Clinical Implementation of Exercise Guidelines for Cancer Patients: Adaptation of ACSM’s Guidelines to the Italian Model
Clinical Implementation of Exercise Guidelines for Cancer Patients: Adaptation of ACSM’s Guidelines to the Italian Model
复制标题
癌症患者运动指南的临床实施：ACSM 指南对意大利模式的调整
DOI：
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
R. Klika
中科院分区：
文献类型：
--
作者：
L. Stefani;G. Galanti;R. Klika
癌症治疗的目标是遏制或根除肿瘤，同时尽量减少治疗的毒性作用。虽然肿瘤诊断和治疗正在改善，生存率正在提高，但提供额外的患者管理至关重要，这似乎会影响长期生存。流行病学证据表明，如果接受全面的康复计划，通过饮食和运动干预来达到理想的体重，同时增加心肺功能、力量、活动能力、神经肌肉完整性和心理社会健康，癌症患者在接受治疗后往往会更好。此外，现在正在测试癌症治疗期间和治疗开始前的运动是否会通过改变体重来增加治疗后的结果，对肿瘤发生有直接影响，减少氧化应激和炎症，也许还能提高化疗的疗效。本综述的目的是概述一个基于证据的模型来评估癌症患者，并为癌症治疗后康复计划提供指导。此外，旨在改变生活习惯的策略，如吸烟和不良饮食习惯将得到解决。
The goal of cancer treatment is to arrest or eradicate the tumor while minimizing the often toxic effects of treatment. While oncologic diagnostics and treatments are improving and survival rates are increasing, it is critical to provide additional patient management that appears to affect long-term survival. Epidemiologic evidence suggests patients diagnosed with cancer tend to fair better after treatment when following a comprehensive rehabilitation program aimed at achieving an ideal body weight through dietary and exercise interventions while also increasing cardiorespiratory fitness, strength, mobility, neuromuscular integrity and psycho-social wellbeing. Additionally, it is now being tested whether exercise during cancer treatment and possibly prior to the start of treatment may increase post treatment outcomes by altering body weight, having direct effects on tumorigenesis, reducing oxidative stress and inflammation, and perhaps increasing chemotherapy delivery efficacy. The purpose of this review is to outline an evidence based model to evaluate cancer patients and provide guidelines for post-cancer treatment rehabilitation programs. Additionally, strategies aimed at changing lifestyle habits such as smoking and poor dietary habits will be addressed.
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影响因子：
56.9
作者：
SLAMON, DJ;CLARK, GM;MCGUIRE, WL
通讯作者：
MCGUIRE, WL
影响因子：
45.3
作者：
CELLA, DF;TULSKY, DS;HARRIS, J
通讯作者：
HARRIS, J
影响因子：
5.8
作者：
Hofman, Maarten;Ryan, Julie L.;Morrow, Gary R.
通讯作者：
Morrow, Gary R.
DOI：
10.1016/s0735-1097(00)01054-8
发表时间：
2001-01-01
影响因子：
24
作者：
Tanaka, H;Monahan, KD;Seals, DR
通讯作者：
Seals, DR