老年癌症患者围手术期体力活动的价值。

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2023-07-01 Epub Date: 2023-09-11 DOI:10.1080/17476348.2023.2255133
Dan J Raz, Jae Y Kim, Loretta Erhunwmunesee, Sherry Hite, Gouri Varatkar, Virginia Sun
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引用次数: 0

摘要

简介:癌症的中位诊断年龄为70岁,这在美国老年人中是一个巨大的公共卫生问题。据估计,美国每年有19000名65岁及以上的人接受癌症手术。接受癌症手术的老年人通常身体虚弱,生理储备有限,多发病率高,功能受损。肺部手术后,与年轻人相比,老年人的身体功能、呼吸困难和生活质量恢复到基线的速度较慢。涵盖的领域:在这篇综述中,我们总结了围手术期体育活动干预的可用数据,这些干预可能会改善老年人接受癌症手术的结果。我们还回顾了现有研究的局限性,并讨论了关于远程医疗和家庭护理者在围手术期体育活动干预中的作用的新数据。专家意见:我们建议,在接受癌症手术的老年人中,未来的围手术期体力活动干预应包括全面的老年评估,以指导个性化干预。干预措施应以概念为基础,重点是通过被证明会影响结果的经典行为改变策略来增强自我效能、动机和依从性。最后,干预措施的设计应注意可行性和可扩展性。通过远程医疗(电话或远程视频)提供的锻炼计划可以改善患者的访问和便利性。
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The value of perioperative physical activity in older patients undergoing surgery for lung cancer.

Introduction: With a median age at diagnosis of 70, lung cancer represents an enormous public health problem among older Americans. An estimated 19,000 people age 65 and older undergo lung cancer surgery annually in the US. Older adults undergoing lung cancer surgery are often frail with limited physiologic reserves, multi-morbidities, and functional impairments. Physical function, dyspnea, and quality of life return to baseline slower in older adults compared with younger adults after lung surgery.

Areas covered: In this review, we summarize available data about perioperative physical activity interventions that may improve outcomes for older adults undergoing lung cancer surgery. We also review the limitations of existing studies and discuss emerging data on the roles of telehealth and family caregiver inclusion in peri-operative physical activity interventions.

Expert opinion: We propose that future perioperative physical activity interventions in older adults undergoing lung cancer surgery should include a comprehensive geriatric assessment to guide personalized interventions. Interventions should be conceptually based, with a focus on enhancing self-efficacy, motivation, and adherence through classic behavior change strategies that are proven to impact outcomes. Finally, interventions should be designed with attention to feasibility and scalability. Exercise programs delivered via telehealth (telephone or tele-video) may improve access and convenience for patients.

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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
期刊最新文献
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