Weight Lifting in Women with Breast-Cancer-Related Lymphedema
Weight Lifting in Women with Breast-Cancer-Related Lymphedema
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DOI：
10.1056/nejmoa0810118
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发表时间：
2009-08-13
影响因子：
158.5
通讯作者：
Greene, Quincy P.
中科院分区：
文献类型：
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作者：
Schmitz, Kathryn H.;Ahmed, Rehana L.;Greene, Quincy P.
背景举重通常被禁止用于患有乳腺癌相关性水肿的女性，阻止她们获得举重的公认健康益处，包括骨密度的增加。每周两次渐进式举重的对照试验，涉及141名乳房-癌症幸存者手臂稳定性水肿。主要结果是1年时手臂和手肿胀的变化，通过受影响和未受影响肢体的置换水量进行测量。次要结局包括水肿加重的发生率、水肿症状的数量和严重程度以及肌肉力量。参加者被要求穿着合身的压缩服装，而举重。ResultsThe比例的妇女谁增加了5%或更多的肢体肿胀是相似的举重组（11%）和对照组（12%）（累积发病率比，1.00; 95%置信区间，0.88至1.13）。与对照组相比，举重组在自我报告的水肿症状严重程度（P=0.03）和上下肢力量（P
BackgroundWeight lifting has generally been proscribed for women with breast-cancer-related lymphedema, preventing them from obtaining the well-established health benefits of weight lifting, including increases in bone density.MethodsWe performed a randomized, controlled trial of twice-weekly progressive weight lifting involving 141 breast-cancer survivors with stable lymphedema of the arm. The primary outcome was the change in arm and hand swelling at 1 year, as measured through displaced water volume of the affected and unaffected limbs. Secondary outcomes included the incidence of exacerbations of lymphedema, number and severity of lymphedema symptoms, and muscle strength. Participants were required to wear a well-fitted compression garment while weight lifting.ResultsThe proportion of women who had an increase of 5% or more in limb swelling was similar in the weight-lifting group (11%) and the control group (12%) (cumulative incidence ratio, 1.00; 95% confidence interval, 0.88 to 1.13). As compared with the control group, the weight-lifting group had greater improvements in self-reported severity of lymphedema symptoms (P=0.03) and upper- and lower-body strength (P