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Titolo:
Structured exercise improves physical functioning in women with stages I and II breast cancer: Results of a randomized controlled trial
Autore:
Segal, R; Evans, W; Johnson, D; Smith, J; Colletta, S; Gayton, J; Woodard, S; Wells, G; Reid, R;
Indirizzi:
Ottawa Reg Canc Ctr, Dept Med Oncol, Ottawa, ON K1H 8L6, Canada Ottawa RegCanc Ctr Ottawa ON Canada K1H 8L6 , Ottawa, ON K1H 8L6, Canada Ottawa Reg Canc Ctr, Oncol Rehabil Program, Ottawa, ON K1H 8L6, Canada Ottawa Reg Canc Ctr Ottawa ON Canada K1H 8L6 , Ottawa, ON K1H 8L6, Canada
Titolo Testata:
JOURNAL OF CLINICAL ONCOLOGY
fascicolo: 3, volume: 19, anno: 2001,
pagine: 657 - 665
SICI:
0732-183X(20010201)19:3<657:SEIPFI>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; REHABILITATION; CHEMOTHERAPY; RADIOTHERAPY; MANAGEMENT; THERAPY; PROGRAM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Segal, R Ottawa Reg Canc Ctr, Dept Med Oncol, 501 Smyth Rd,Gen Site, Ottawa, ON K1H8L6, Canada Ottawa Reg Canc Ctr 501 Smyth Rd,Gen Site Ottawa ON Canada K1H 8L6
Citazione:
R. Segal et al., "Structured exercise improves physical functioning in women with stages I and II breast cancer: Results of a randomized controlled trial", J CL ONCOL, 19(3), 2001, pp. 657-665

Abstract

Purpose: Self-directed and supervised exercise were compared with usual care in a clinical trial designed to evaluate the effect of structured exercise on physical functioning and other dimensions of health-related quality of life in women with stages I and II bread cancer. Patients and Methods: One hundred twenty-three women with stages I and II breast cancer completed baseline evaluations of generic and disease- and site-specific health-related quality of life, aerobic capacity, and body weight. Participants were randomly allocated to one of three intervention groups: usual care (control group), self-directed exercise, or supervised exercise. Quality of life, aerobic capacity, and body weight measures were repeated at 26 weeks. The primary outcome was the change in the Short Form-36 physical functioning scale between baseline and 26 weeks. Results: Physical functioning in the control group decreased by 4.1 points, whereas it increased by 5.7 points and 2.2 points in the self-directed and supervised exercise groups, respectively (P = .04). Post hoc analysis showed a moderately large land clinically important) difference between the self-directed and control groups (9.8 points; P = .01)and a more modest difference between the supervised and control groups (6.3 points; P = .09). No significant differences between groups were observed for changes in quality of life scores. In a secondary analysis of participants stratified by type of adjuvant therapy, supervised exercise improved aerobic capacity (+3.5 ml/kg/min; P = .01) and reduced body weight (-4.8 kg; P < .05) compared with usual care only in participants not receiving chemotherapy. Conclusion: Physical exercise can blunt some of the negative side effects of breast cancer treatment, including reduced physical functioning. Self-directed exercise is an effective way to improve physical functioning compared with usual care. In participants not receiving chemotherapy, supervised exercise may increase aerobic capacity and reduce body weight compared with usual care. (C) 2001 by American Society of Clinical Oncology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 17:41:48