The Effectiveness of a Deep Water Aquatic Exercise Program in Cancer-Related Fatigue in Breast Cancer Survivors: A Randomized Controlled Trial
The Effectiveness of a Deep Water Aquatic Exercise Program in Cancer-Related Fatigue in Breast Cancer Survivors: A Randomized Controlled Trial
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DOI：
10.1016/j.apmr.2012.09.008
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发表时间：
2013-02-01
影响因子：
4.3
通讯作者：
Arroyo-Morales, Manuel
中科院分区：
文献类型：
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作者：
Cantarero-Villanueva, Irene;Fernandez-Lao, Carolina;Arroyo-Morales, Manuel
目的：研究为期8周的水上运动项目对乳腺癌幸存者癌症相关疲劳以及身体和心理结局的有效性。设计：一项随机对照试验。设置：门诊、城市、学术医学中心和体育大学游泳池。参与者：乳腺癌幸存者（N=68）被随机分配到一个实验组，干预：干预组在温水深泳池中每周参加3次水上运动，共8周。训练持续60分钟：10分钟的热身，40分钟的有氧和耐力训练，10分钟的冷静训练。分配到常规护理组的患者遵循肿瘤学家关于健康生活方式的建议。主要结果测量：疲劳值（Piper疲劳量表），情绪状态（情绪状态的轮廓），和腹部（躯干弯曲静态耐力测试）和腿部在基线、最后一次治疗后和6个月随访时收集患者的力量（多次坐立试验）。出院后即刻，水中运动组在总疲劳评分方面表现出较大的效应量（d=.87; 95%置信区间，.48 -1.26），躯干卷曲耐力（d= 0.92; 95%置信区间，1.97-3.83）和腿部力量（d=1.10;.55-2.76），但对活力，混乱，和心境障碍（dd>.90），以及对疲劳严重程度维度和心境状态概况（d）的不同量表的可忽略影响
Objective: To investigate the effectiveness of an 8-week aquatic program on cancer-related fatigue, as well as physical and psychological outcomes in breast cancer survivors.Design: A randomized controlled trial.Setting: Outpatient clinic, urban, academic medical center, and a sport university swimming pool.Participants: Breast cancer survivors (N=68) were randomly assigned to either an experimental (aquatic exercise group in deep water pool) group or a control (usual care) group.Interventions: The intervention group attended aquatic exercise sessions 3 times per week for 8 weeks in a heated deep swimming pool. Sessions lasted 60 minutes in duration: 10 minutes of warm-up, 40 minutes of aerobic and endurance exercises, and 10 minutes of cool-down exercises. Patients allocated to the usual care group followed the oncologist's recommendations in relation to a healthy lifestyle.Main Outcome Measures: Values for fatigue (Piper Fatigue Scale), mood state (Profile of Mood States), and abdominal (trunk curl static endurance test) and leg (multiple sit-to-stand test) strength were collected at baseline, after the last treatment session, and at a 6-month follow-up.Results: Immediately after discharge, the aquatic exercise group showed a large effect size in total fatigue score (d=.87; 95% confidence interval,.48-1.26), trunk curl endurance (d=.92; 95% confidence interval, 1.97-3.83), and leg strength (d=1.10; .55-2.76), but negligible effects in vigor, confusion, and disturbance of mood (dd>.90) and negligible effects for the fatigue-severity dimension and different scales of the Profile of Mood States (d