Effect of a postoperative outpatient pulmonary rehabilitation program on physical activity in patients who underwent pulmonary resection for lung cancer
Effect of a postoperative outpatient pulmonary rehabilitation program on physical activity in patients who underwent pulmonary resection for lung cancer
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门诊肺康复计划对肺癌肺切除患者体力活动的影响
DOI：
10.1111/ggi.12505
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发表时间：
2016
影响因子：
3.3
通讯作者：
K.
中科院分区：
文献类型：
--
作者：
Maeda;K. Higashimoto;Y. Honda;N. Shiraishi;M. Hirohata;T. Minami;K. Iwasaki;T. Chiba;Y. Yamagata;T. Terada;K. Matsuo;Y. Shuntoh;H. Tohda;Y. Fukuda;K.
体育活动（PA）与癌症患者生存期的改善有关。然而，术后肺康复对肺癌患者肺叶切除术后PA的影响知之甚少。本研究调查的影响，门诊康复对PA在癌症患者肺切除术后，MethodsA共19例肺癌患者被招募为这项研究，并完成了术前康复计划。一组9名患者完成了术后门诊肺康复计划（康复），另一组10名患者没有（对照），但进行了类似的随访。术前肺功能（通过1秒用力呼气量（FEV 1）、体重指数（BMI）和圣乔治呼吸问卷（SGRQ）评分评估）在组间无差异。在术前和术后2个月使用三轴加速计测量PA，持续5-6天。PA水平（PAL）定义为总能量消耗除以基础代谢率。然而，对照组与康复组相比，术后与术前PAL显著降低（P< 0.01），康复组的PAL下降幅度小于对照组（P< 0.001）。亚组分析显示，改善术后PAL康复患者年龄<75岁及以上。结论两个月后肺切除术，患者尚未恢复到术前PAL。然而，与对照组相比，接受门诊肺康复的患者（包括老年患者）的术后PAL有所改善。Geriatr Gerontol Int 2016; 16：550-555。
AimPhysical activity (PA) has been associated with an improvement in survival for individuals with cancer. However, little is known about the effect of postoperative pulmonary rehabilitation on PA after lobectomy in patients with lung cancer. The present study investigated the effect of outpatient rehabilitation on PA in patients with cancer after lung resection.MethodsA total of 19 patients with lung cancer were recruited for this study and completed a preoperative rehabilitation program. One group of nine patients completed a postoperative outpatient pulmonary rehabilitation program (rehabilitation) and another group of 10 patients did not (control), but were similarly followed up. Preoperative lung function, assessed by forced expiratory volume in 1 s (FEV1), body mass index (BMI) and St. George's Respiratory Questionnaire (SGRQ) score were not different between groups. PA was measured before and 2 months after surgery using a three‐axis accelerometer for 5–6 days. PA level (PAL) was defined as total energy expenditure divided by basal metabolic rate.ResultsPreoperative PAL was not different between groups. However, postoperative versus preoperative PAL was significantly lower in the control versus the rehabilitation group (P< 0.01), and PAL decline was less for the rehabilitation versus the control group (P< 0.001). A subgroup analysis showed improvement in postoperative PAL in rehabilitation patients aged <75 years and older.ConclusionsTwo months after lung resection surgery, patients had not recovered to the preoperative PAL. However, compared with the control group, there was an improvement in the postoperative PAL in patients, including older patients, who underwent outpatient pulmonary rehabilitation.Geriatr Gerontol Int 2016; 16: 550–555.
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影响因子：
3.8
作者：
Granger CL;McDonald CF;Parry SM;Oliveira CC;Denehy L
通讯作者：
Denehy L
老年与非老年非小细胞肺癌患者化疗安全性和有效性的回顾性分析
影响因子：
3.3
作者：
Y. Tsubata;T. Honda;T. Okimoto;K. Miura;F. Karino;S. Iwamoto;Taeko Suzuki;Shunichi Hamaguchi;H. Kanda;A. Sutani;T. Kuraki;T. Isobe
通讯作者：
T. Isobe
影响因子：
9.6
作者：
Brunelli, Alessandro;Xiume, Francesci;Sabbatini, Armando
通讯作者：
Sabbatini, Armando
影响因子：
45.3
作者：
Meyerhardt, Jeffrey A.;Giovannucci, Edward L.;Fuchs, Charles S.
通讯作者：
Fuchs, Charles S.