Tai Ji Quan for the aging cancer survivor: Mitigating the accelerated development of disability, falls, and cardiovascular disease from cancer treatment.
Tai Ji Quan for the aging cancer survivor: Mitigating the accelerated development of disability, falls, and cardiovascular disease from cancer treatment.
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针对老年癌症幸存者的太极拳：缓解癌症治疗导致的残疾、跌倒和心血管疾病的加速发展。
DOI：
10.1016/j.jshs.2013.11.003
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发表时间：
2014
影响因子：
11.7
通讯作者：
Winters-Stone,Kerri
中科院分区：
文献类型：
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作者：
Winters-Stone,Kerri
目前，美国有超过1370万癌症幸存者，预计这一数字在未来十年将增长31%，再增加400万癌症幸存者进入医疗系统。癌症在很大程度上是一种老龄化疾病，人口老龄化将大幅提高老年癌症幸存者的比例，其中许多人将是长期幸存者（诊断后5年以上）。这篇综述将讨论运动的潜在效用，以解决对老年癌症幸存者和医疗保健系统特别关注的三个健康问题，即残疾、跌倒和心血管疾病，因为这些与年龄相关的问题的发展可能会被癌症治疗加速。虽然有许多不同的运动模式，每种模式都能产生特定的适应性，但太极拳可能是一种特别合适的策略，可以缓解与年龄和癌症治疗相关的问题。根据对没有癌症的老年人的研究，太极拳产生肌肉骨骼和心脏代谢的适应性，由于其低能量消耗和较慢的运动模式，老年人更容易进行太极拳。由于癌症幸存者大多年龄较大，缺乏运动，并且经常受到治疗后遗症的身体限制，他们需要参与安全，实用和有效的运动模式。研究太极拳减轻癌症治疗相关的肌肉骨骼和心血管副作用的疗效的已发表对照试验的缺乏指出了大量的研究机会，可以探索这种非西方运动方式的应用，以改善老年癌症幸存者的长期预后。
Currently there are more than 13.7 million cancer survivors living in the U.S., and that figure is projected to increase by 31% in the next decade, adding another 4 million cancer survivors into the healthcare system. Cancer is largely a disease of aging, and the aging of the population will sharply raise the proportion of older cancer survivors, many of whom will be long-term survivors (5+ years post diagnosis). This review will address the potential utility of exercise to address three health problems that are of particular concern for the aging cancer survivor and the healthcare system, i.e., disability, falls, and cardiovascular disease, because the development of these age-related problems may be accelerated by cancer treatment. While there are many different modes of exercise that each produce specific adaptations, Tai Ji Quan may be a particularly suitable strategy to mitigate the development of age- and cancer-treatment-related problems. Based on studies in older adults without cancer, Tai Ji Quan produces musculoskeletal and cardiometabolic adaptations and is more easily performed by older adults due to its low energy cost and slower movement patterns. Since cancer survivors are mostly older, inactive, and often physically limited by the lingering side effects of treatment, they need to engage in safe, practical, and effective modes of exercise. The dearth of published controlled trials examining the efficacy of Tai Ji Quan to mitigate cancer-treatment-related musculoskeletal and cardiovascular side effects points to ample research opportunities to explore the application of this non-Western exercise modality to improve long-term outcomes for aging cancer survivors.