背景:关于各种治疗相关的副作用和生活质量,运动干预已被证明对癌症患者有益。为了可持续的影响,患者应继续接受培训。因此,我们调查了乳腺癌患者运动训练的维持情况,(不)延续的原因,并探讨了可能的影响因素。
方法:本研究基于一项3臂随机干预试验,比较了乳腺癌患者在新辅助化疗期间或之后的有氧和抗阻训练(19[4])。乳房手术后大约2年,68名患者(年龄52[11]岁)提供了关于继续训练的信息,自我报告的(不)继续的原因,社会人口统计学,就业状况,年龄,和体重指数。用Kaplan-Meier分析研究训练的延续。
结果:88.1%的参与者将干预评价为良好或非常好。然而,52.9%直接停止培训,但其中一半改为不同类型的运动。中断的原因包括缺乏时间和前往培训设施的长途旅行。中位延续时间为19.0个月(Q1,Q3:5.5,36.0),干预组之间无统计学差异。年轻,受过更好的教育,伴侣患者倾向于更长的训练延续。
结论:大多数患者在干预结束后继续运动。然而,一个不可忽视的数字立即或几个月后停止训练。实用,社会,和财政支持过渡到适当的培训,是负担得起的,在病人的日常生活中可行的可能促进培训维护。尤其是受教育程度较低的病人,老年人,或者独自生活可能需要更多的支持才能继续锻炼。
BACKGROUND: Exercise interventions have been shown to be beneficial for cancer patients regarding various treatment-related side effects and quality of life. For sustainable effects, patients should continue the training. Therefore, we investigated the maintenance of an exercise training in breast cancer patients, reasons for (dis)
continuation, and explored possible influencing factors.
METHODS: The investigation is based on a 3-arm randomized intervention trial comparing aerobic and resistance training (19 [4]) during or after neoadjuvant chemotherapy among breast cancer patients. About 2 years after breast surgery, 68 patients (age 52 [11] y) provided information about training continuation, self-reported reasons of (dis)
continuation, sociodemographics, employment status, age, and body mass index. Training
continuation was investigated with Kaplan-Meier analyses.
RESULTS: The intervention was rated as good or very good by 88.1% of participants. Nevertheless, 52.9% discontinued the training directly, but half of them changed to different types of exercise. Reasons for discontinuation included lack of time and long travel distance to the training facility. The median
continuation was 19.0 months (Q1, Q3: 5.5, 36.0) with no statistically significant difference between the intervention groups. Younger, better educated, partnered patients tended toward longer training
continuation.
CONCLUSIONS: The majority of patients continued exercising after the end of intervention. However, a nonnegligible number discontinued training immediately or after few months. Practical, social, and financial support for a transition to an adequate training that is affordable and feasible in the patient\'s daily life might foster training maintenance. Especially patients who are less educated, elderly, or living alone may need more support to continue exercising.