Development of a risk-screening tool for cancer survivors to participate in unsupervised moderate- to vigorous-intensity exercise: results from a survey study.
Development of a risk-screening tool for cancer survivors to participate in unsupervised moderate- to vigorous-intensity exercise: results from a survey study.
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DOI：
10.1016/j.pmrj.2014.09.003
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发表时间：
2015-02
期刊：
影响因子：
2.1
通讯作者：
Schmitz, Kathryn H.
中科院分区：
文献类型：
--
作者：
Brown, Justin C.;Ko, Emily M.;Schmitz, Kathryn H.
运动对癌症幸存者的健康益处以剂量反应方式增加。然而，目前还不清楚如何识别癌症幸存者，他们可能需要在从步行的常见建议进展到无监督的中等强度到剧烈强度运动之前进行运动前评估。阐明如何识别癌症幸存者，他们应该在从步行的常见建议进展到无监督的中等强度到剧烈强度运动之前进行运动前评估。电子调查。47名（n=47）运动生理学、康复医学和癌症生存领域的专家。不适用因我们综合了同行评审的运动和癌症生存指南，并确定了82个健康因素，这些因素可能需要在进行无监督的中等强度到高强度运动之前进行运动前评估。82个健康因素分为三个领域：1）临床健康因素; 2）合并症和器械健康因素; 3）药物。我们调查了一个专家样本，要求他们确定癌症幸存者中的82个健康因素中的哪一个表明在进行中等强度到高强度运动之前需要进行运动前评估。我们调查的回复率为75%（n=47）。在健康因素、急性症状、合并症和与心血管疾病相关的药物这三个领域中，同意在进行无监督的中等强度至剧烈强度运动之前进行运动前评估。调查中的其他健康因素包括血液学、肌肉骨骼、全身、胃肠道、肺和神经系统症状和合并症。18名专家（38%）表示，很难提供绝对的答案，因为没有两名患者是相同的，他们的决定是根据具体情况做出的。这项专家调查的结果将有助于确定哪些癌症幸存者在进行无监督的中等强度到剧烈强度的运动之前应该进行运动前评估。
The health-benefits of exercise increase in dose-response fashion among cancer survivors. However, it is unclear how to identify cancer survivors who may require a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise. To clarify how to identify cancer survivors who should undergo a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise. Electronic survey. Forty seven (n=47) experts in the field of exercise physiology, rehabilitation medicine, and cancer survivorship. Not Applicable. We synthesized peer-reviewed guidelines for exercise and cancer survivorship and identified 82 health-factors that may warrant a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. The 82 health-factors were classified into three domains: 1) clinical health-factors; 2) comorbidity and device health-factors; and 3) medications. We surveyed a sample of experts asking them to identify which of the 82 health-factors among cancer survivors would indicate the need for a pre-exercise evaluation prior to engaging in moderate- to vigorous-intensity exercise. The response rate to our survey was 75% (n=47). Across the three domains of health-factors, acute symptoms, comorbidities, and medications related to cardiovascular disease were agreed to indicate a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. Other health-factors in the survey included hematologic, musculoskeletal, systemic, gastrointestinal, pulmonary, and neurological symptoms and comorbidities. Eighteen experts (38%) said it was difficult to provide absolute answers since no two patients are alike, and their decisions are made on a case-by-case basis. The results from this expert survey will help to identify which cancer survivors should undergo a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise.
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DOI：
10.1158/1940-6207.capr-10-0295
发表时间：
2011-04
期刊：
Cancer prevention research (Philadelphia, Pa.)
影响因子：
--
作者：
Irwin ML;McTiernan A;Manson JE;Thomson CA;Sternfeld B;Stefanick ML;Wactawski-Wende J;Craft L;Lane D;Martin LW;Chlebowski R
通讯作者：
Chlebowski R
影响因子：
3.4
作者：
Jones, Lee W.
通讯作者：
Jones, Lee W.
DOI：
10.1136/bmj.b3410
发表时间：
2009-10-13
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Adamsen L;Quist M;Andersen C;Møller T;Herrstedt J;Kronborg D;Baadsgaard MT;Vistisen K;Midtgaard J;Christiansen B;Stage M;Kronborg MT;Rørth M
通讯作者：
Rørth M
影响因子：
45.3
作者：
Del Giudice, M. Elisabeth;Grunfeld, Eva;Verma, Sunil
通讯作者：
Verma, Sunil
影响因子：
120.7
作者：
Holmes, MD;Chen, WY;Colditz, GA
通讯作者：
Colditz, GA