背景:世界范围内癌症幸存者的数量正在增长,但是放疗的副作用仍然很常见,影响努力能力,呼吸功能和生活质量。目的是了解体育锻炼如何影响呼吸功能和对努力的耐受性,在放疗后的乳腺癌患者中。
方法:搜索在Pubmed的数据库中进行,PEDro,网络科学,科克伦,EMBASE,UptoDate和Tripdatabase。纳入了接受放射治疗并纳入锻炼计划的乳腺癌患者的研究。主要结果是:最大耗氧量,6分钟步行测试,强制肺活量,肺活量,1秒用力呼气量,休息室总容量,吸气量,以及肺部对一氧化碳的扩散能力。
结果:结果表明,最大耗氧量提高了15%,在6分钟步行测试中提高了6.675%,虽然它们对呼吸功能有限。
结论:体育锻炼可有效提高放疗治疗乳腺癌患者的努力能力,不改变呼吸功能。然而,有必要进行新的研究,以深入研究体育锻炼对这些和平时期的影响,以及程序的理想设计。
BACKGROUND: The number of survivors with cancer is growing worldwide, but the adverse effects of the radiotherapy are still frequent, affecting effort capacity, respiratory function and quality of life. The objective is to know how the physical exercise influences the respiratory function and tolerance to effort, in pacients with breast cancer after the radiotherapy treatment.
METHODS: The searches were carried out in the databases of Pubmed, PEDro, Web Of Science, Cochrane, EMBASE, UptoDate and Tripdatabase. Were included studies with patients with breast cancer treated with radiotherapy and included in an exercise program. The main results were: maximum oxygen consumption, 6 minutes walking test, forced vital capacity, vital capacity, forced expiratory volume in 1 second, total lounge capacity, inspiratory capacity, and the diffusion capacity of the lungs for carbon monoxide.
RESULTS: The results show an increase of the effort capacity with 15% improvements in the maximum oxygen consumption and 6.675% in the 6 minutes walking test, while they are limited for the respiratory function.
CONCLUSIONS: The physical exercise is effective for improve the effort capacity in pacients with breast cancer treated with radiotherapy, without changes in the respiratory function. Nevertheless, new studies are necessary to investigate deeply how the physical exercise influences in those pacients, and the ideal design of the programs.