A feasibility, safety, and efficacy evaluation of supervised aerobic and resistance exercise for patients with glioblastoma undertaking adjuvant chemoradiotherapy.

IF 2.4 Q2 CLINICAL NEUROLOGY Neuro-oncology practice Pub Date : 2023-06-01 DOI:10.1093/nop/npad006
Anna K Nowak, Robert U Newton, Travis Cruickshank, Prue Cormie, Georgia K B Halkett, Daphne Tsoi, Daniel A Galvão
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引用次数: 1

Abstract

Background: While therapeutically effective, chemoradiotherapy treatment for high-grade glioma (glioblastoma) is often accompanied by side effects. Exercise has been demonstrated to alleviate the adverse effects of such treatments in other cancers. We aimed to evaluate the feasibility and preliminary efficacy of supervised exercise incorporating autoregulation.

Methods: Thirty glioblastoma patients were recruited, five declined exercise and 25 were provided with a multimodal exercise intervention for the duration of their chemoradiotherapy treatment. Patient recruitment, retention, adherence to training sessions and safety were evaluated throughout the study. Physical function, body composition, fatigue, sleep quality, and quality of life were evaluated before and after the exercise intervention.

Results: Eight of the 25 participants commencing exercise withdrew prior to completion of the study (32%). Seventeen patients (68%) demonstrated low to high adherence (33%-100%) and exercise dosage compliance (24%-83%). There were no reported adverse events. Significant improvements were observed for all trained exercises and lower limb muscle strength and function with no significant changes observed for any other physical function, body composition, fatigue, sleep, or quality of life outcomes.

Conclusions: Only half of glioblastoma patients recruited were willing or able to commence, complete or meet minimum dose compliance for the exercise intervention during chemoradiotherapy indicating the intervention evaluated may not be feasible for part of this patient cohort. For those who were able to complete the exercise program, supervised, autoregulated, multimodal exercise was safe and significantly improved strength and function and may have prevented deterioration in body composition and quality of life.

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对接受辅助放化疗的胶质母细胞瘤患者进行有氧和阻力运动的可行性、安全性和有效性评估。
背景:高级别胶质瘤(胶质母细胞瘤)的放化疗虽然治疗有效,但往往伴有副作用。运动已被证明可以减轻此类治疗对其他癌症的不良影响。我们的目的是评估纳入自动调节的监督运动的可行性和初步效果。方法:招募30例胶质母细胞瘤患者,其中5例减少运动,25例在放化疗期间进行多模式运动干预。在整个研究过程中,对患者的招募、保留、培训课程的依从性和安全性进行了评估。评估运动干预前后的身体功能、身体成分、疲劳、睡眠质量和生活质量。结果:25名开始锻炼的参与者中有8名在研究完成前退出(32%)。17例患者(68%)表现出低至高依从性(33%-100%)和运动剂量依从性(24%-83%)。没有不良事件的报道。在所有训练运动和下肢肌肉力量和功能方面均观察到显著改善,而在任何其他身体功能、身体成分、疲劳、睡眠或生活质量方面均未观察到显著变化。结论:只有一半的胶质母细胞瘤患者愿意或能够在放化疗期间开始、完成或达到最低剂量的运动干预,这表明评估的干预对该患者队列的一部分可能不可行。对于那些能够完成锻炼计划的人来说,有监督的、自动调节的、多模式的锻炼是安全的,可以显著提高力量和功能,并可能防止身体成分和生活质量的恶化。
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来源期刊
Neuro-oncology practice
Neuro-oncology practice CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
11.10%
发文量
92
期刊介绍: Neuro-Oncology Practice focuses on the clinical aspects of the subspecialty for practicing clinicians and healthcare specialists from a variety of disciplines including physicians, nurses, physical/occupational therapists, neuropsychologists, and palliative care specialists, who have focused their careers on clinical patient care and who want to apply the latest treatment advances to their practice. These include: Applying new trial results to improve standards of patient care Translating scientific advances such as tumor molecular profiling and advanced imaging into clinical treatment decision making and personalized brain tumor therapies Raising awareness of basic, translational and clinical research in areas of symptom management, survivorship, neurocognitive function, end of life issues and caregiving
期刊最新文献
Erratum to: Glioma resource outreach with support: A program to identify and initiate supportive care interventions for unmet needs among adult lower-grade glioma patients. Well-intentioned is not always beneficial: Why we should question prescription habits. Long-term effects on fertility after central nervous system cancer: A systematic review and meta-analysis. Socioeconomic driven disparities in neuro-oncology. Palliative care services in neuro-oncology: Mind the gap.
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