Feasibility and efficacy of a 12-week supervised exercise intervention for colorectal cancer survivors

医学 腰围 物理疗法 生活质量(医疗保健) 结直肠癌 心理干预 身体素质 癌症 后备箱 内科学 体质指数 护理部 生态学 生物
作者
Christopher M. Sellar,Gordon J. Bell,Robert G. Haennel,Heather‐Jane Au,Neil Chua,Kerry S. Courneya
出处
期刊:Applied Physiology, Nutrition, and Metabolism [Canadian Science Publishing]
卷期号:39 (6): 715-723 被引量:39
标识
DOI:10.1139/apnm-2013-0367
摘要

Exercise training improves health-related physical fitness and patient-reported outcomes in cancer survivors, but few interventions have targeted colorectal cancer (CRC) survivors. This investigation aimed to determine the feasibility and efficacy of a 12-week supervised exercise training program for CRC survivors. Feasibility was assessed by tracking participant recruitment, loss to follow-up, assessment completion rates, participant evaluation, and adherence to the intervention. Efficacy was determined by changes in health-related physical fitness. Over a 1-year period, 72 of 351 (21%) CRC survivors screened were eligible for the study and 29 of the 72 (40%) were enrolled. Two participants were lost to follow-up (7%) and the completion rate for all study assessments was ≥93%. Mean adherence to the exercise intervention was 91% (standard deviation = ±18%), with a median of 98%. Participants rated the intervention positively (all items ≥ 6.6/7) and burden of testing low (all tests ≤ 2.4/7). Compared with baseline, CRC survivors showed improvements in peak oxygen uptake (mean change (MC) = +0.24 L·min(-1), p < 0.001), upper (MC = +7.0 kg, p < 0.001) and lower (MC = +26.5 kg, p < 0.001) body strength, waist circumference (MC = -2.1 cm, p = 0.005), sum of skinfolds (MC = -7.9 mm, p = 0.006), and trunk forward flexion (MC = +2.5 cm, p = 0.019). Exercise training was found to be feasible and improved many aspects of health-related physical fitness in CRC survivors that may be associated with improved quality of life and survival in these individuals.

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