The purpose of the present study was to analyze the effect of a synchronous-supervised online home-based exercise program (HBG) during 24 weeks on body composition, physical fitness and adherence compared to an exercise recommendation group (ERG) without supervision with patients undergoing breast cancer treatment. Fifty-nine female breast cancer patients (31 in HBG and 28 in the ERG) undergoing cancer treatments participated in the present randomized clinical trial. The exercise program consisted of a 60 min combined resistance and aerobic supervised exercise session (6–8 points on Borg Scale CR-10, moderate intensity), twice a week during 24 weeks. The exercise recommendation group only received general recommendations to comply with the current ACSM guidelines. Body composition and physical fitness were assessed at baseline, 12 weeks and 24 weeks of the program. Adherence to the intervention was measured according to the minutes of exercise completed per session during each week. A general linear model of two-way repeated measures showed significant improvements (p< 0.05) in physical fitness that were observed in the home-based exercise group at the baseline, 12-week and 24-week assessments compared to the exercise recommendation group. Adherence was also higher in the home-based exercise group. However, no changes (p> 0.05) in body composition between groups and moments were observed. In this sense, supervised home-based exercise interventions can be an interesting strategy to improve physical fitness and adherence rates in breast cancer patients undergoing treatment.
本研究旨在分析为期24周的同步监督在线家庭运动计划（HBG）与无监督的运动建议组（ERG）相比，对接受乳腺癌治疗患者的身体成分、体能及依从性的影响。59名正在接受癌症治疗的女性乳腺癌患者（HBG组31人，ERG组28人）参与了本次随机临床试验。运动计划包括每周两次、每次60分钟的监督下抗阻与有氧联合运动（博格CR-10量表6-8分，中等强度），持续24周。运动建议组仅获得遵循当前ACSM指南的一般性建议。分别在基线、第12周和第24周评估身体成分和体能指标。干预依从性依据每周每次运动完成的分钟数进行统计。双向重复测量一般线性模型显示：与运动建议组相比，家庭运动组在基线、第12周和第24周的评估中，体能指标均有显著改善（p<0.05）。家庭运动组的干预依从性也更高。然而，两组间及各时间点的身体成分均未观察到显著变化（p>0.05）。由此可见，监督式家庭运动干预可作为提升接受治疗的乳腺癌患者体能水平和依从率的有效策略。
肿瘤(癌症)患者之家