A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors.
A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors.
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DOI：
10.1002/cncr.31559
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发表时间：
2018-08
期刊：
影响因子：
6.2
通讯作者：
Demark-Wahnefried W
中科院分区：
文献类型：
--
作者：
Bail JR;Frugé AD;Cases MG;De Los Santos JF;Locher JL;Smith KP;Cantor AB;Cohen HJ;Demark-Wahnefried W
这项研究评估了有指导的家庭蔬菜园艺干预的可行性，并检查了乳腺癌幸存者(BCS)健康相关结果的变化。BCS被随机分为两组，一组是立即开始为期一年的蔬菜园艺干预，另一组是等待名单对照。园艺大师(MG)指导参与者在一年多的时间里规划、种植和维护三个季节性花园。参与者的应计、保留和满意率≥为80%作为可行性(主要结果)基准。二次结果(即蔬菜摄入量、体力活动、表现和功能、人体测量学、生物标记物和与健康相关的生活质量)在基线和干预后(一年随访)使用主观和客观测量方法收集。这项试验超过了所有可行性基准：82%的目标应计利润；95%的保留率；100%的满意度(即体验评级为“从好到优”和愿意“再做一次”)。与对照组相比，干预组参与者在适度体力活动(每周+14分钟比−17分钟)方面有显著改善，在2分钟台阶测试(+22步比+10步)和手臂卷曲(+2.7vs+0.1次重复)方面也有显著改善(p值和0.05)。观察到蔬菜消费有改善的趋势(每天+0.9vs.+0.2份；p=0.06)。在两年的跟踪调查中，86%的人继续种地。结果表明，有指导的、以家庭为基础的蔬菜园艺干预被证明是可行的，并提供了一种综合和持久的方法来改善BCS中的健康行为和结果。为健康而收获导致建立了一组训练有素的MG，并产生了以地方和全球社区为基础的方案。需要更大规模的研究来确认结果，并确定是否适用于更广泛的幸存者群体。
This study assessed the feasibility of a mentored home-based vegetable gardening intervention and examined changes in health-related outcomes among breast cancer survivors (BCS). BCSs were randomized to either a year-long vegetable gardening intervention to begin immediately or a wait-list control. Master Gardeners (MG) mentored participants in planning, planting and maintaining three seasonal gardens over a year. Participant accrual, retention, and satisfaction rates of ≥80% served as feasibility (primary outcome) benchmarks. Secondary outcomes (i.e., vegetable consumption, physical activity, performance and function, anthropometrics, biomarkers, and health-related quality of life) were collected at baseline and post-intervention (one-year follow-up) using subjective and objective measures. The trial surpassed all feasibility benchmarks: 82% of targeted accrual; 95% retention; and 100% satisfaction (i.e., experience ratings of “Good-to-Excellent” and willingness to “do it again”). Compared to the controls, intervention participants reported significantly greater improvements in moderate physical activity (+14 vs. −17 minutes/week) and demonstrated improvements in the 2-Minute Step Test (+22 vs. +10 steps), and Arm Curl (+2.7 vs +0.1 repetitions) (p-values<0.05). A trend toward improved vegetable consumption was observed (+0.9 vs. +0.2 servings/day; p=0.06). Eighty-six percent continued to garden at two-year follow-up. Findings suggest that a mentored, home-based vegetable gardening intervention proved feasible and offers an integrative and durable approach to improve health behaviors and outcomes among BCSs. Harvest for Health led to establishing a group of trained MGs and gave rise to local and global community-based programs. Larger studies are needed to confirm results and define applicability across broader populations of survivors.
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DOI：
10.1093/annonc/mdu042
发表时间：
2014-10
期刊：
Annals of oncology : official journal of the European Society for Medical Oncology
影响因子：
--
作者：
Chan DSM;Vieira AR;Aune D;Bandera EV;Greenwood DC;McTiernan A;Navarro Rosenblatt D;Thune I;Vieira R;Norat T
通讯作者：
Norat T
影响因子：
2.2
作者：
Cases MG;Frugé AD;De Los Santos JF;Locher JL;Cantor AB;Smith KP;Glover TA;Cohen HJ;Daniel M;Morrow CD;Moellering DR;Demark-Wahnefried W
通讯作者：
Demark-Wahnefried W
DOI：
10.1136/bmj.g4490
发表时间：
2014-07-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Wang X;Ouyang Y;Liu J;Zhu M;Zhao G;Bao W;Hu FB
通讯作者：
Hu FB
影响因子：
8.8
作者：
Brown, J. C.;Harhay, M. O.;Harhay, M. N.
通讯作者：
Harhay, M. N.
影响因子：
254.7
作者：
Rock, Cheryl L.;Doyle, Colleen;Gansler, Ted
通讯作者：
Gansler, Ted