JSAMS plus最新文献

英文中文

Highlighting head injury research & special issue on exercise oncology 突出头部损伤研究和运动肿瘤学特刊

JSAMS plus

Pub Date : 2024-11-09 DOI: 10.1016/j.jsampl.2024.100079

Jessica Orchard

引用次数: 0

The expanding role of exercise oncology in cancer care: An editorial highlighting emerging research 运动肿瘤学在癌症治疗中的作用不断扩大：一篇强调新兴研究的社论

JSAMS plus

Pub Date : 2024-10-30 DOI: 10.1016/j.jsampl.2024.100078

David Mizrahi, Erika Rees-Punia, Robert U. Newton, Carolina X. Sandler

引用次数: 0

Addressing rising knee injury and surgery rates with real-word data; the need for a clinical knee injury registry 利用真实数据解决膝关节损伤和手术率上升问题；需要建立临床膝关节损伤登记册

JSAMS plus

Pub Date : 2024-10-04 DOI: 10.1016/j.jsampl.2024.100077

Marc-Olivier Dubé , Kay M. Crossley , Andrea M. Bruder , Brooke E. Patterson , Melissa J. Haberfield , Adam G. Culvenor

引用次数: 0

Effect of supervised exercise training on objectively measured physical activity in patients during anthracycline therapy 指导性运动训练对蒽环类药物治疗期间患者客观测量的体力活动的影响

JSAMS plus

Pub Date : 2024-10-04 DOI: 10.1016/j.jsampl.2024.100075

Caroline Schneider , Laura Stuetz , Annika Dierks , Kristin L. Campbell , Matthias Wilhelm , Prisca Eser

Introduction

It is unknown what the benefits of cardio-oncologic rehabilitation programmes on cardiorespiratory fitness and cancer fatigue during anthracycline-based chemotherapies (AC) are with supervised exercise training (ET), compared to PA advice and tracking only.

Methods

Patients with breast cancer or lymphoma were recruited from four cancer centres and randomly assigned to three months supervised ET during (EXduringAC) or after (EXpostAC) AC. All patients were counselled on physical activity (PA) and PA was objectively measured with an activity tracker. Primary endpoints were peak VO₂, fatigue and quality of life (QoL) after AC (AC-end) and at follow-up (3 months after completion of AC). Secondary endpoints were daily PA and daily steps during AC and follow-up phase, which were compared between days with and without centre-based training sessions. All analyses were performed by linear mixed models.

Results

Fifty-seven patients (median [1st and 3rd quartiles] age 47 years [38, 57 years]; 95 % women) consented to participate, of whom data from 51 patients were available. Despite the fact that PA on days with centre-based training sessions was 28 (95 % confidence interval 24–32) min higher with 4382 (3995–4768) more steps, neither PA nor steps differed between groups in neither AC nor follow-up phase, nor were there between group differences in peak VO_2, QoL or fatigue at any time point.

Conclusion

In physically active patients with cancer, PA advice and using an activity tracker was equally effective on changes in peak VO₂, fatigue, or QoL as enrolling in centre-based ET performed during or after AC.

Trial registration

NCT03850171, February 21, 2019.

方法从四个癌症中心招募乳腺癌或淋巴瘤患者，随机分配他们在蒽环类化疗期间（蒽环类化疗期间EXduringAC）或蒽环类化疗后（蒽环类化疗后EXpostAC）接受为期三个月的有指导的运动训练（ET）。所有患者都接受了体力活动（PA）方面的指导，并使用活动追踪器对体力活动进行了客观测量。主要终点为 AC 后（AC 结束）和随访时（AC 结束后 3 个月）的峰值 VO2、疲劳度和生活质量（QoL）。次要终点是在 AC 和随访阶段的每日 PA 和每日步数，并在有中心培训课程和没有中心培训课程的日子进行比较。结果57名患者（中位数[第一和第三四分位数]年龄为47岁[38岁，57岁]；95%为女性）同意参与，其中51名患者的数据可用。尽管在参加中心培训课程的日子里，患者的运动量增加了 28 分钟（95 % 置信区间为 24-32），步数增加了 4382 步（3995-4768），但在运动量和步数方面，各组之间在 AC 阶段和随访阶段均无差异，在峰值 VO2、QoL 或疲劳度方面，各组之间在任何时间点均无差异。结论在体力活动活跃的癌症患者中，PA建议和使用活动追踪器与在AC期间或之后参加基于中心的ET同样有效地改变了峰值VO2、疲劳或QoL。

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引用次数: 0

Ballet after breast cancer: A qualitative evaluation of a novel 16-week ballet intervention for women after breast cancer 乳腺癌术后芭蕾对为乳腺癌术后妇女提供的为期 16 周的新型芭蕾舞干预进行定性评估

JSAMS plus

Pub Date : 2024-09-28 DOI: 10.1016/j.jsampl.2024.100076

Eliza R. Macdonald , Christina Signorelli , Briana K. Clifford , David Simar , Rachel E. Ward

Objectives

Our evaluation of the pilot study- “Ballet after breast cancer”, demonstrated that a classical ballet program delivered online and/or face-to-face is feasible and acceptable, with promise for improving health and wellbeing following breast cancer. The present study aimed to explore participant experiences of the 16-week ballet intervention, and their perceptions of the future potential of ballet in the context of breast cancer.

Design

Qualitative analysis of focus group discussions.

Methods

Intervention participants were invited to take part in online focus groups to discuss: Perceived changes resulting from ballet participation, content of the ballet classes, delivery of the ballet program, suitability of ballet for future implementation during/after active cancer treatment. Themes were generated using an inductive approach, and feedback/recommendations for future implementation of “Ballet after breast cancer” were summarised.

Results

Seventeen women previously treated for breast cancer (54.4 ± 11.9 years; 54.2 ± 43.5 months post-diagnosis) took part in one of three focus groups. Themes generated through discussion included: Embracing normal; Connection to others; Acceptance without judgement; Engagement; Learning and progress. Participants described perceived improvements in physical, psychosocial, and cognitive wellbeing, and identified some limitations of online attendance compared to face-to-face. The personal attributes and experience of the ballet instructor were identifed as key determinants of program engagement and enjoyment. Participants reported a preference for classes specifically for people with lived experience of breast cancer. Recommendations to improve future ballet programs during/after breast cancer treatment included: Hybrid delivery model; Opportunities to socialise with classmates; Access to additional learning resources.

Conclusions

Participants offered novel and valuable insight into their experiences of the “Ballet after breast cancer” program, providing guidance for future delivery of ballet across the cancer continuum.

目标我们对 "乳腺癌后的芭蕾 "试点研究的评估表明，在线和/或面对面教授古典芭蕾课程是可行且可接受的，有望改善乳腺癌患者的健康和福祉。本研究旨在探讨参与者对为期 16 周的芭蕾舞干预的体验，以及他们对芭蕾舞在乳腺癌治疗中的未来潜力的看法：参加芭蕾舞后所感受到的变化、芭蕾舞课程的内容、芭蕾舞课程的实施、芭蕾舞是否适合在积极的癌症治疗期间/之后实施。通过归纳法得出主题，并总结了对未来实施 "乳腺癌术后芭蕾 "的反馈/建议。结果17 名曾接受过乳腺癌治疗的妇女（54.4 ± 11.9 岁；确诊后 54.2 ± 43.5 个月）参加了三个焦点小组中的一个。讨论产生的主题包括拥抱正常；与他人建立联系；接受而不评判；参与；学习和进步。参与者描述了他们在身体、社会心理和认知健康方面所感受到的改善，并指出了在线参与与面对面参与相比存在的一些局限性。芭蕾教练的个人特质和经验被认为是决定学员参与和享受课程的关键因素。参与者表示更喜欢专门为有乳腺癌生活经历的人开设的课程。对未来乳腺癌治疗期间/治疗后芭蕾舞课程的改进建议包括结论参与者对他们在 "乳腺癌后芭蕾 "课程中的经历提出了新颖而有价值的见解，为今后在癌症治疗过程中开展芭蕾课程提供了指导。

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引用次数: 0

Burnout in Australian sport and exercise physicians and registrars: A cross-sectional study 澳大利亚体育锻炼医师和注册医师的职业倦怠：横断面研究

JSAMS plus

Pub Date : 2024-08-14 DOI: 10.1016/j.jsampl.2024.100074

Bikram Karmakar , Ping-I Lin , Hindol Mukherjee , James Rufus John , Valsamma Eapen

Objectives

To determine the prevalence and factors associated with the risk of burnout among sport and exercise physicians and registrars in Australia.

Design

Cross-Sectional Study.

Method

Australian based sport and exercise physicians and registrars of the Australasian college of sport and exercise physicians were invited to complete a survey. Demographic data and response to a questionnaire utilising the Maslach Burnout Inventory (MBI) tool were collected. Descriptive analysis was conducted to assess the prevalence of burnout. Multivariable logistic regression models were used to determine factors associated with the risk of burnout whilst adjusting for covariates.

Results

25 registrars (25/52 = 48%) and 31 physicians (31/172 = 18%) completed the survey. The risk of overall burnout in all three MBI parameters or in at least one parameter was 25% and 34%, respectively. Findings of the primary analysis showed that higher working hours (AOR 50.59; 95% CI 1.81–141.33; p = 0.021) and higher level of job dissatisfaction (AOR 262.68; 95% CI 4.98–13857.50; p = 0.006) were associated with increased odds of burnout.

Conclusions

Burnout poses a significant risk to sport and exercise physicians and registrars in Australia. The small size of this specialty group and unique nature of their work requires specific interventions to reduce risks of burnout.

目的确定澳大利亚体育锻炼医师和注册医师倦怠风险的发生率和相关因素。方法邀请澳大利亚体育锻炼医师学院的体育锻炼医师和注册医师完成一项调查。调查收集了人口统计学数据和对马斯拉赫职业倦怠量表（MBI）工具问卷的答复。通过描述性分析评估了职业倦怠的发生率。结果25名注册医师（25/52 = 48%）和31名内科医生（31/172 = 18%）完成了调查。在所有三个 MBI 参数或至少一个参数中，总体倦怠风险分别为 25% 和 34%。主要分析结果显示，较高的工作时间（AOR 50.59; 95% CI 1.81-141.33; p = 0.021）和较高的工作不满意度（AOR 262.68; 95% CI 4.98-13857.50; p = 0.006）与倦怠几率增加有关。该专业群体规模小，工作性质独特，因此需要采取特殊干预措施来降低职业倦怠风险。

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引用次数: 0

Whose needs are being met in return to sport guidelines in concussion? 脑震荡患者重返运动场指南满足了谁的需求？

JSAMS plus

Pub Date : 2024-07-30 DOI: 10.1016/j.jsampl.2024.100060

Danielle Jacobs , Stephen D. Kara

引用次数: 0

Investigating endocannabinoid system and subjective responses to exercise in cancer patients: Rationale and future research directions 调查癌症患者的内源性大麻素系统和对运动的主观反应：理论依据和未来研究方向

JSAMS plus

Pub Date : 2024-07-16 DOI: 10.1016/j.jsampl.2024.100073

Abha Gourshettiwar , Judith Lacey , Shelley Kay , Justine Stehn , Mitchell Low , Birinder S. Cheema

Over forty years of evidence supports the integration of exercise therapy in cancer care. However, most cancer patients remain insufficiently active due in part to subjectively reported treatment-related side effects (and late effects) including fatigue, pain, appetite dysregulation, insomnia, cognitive impairment, depression, anxiety, low self-efficacy, and poor motivation. Many of these symptoms can be mitigated with exercise. However, the biological mechanisms by which exercise attenuates these cancer treatment-related side effects remain to be elucidated. This article presents a rationale for the investigation of endocannabinoid system (ECS) responses to exercise in cancer patients. We provide an overview of the ECS and preliminary evidence of ECS dysfunction induced by cancer, its risk factors (comorbidities) and cancer treatment. Further, we present a brief review of evidence from non-cancer cohorts demonstrating that acute (single bout) and chronic (>12 week) exercise can induce changes in circulating endocannabinoids (e.g. N-arachidonoylethanolamine (AEA or anandamide), 2-arachidonoylglycerol (2-AG) and related biogenic lipids). These changes are consistently accompanied by improvements in many subjectively reported, affective (mood) states (i.e. psychological outcomes) including sense of well-being, euphoria, vigour, anxiety, depression, fatigue, confusion, tension, mood disturbance, and pain. Given the substantial overlap between these subjective outcomes and the adverse effects that commonly arise as a consequence of cancer treatment, we clarify avenues for future research directed at improving our understanding of how cancer treatments negatively affect the ECS and patient symptomology, and how exercise may biologically mitigate these sequelae.

四十多年的证据支持将运动疗法纳入癌症治疗。然而，大多数癌症患者的运动量仍然不足，部分原因是主观报告的与治疗有关的副作用（和后期影响），包括疲劳、疼痛、食欲失调、失眠、认知障碍、抑郁、焦虑、自我效能低和动力不足。其中许多症状都可以通过锻炼得到缓解。然而，运动减轻这些与癌症治疗相关的副作用的生物机制仍有待阐明。本文介绍了研究癌症患者运动时内源性大麻素系统（ECS）反应的基本原理。我们概述了 ECS 以及由癌症、癌症风险因素（合并症）和癌症治疗引起的 ECS 功能障碍的初步证据。此外，我们还简要回顾了来自非癌症队列的证据，这些证据表明，急性（单次）和慢性（12 周）运动可诱导循环中的内源性大麻素（例如，N- arachidonoylethanolamine（AEA 或 anandamide）、2-arachidonoylglycerol（2-AG）和相关生物脂类）发生变化。这些变化始终伴随着许多主观报告的情感（情绪）状态（即心理结果）的改善，包括幸福感、兴奋、活力、焦虑、抑郁、疲劳、困惑、紧张、情绪紊乱和疼痛。鉴于这些主观结果与癌症治疗通常产生的不良反应之间存在大量重叠，我们明确了未来的研究方向，旨在加深我们对癌症治疗如何对 ECS 和患者症状产生负面影响以及运动如何从生物学角度减轻这些后遗症的理解。

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引用次数: 0

Adherence to exercise in breast cancer survivors during and after active treatment: A systematic review and meta-analysis 乳腺癌幸存者在积极治疗期间和治疗后坚持锻炼的情况：系统回顾和荟萃分析

JSAMS plus

Pub Date : 2024-07-12 DOI: 10.1016/j.jsampl.2024.100071

Martin Ackah , Ioulia Barakou , Ulric Sena Abonie , Florentina Johanna Hettinga

Background

Ensuring adherence to exercise programs is important for optimizing benefits and efficacy of interventions in women with breast cancer. Despite numerous studies on adherence to exercise in women with breast cancer, no systematic review has exclusively examined exercise adherence and its influencers during and after active treatment in this population. This review aims to examine the adherence rates and influencing factors for exercise in breast cancer survivors during and after treatment.

Methods

We systematically searched PubMed, CINAHL, Web of Science, and Scopus. We included studies on adherence to exercise and potential influencing factors conducted on women with breast cancer. Relevant studies were screened, and data were extracted. Analyses of adherence and factors influencing adherence were performed for ‘during’ and ‘after’ primary cancer treatment. Systematic review and meta-analyses were performed.

Results

Twenty-six studies were included. The overall pooled exercise adherence was 64% (95% CI: 58%–70%). Adherence to exercise during primary cancer treatment was 63% (95% CI: 55%–70%), and after primary cancer treatment was 68% (95% CI: 59%–78%), with no significant variation (Q = 0.82, p = 0.36). Physical fitness, baseline physical activity, fatigue, education, body mass index, and having a partner were identified to influence adherence during primary cancer treatments. Body mass index was reported to have a negative association with exercise adherence during and after primary cancer treatment.

Conclusions

The review revealed no significant variations in exercise adherence among women with breast cancer both during and after primary cancer treatments. Body mass index appeared to be negatively associated with both stages of primary cancer treatment.

背景确保坚持锻炼计划对于优化乳腺癌女性患者的获益和干预效果非常重要。尽管有许多关于乳腺癌女性患者坚持锻炼的研究，但还没有系统性综述专门研究过这一人群在积极治疗期间和治疗后坚持锻炼的情况及其影响因素。本综述旨在研究乳腺癌幸存者在治疗期间和治疗后坚持锻炼的比例及其影响因素。方法我们系统地检索了PubMed、CINAHL、Web of Science和Scopus。我们纳入了针对乳腺癌女性患者进行的有关坚持锻炼及潜在影响因素的研究。筛选相关研究并提取数据。对 "在......原发性癌症治疗期间 "和 "在......原发性癌症治疗之后 "的坚持锻炼情况和影响因素进行分析。结果共纳入 26 项研究。总的运动坚持率为 64%（95% CI：58%-70%）。在原发性癌症治疗期间坚持锻炼的比例为 63%（95% CI：55%-70%），原发性癌症治疗后坚持锻炼的比例为 68%（95% CI：59%-78%），两者之间无显著差异（Q = 0.82，P = 0.36）。体能、基线体力活动、疲劳、教育程度、体重指数和有无伴侣被认为会影响癌症初治期间的依从性。结论综述显示，乳腺癌女性患者在接受原发性癌症治疗期间和治疗后坚持锻炼的情况没有显著差异。体重指数似乎与原发性癌症治疗的两个阶段呈负相关。

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引用次数: 0

Head injury assessment in youth men's rugby league players: An evaluation of game play characteristics and video review of potential concussion signs 青少年男子橄榄球联赛运动员头部损伤评估：评估比赛特点和潜在脑震荡征兆的视频回顾

JSAMS plus

Pub Date : 2024-07-11 DOI: 10.1016/j.jsampl.2024.100072

Andrew J. Gardner , Martin A. Lang , Suzi Edwards , Ben Jones , Grant L. Iverson , Douglas P. Terry

Background

Rugby league is a popular collision sport among Australian adolescent and young adult men. Concussion is one of the more common injuries in rugby league. Few studies have examined concussion in youth rugby league. To examine medically diagnosed concussions from a single season within two elite-level pathway rugby league competitions by evaluating game play risk factors and conducting a video review of potential concussion signs.

Methods

All players involved in the Queensland Rugby League's (QRL) under 18 years and under 20 years age group competitions during the 2019 season were included in this study. Data included all head injury assessments (HIAs) identified in real-time through the QRL injury surveillance system for these two QRL age group competitions. The purpose of this study was to (i) report the rates of HIAs and medically diagnosed concussions; (ii) examine video signs of potential concussion; (iii) review game play risk factors related to HIAs and concussions; and (iv) determine the number of days until a concussed player returned to match play and the number of subsequent games missed by concussed players.

Results

There were 86 HIAs and 30 medically diagnosed concussions from the two competitions. The concussion incidence was 2.93 per 1000 player match hours in the under 18-year age group and 5.75 per 1000 player match hours in the under 20-year age group. Slow to stand was the most commonly observed video sign (78.6%; 22/28 concussions). Most concussed players (91%, 21/23) missed at least one subsequent game (M = 1.4, SD = 1.7, range = 0–7 games), with the average days to return-to-play being 15.7 (SD = 7.0, range = 7–41 days).

Conclusions

In elite-level pathway rugby league, the incidences of HIAs and medically diagnosed concussions were higher in the under 20 age group than the under 18 age group. Both age groups had lower incidences of HIAs and concussions than professional adult rugby league players. Return-to-play following concussion was similar across the two age groups and differed considerably compared to the elite level, with a longer time before return to play for the younger elite level development pathway players.

背景橄榄球联赛是一项深受澳大利亚青少年和年轻成年男子喜爱的碰撞运动。脑震荡是橄榄球联赛中较常见的损伤之一。很少有研究对青少年橄榄球联赛中的脑震荡进行调查。通过评估比赛风险因素和对潜在脑震荡征兆进行视频审查，对两个精英级路径橄榄球联赛单赛季中经医学诊断的脑震荡进行研究。方法本研究纳入了2019赛季参加昆士兰橄榄球联赛（QRL）18岁以下和20岁以下年龄组比赛的所有球员。数据包括通过昆士兰橄榄球联盟（QRL）伤害监测系统对这两项昆士兰橄榄球联盟（QRL）年龄组比赛实时确定的所有头部伤害评估（HIA）。本研究的目的是：(i) 报告 HIA 和医学诊断脑震荡的发生率；(ii) 检查潜在脑震荡的视频迹象；(iii) 审查与 HIA 和脑震荡相关的比赛风险因素；(iv) 确定脑震荡球员重返赛场的天数以及脑震荡球员随后缺席比赛的场次。在 18 岁以下年龄组中，脑震荡发生率为每 1000 个球员比赛小时 2.93 次，在 20 岁以下年龄组中，脑震荡发生率为每 1000 个球员比赛小时 5.75 次。站立缓慢是最常见的视频征兆（78.6%；22/28 例脑震荡）。大多数脑震荡球员（91%，21/23）至少缺席了一场后续比赛（中=1.4，标差=1.7，范围=0-7场），恢复比赛的平均天数为15.7天（标差=7.0，范围=7-41天）。这两个年龄组的 HIA 和脑震荡发生率均低于职业成年橄榄球联盟球员。两个年龄组的球员在脑震荡后重返赛场的情况相似，但与精英级球员相比差别很大，年轻的精英级发展道路球员重返赛场的时间更长。

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