瑜伽、散步和正念冥想对乳腺癌患者疲劳和体重指数的影响

Mary Lou Galantino PT, MS, PhD
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引用次数: 8

摘要

关于妇女乳腺癌的危险因素和预防有一些基于证据的研究,但关于乳腺癌妇女的健康维持和改善的信息相对较少。研究表明,身体质量指数(BMI)的增加可能导致乳腺癌预后较差,或者可能与乳腺癌晚期有关。运动和饮食限制可以降低乳腺癌患者的体重指数。疲劳几乎被认为是癌症的普遍副作用。癌症相关疲劳(CRF)对生活质量(QOL)和日常生活活动能力(ADL)的影响对癌症治疗期间功能能力显著下降的患者具有深远的影响。运动是用来降低CRF的少数干预措施之一。先前关于运动对乳腺癌患者影响的研究评估了在整个治疗过程中久坐不动的受试者;然而,积极运动的乳腺癌患者面临的问题有些不同。这一人群的活动范围很广。据报道,锻炼的乳腺癌患者焦虑和抑郁水平有所降低,而情绪总体上有所改善。适度的运动比剧烈的运动更适合患者,并能提高依从性。个人与团体锻炼项目(或物理治疗干预)相比,成本更低,要求也更低。乳腺癌不同临床阶段的生活质量维度存在显著差异,这可能受到几种干预措施的影响。
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Influence of yoga, walking, and mindfulness meditation on fatigue and body mass index in women living with breast cancer

There is some evidence-based research regarding risk factors and prevention of breast cancer in women, but relatively less information about the maintenance and improvement in health for women living with breast cancer. Studies show an increase in body mass index (BMI) may lead to a poorer prognosis of breast cancer or may be associated with advanced stages of breast cancer. Exercise and dietary restriction decrease body mass index in women with breast cancer.

Fatigue had been recognized as an almost universal side effect of cancer. The impact of cancer related fatigue (CRF) on quality of life (QOL) and the ability to carry out activities of daily living (ADL) has profound implications for patients who experience a notable decline in functional ability during cancer treatment. Exercise is one of the few interventions that has been used to decrease CRF.

Prior studies on the effect of exercise in patients diagnosed with breast cancer have assessed subjects who were sedentary throughout treatment; however problems faced by physically active people with breast cancer are somewhat different. There exists a wide range of activity in this population.

Breast cancer patients who exercise have reported decreased levels of anxiety and depression while mood is elevated overall. Moderate exercise instead of vigorous exercise is preferable to patients and results in increased compliance. Individual versus group exercise programs (or physical therapy interventions) are less costly and less demanding.

There are significant differences in the dimensions of quality of life across different clinical stages of breast cancer which may be influenced by several interventions reviewed.

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