Cardiometabolic Profile, Physical Activity, and Quality of Life in Breast Cancer Survivors after Different Physical Exercise Protocols: A 34-Month Follow-Up Study

被引:4
|
作者
Bucciarelli, Valentina [1 ,2 ]
Bianco, Francesco [1 ,2 ]
Di Blasio, Andrea [3 ]
Morano, Teresa [3 ]
Tuosto, Desiree [2 ]
Mucedola, Francesco [2 ]
Di Santo, Serena [3 ]
Cimini, Alessandra [4 ]
Napolitano, Giorgio [3 ]
Bucci, Ines [5 ]
Di Baldassarre, Angela [3 ]
Cianchetti, Ettore [4 ]
Gallina, Sabina [2 ]
机构
[1] Azienda Osped Univ Marche, Cardiovasc Sci Dept, I-60126 Ancona, Italy
[2] Univ G dAnnunzio, Dept Neurosci Imaging & Clin Sci, I-66100 Chieti, Italy
[3] Univ G dAnnunzio, Dept Med & Aging Sci, I-66100 Chieti, Italy
[4] ASL02 Lanciano Vasto Chieti, G Bernabeo Hosp, Eusoma Breast Ctr, I-66026 Ortona, Italy
[5] G Dannunzio Univ Chieti Pescara, Ctr Adv Studies & Technol CAST, I-66100 Chieti, Italy
关键词
breast cancer; breast cancer survivors; cancer therapy-related cardiovascular toxicity; hormone therapy; physical exercise; aerobic exercise training; resistance exercise training; cardiometabolic profile; health-related quality of life; cardiovascular-related quality of life; physical activity; SAGITTAL ABDOMINAL DIAMETER; INTIMA-MEDIA THICKNESS; WAIST CIRCUMFERENCE; ARTERIAL STIFFNESS; BLOOD-PRESSURE; CARDIOVASCULAR-DISEASE; CONSENSUS STATEMENT; SEDENTARY BEHAVIOR; AMERICAN SOCIETY; BODY-COMPOSITION;
D O I
10.3390/jcm12144795
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Breast cancer (BC) and cardiovascular (CV) disease share many risk factors associated with worse outcomes, in terms of cancer relapse, CV events, and quality of life (QoL), that could be counteracted by physical exercise (PE). We aimed to assess the impact of a 12-week differential PE protocol on cardiometabolic profile, QoL, CV- and BC-related long-term outcomes, and physical activity (PA) in a cohort of BC survivors (BCS) not treated with chemotherapy. Methods: 57 BCS participated in a 12-week PE protocol [aerobic exercise training (AET) or resistance exercise training (RET)]. Anthropometric and CV evaluation, health-related (HR)-QoL, daily PA, cortisol, and dehydroepiandrosterone sulfate (DHEA-S) levels were assessed before (T0) and after (T1) PE. We assessed BC and CV outcomes, HR-QoL, CV-QoL, and PA at the follow-up. Results: RET improved waist circumference, DHEA-S, cortisol/DHEA-S, systolic and mean blood pressure, and ventricular/arterial coupling; AET ameliorated sagittal abdomen diameter and pulse wave velocity. Regarding HR-QoL, physical function improved only in AET group. At a mean 34 & PLUSMN; 3.6-month follow-up, we documented no significant differences in CV-QoL, HR-QoL, and PA or CV and BC outcomes. Conclusions: AET and RET determine specific, positive adaptations on many parameters strongly related to CV risk, CV and BC outcomes, and QoL, and should be included in any cardio-oncology rehabilitation program.
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页数:18
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