Randomized pilot test of a lifestyle physical activity intervention for breast cancer survivors
Randomized pilot test of a lifestyle physical activity intervention for breast cancer survivors
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DOI：
10.1016/j.pec.2006.02.006
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发表时间：
2006-12-01
影响因子：
3.5
通讯作者：
Rivera, Edgardo
中科院分区：
文献类型：
--
作者：
Basen-Engquist, Karen;Taylor, Cindy L. Carmack;Rivera, Edgardo
目的：本文将报告一项为期6个月、为期21期的干预试验的结果，该干预通过教导乳腺癌幸存者在日常生活中加入短时间的适度活动（生活方式干预）来增加她们的身体活动。报告了干预对身体表现、生活质量和身体活动的影响。方法：60名乳腺癌幸存者随机分为生活方式干预组和标准护理对照组。在基线和6个月时评估身体表现、生活质量（医学结局研究简表-36 [SF-36]）和身体活动（7天回忆和动机准备）。结果：在6个月时，生活方式组在6分钟步行任务中的表现明显优于对照组（p=0.005）。干预对SF-36的身体疼痛（p=0.020）和一般健康（p=0.006）分量表有积极影响。生活方式组在6个月时比标准护理组有更高的体力活动动机准备，但在中等或更高强度体力活动的分钟数或进行>= 30分钟中等或更高强度体力活动的天数方面，两者之间没有显着差异。结论：尽管样本量小，但生活方式干预显示出改善身体功能和生活质量以及增加身体活动的希望，应该在更大的随机试验中进行测试。实践意义：如果生活方式方法在更大的试验中被证明是有效的，它代表了一种高度可行的干预措施，它可以由卫生保健机构或社区组织提供给癌症幸存者，而不需要专门的运动设施和设备。2006爱思唯尔爱尔兰有限公司版权所有。
Objective: This paper will report the results of a pilot test of a 6-month, 21-session intervention to increase breast cancer survivors' physical activity by teaching them to incorporate short periods of moderate activity into their daily routines (lifestyle intervention). The effect of the intervention on physical performance, quality of life, and physical activity are reported.Methods: Sixty breast cancer survivors were randomized to either a lifestyle intervention or a standard care control group. Physical performance, quality of life (Medical outcomes study short form-36 [SF-36]), and physical activity (7-day recall and motivation readiness), were assessed at baseline and 6 months.Results: The lifestyle group had significantly better performance in the 6-min walk task than the controls (p=0.005) at 6 months. The intervention had positive effects on the bodily pain (p=0.020) and general health (p=0.006) subscales from the SF-36. The lifestyle group had a greater motivational readiness for physical activity at 6-month than standard care, but no significant differences were seen between the two in terms of number of minutes of moderate or more intense physical activity or number of days on which they did >= 30 min of moderate or more intense activity.Conclusions: Despite the small sample size, the lifestyle intervention showed promise for improving physical functioning and quality of life and increasing physical activity, and should be tested in a larger randomized trial. Practice Implications: If the lifestyle approach is shown to be effective in a larger trial, it represents a highly feasible intervention that it can be delivered to cancer survivors by health care institutions or community organizations without dedicated exercise facilities and equipment. (c) 2006 Elsevier Ireland Ltd. All rights reserved.