Exercise behavior and physical fitness in patients with advanced lung cancer

被引：14

作者：

Titz, Christina ^{[1
,2
,3
,4
]}

Hummler, Simone ^{[3
,5
,6
,7
,8
]}

Schmidt, Martina E. ^{[1
,2
]}

Thomas, Michael ^{[3
,7
,8
]}

Steins, Martin ^{[3
,7
]}

Wiskemann, Joachim ^{[4
,9
]}

机构：

[1] Natl Ctr Tumor Dis NCT, Dept Phys Act Prevent & Canc, Neuenheimer Feld 460, D-69120 Heidelberg, Germany

[2] German Canc Res Ctr, Neuenheimer Feld 460, D-69120 Heidelberg, Germany

[3] Univ Klinikum Heidelberg, Dept Oncol, Clin Thorac Dis, Thoraxklin, Rontgenstr 1, D-69126 Heidelberg, Germany

[4] Heidelberg Univ Clin, Natl Ctr Tumorerkrankungen Heidelberg NCT, Abt Med Onkol AG Onkol Sport & Bewegungstherapie, Neuenheimer Feld 460, D-69120 Heidelberg, Germany

[5] Univ Klinikum Heidelberg, Thoraxklin, Clin Thorac Dis, Dept Pneumol, Rontgenstr 1, D-69126 Heidelberg, Germany

[6] Univ Klinikum Heidelberg, Thoraxklin, Clin Thorac Dis, Intens Care Unit, Rontgenstr 1, D-69126 Heidelberg, Germany

[7] Translat Lung Res Ctr Heidelberg TLRC, Heidelberg, Germany

[8] German Ctr Lung Res DZL, Heidelberg, Germany

[9] Natl Ctr Tumor Dis NCT, Heidelberg, Germany

来源：

SUPPORTIVE CARE IN CANCER | 2018年 / 26卷 / 08期

关键词：

Lung cancer; Exercise behavior; Physical fitness; Exercise; Palliative treatment; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; FUNCTIONAL-CAPACITY; 6-MINUTE WALK; REHABILITATION; INTERVENTION; CHEMOTHERAPY; PROGRAM; ADULTS; GUIDELINES;

D O I：

10.1007/s00520-018-4105-5

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose The aim of this work was to evaluate exercise behavior and physical fitness of advanced lung cancer patients shortly after primary diagnosis. Methos Between November 2013 and December 2016, advanced lung cancer patients (n = 227, mean age 62.2 years) were enrolled shortly after diagnosis and 211 patients were tested for endurance capacity (six-minute walk test) and strength performance (maximum voluntary isometric contraction of upper and lower extremities). Current and previous exercise and walking behavior were assessed using a self-reported questionnaire regarding type, frequency, intensity, and duration. Paired Student's t tests were used to compare physical fitness to reference data. The relation of potential determinants with physical fitness was assessed using linear regression analysis. Results Exercise behavior was superior in the year before diagnosis compared to the time of study enrollment. Patients reduced frequency, intensity, and duration of sports/exercise after their lung cancer diagnosis. We observed significantly lower endurance capacity (p < .01) and strength performance in lower extremities (p < .01) in male and female patients compared to age and sex-matched reference data. We found significant correlations of previous exercise and walking behavior with physical fitness shortly after diagnosis in patients with advanced lung cancer. Conclusions Patients with advanced lung cancer showed impaired physical fitness regarding endurance and strength capacity. The strong decline in participation of sports/exercise shortly after diagnosis supports early implementation of physical exercise during anti-cancer treatment.

引用

页码：2725 / 2736

页数：12