Sustainable impact of an individualized exercise program on physical activity level and fatigue syndrome on breast cancer patients in two German rehabilitation centers.
Purpose: Although physical activity has been demonstrated to increase cancer survival in epidemiological studies, breast cancer patients tend toward inactivity after treatment.Methods: Breast cancer patients were quasi-randomly allocated to two different groups, intervention (IG) and control (CG) gr...
| Publicado en: | Supportive Care in Cancer Vol. 25; no. 4; pp. 1047 - 1055 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121388076&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121388076 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Apr2017 vid: 25 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121388076 121388076 144023370 NLM27942857 121388076 10.1007/s00520-016-3490-x NLM27942857 121388076 ppf: 1047 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Sustainable impact of an individualized exercise program on physical activity level and fatigue syndrome on breast cancer patients in two German rehabilitation centers. aug: au: Baumann, Freerk Bieck, Oliver Oberste, Max Kuhn, Rafaela Schmitt, Joachim Wentrock, Steffen Zopf, Eva Bloch, Wilhelm Schüle, Klaus Reuss-Borst, Monika Baumann, Freerk T Schüle, Klaus affil: Department 1 of Internal Medicine , Center for Integrated Oncology Köln Bonn University Clinic of Cologne , Kerpenerstraße 62 50937 Cologne Germany sug: subj: Fatigue Rehabilitation Therapeutic Exercise Methods Breast Neoplasms Rehabilitation Syndrome Breast Neoplasms Psychosocial Factors Middle Age Female Rehabilitation Centers Fatigue Etiology Quality of Life Human Case Control Studies Breast Neoplasms Physiopathology Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Random Assignment Middle Aged: 45-64 years Female ab: Purpose: Although physical activity has been demonstrated to increase cancer survival in epidemiological studies, breast cancer patients tend toward inactivity after treatment.Methods: Breast cancer patients were quasi-randomly allocated to two different groups, intervention (IG) and control (CG) groups. The intervention group (n = 111) received an individual 3-week exercise program with two additional 1-week inpatient stays after 4 and 8 months. At the end of the rehabilitation, a home-based exercise program was designed. The control group (n = 83) received a 3-week rehabilitation program and did not obtain any follow-up care. Patients from both groups were measured using questionnaires on physical activity, fatigue, and quality of life (QoL) at five time points, 4 months (t1), 8 months (t2), 12 months (t3), 18 months (t4), and 24 months (t5) after the beginning of the rehabilitation.Results: After 2 years, the level of physical activity (total metabolic rate) increased significantly from 2733.16 ± 2547.95 (t0) to 4169.71 ± 3492.27 (t5) metabolic equivalent (MET)-min/week in the intervention group, but just slightly changed from 2858.38 ± 2393.79 (t0) to 2875.74 ± 2590.15 (t5) MET-min/week in the control group (means ± standard deviation). Furthermore, the internal group comparison showed significant differences after 2 years as well. These results came along with a significantly reduced fatigue syndrome and an increased health-related quality of life.Conclusions: The data indicate that an individual, according to their preferences, and physical-resource-adapted exercise program has a more sustainable impact on the physical activity level in breast cancer patients than the usual care. It is suggested that the rehabilitation program should be personalized for all breast cancer patients. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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