长期在线家庭监督锻炼计划对乳腺癌患者体能和坚持锻炼的影响:随机临床试验

Cancers Pub Date : 2024-05-17 DOI:10.3390/cancers16101912
María Elena Garcia-Roca, Ignacio Catalá-Vilaplana, Carlos Hernando, Pablo Baliño, Pablo Salas-Medina, Pilar Suarez-Alcazar, Ana Folch-Ayora, Eladio Collado Boira
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摘要

本研究的目的是分析与无监督的运动推荐组(ERG)相比,24 周同步监督在线家庭运动计划(HBG)对正在接受乳腺癌治疗的患者的身体成分、体能和坚持性的影响。59名正在接受癌症治疗的女性乳腺癌患者(HBG组31人,ERG组28人)参加了本次随机临床试验。运动计划包括每周两次、每次 60 分钟的阻力和有氧运动(博格量表 CR-10 6-8 分,中等强度),为期 24 周。运动建议组只接受符合 ACSM 现行指南的一般建议。在计划的基线、12 周和 24 周时对身体成分和体能进行评估。根据每周每节课完成运动的分钟数来衡量干预措施的坚持情况。双向重复测量的一般线性模型显示,在基线、12 周和 24 周的评估中,与运动建议组相比,家庭锻炼组的体能有显著改善(p < 0.05)。家庭锻炼组的坚持率也更高。不过,在不同组别和不同时刻,身体成分没有发生变化(P > 0.05)。从这个意义上说,有监督的家庭锻炼干预可以成为一种有趣的策略,以提高正在接受治疗的乳腺癌患者的体能和坚持率。
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Effect of a Long-Term Online Home-Based Supervised Exercise Program on Physical Fitness and Adherence in Breast Cancer Patients: A Randomized Clinical Trial
The purpose of the present study was to analyze the effect of a synchronous-supervised online home-based exercise program (HBG) during 24 weeks on body composition, physical fitness and adherence compared to an exercise recommendation group (ERG) without supervision with patients undergoing breast cancer treatment. Fifty-nine female breast cancer patients (31 in HBG and 28 in the ERG) undergoing cancer treatments participated in the present randomized clinical trial. The exercise program consisted of a 60 min combined resistance and aerobic supervised exercise session (6–8 points on Borg Scale CR-10, moderate intensity), twice a week during 24 weeks. The exercise recommendation group only received general recommendations to comply with the current ACSM guidelines. Body composition and physical fitness were assessed at baseline, 12 weeks and 24 weeks of the program. Adherence to the intervention was measured according to the minutes of exercise completed per session during each week. A general linear model of two-way repeated measures showed significant improvements (p < 0.05) in physical fitness that were observed in the home-based exercise group at the baseline, 12-week and 24-week assessments compared to the exercise recommendation group. Adherence was also higher in the home-based exercise group. However, no changes (p > 0.05) in body composition between groups and moments were observed. In this sense, supervised home-based exercise interventions can be an interesting strategy to improve physical fitness and adherence rates in breast cancer patients undergoing treatment.
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