. Outcomes were evaluated at baseline (T1), 8 (T2) and 16 (T3) weeks (CP), and 24 (T4) and 32 (T5) weeks (IP). The primary endpoint was global health status. Out of 82 enrolled patients, 37 completed the IP. Global health status decreased (-10,1; 95% CI -19.8 to -0.4; p = 0.040) during the CP and stabilized during the IP. Physical and sexual functioning increased during the IP (p = 0.008; p = 0.017), while cardiorespiratory fitness increased in the CP (p = 0.004). Upper limb strength and lower limb functionality increased during both phases [CP: p < 0.0001, p = 0.001 (surgical and nonsurgical arm), p = 0.028; IP: p < 0.0001, p = 0.002, p = 0.009]. Body mass index decreased in the IP (p = 0.026). Waist circumference increased in the CP (p = 0.001) and decreased in the IP (p = 0.010); sedentary behaviours and moderate and vigorous physical activity did not change. Adherence to 70% of the sessions was reported in 54% of patients. No serious adverse events related to the intervention were reported. In conclusion, the physical exercise program was able to prevent the decline in global health status and to improve other domains of HRQOL and physical fitness. As physical exercise is not the standard of care in many countries, the implementation of group class programs might be an option.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.