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암경험자를 위한 가정기반 신체활동 증진 프로그램의 임상 현장 적용 가능성 탐색 연구

The Feasibility of Hospital-based Exercise Program on the Level of Physical Activity and Body Composition in Cancer Survivor: An Exploratory Feasibility Study

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PURPOSE: Although physical activity may reduce the risk of cancer recurrence and risk of mortality in cancer patients, majority of cancer survivors are still remained physically inactive. Since most of cancer patients visit their oncologists on a regular basis, it would be ideal to provide exercise counselling program along with their hospital visit. However, the feasibility of hospital based exercise counselling program has not been tested. Therefore, the purpose of this exploratory study was to evaluate the feasibility of hospital-based exercise counselling program on the level of physical activity and body composition in cancer survivors. METHODS: Among 118 cancer survivors underwent exercise counselling program at the cancer prevention center of university affiliated hospital, 47 cancer survivors (mean age, 51.8 years) revisited after an 8-week. At baseline and after 8 weeks, the level of physical activity and body composition were measured. RESULTS: Compared to their baseline value, we observed significant increase in walking (baseline vs. 8 weeks: 170.7±197.8 vs. 362.2±343.4 minutes/week, p<.05) and frequency of resistance exercise (baseline vs. 8 weeks: 0.21±1.2 vs. 2.5±2.5 day/week, p<.05). Percent body fat was decreased (baseline vs. 8 weeks: 30.3±9.6 vs. 29.7±9.5%, p=.025) and skeletal muscle mass was increased at the 8th week follow up visit compared to their baseline value (baseline vs. 8 weeks: 22.9±3.7 vs. 23.2±3.8 kg, p=.019). CONCLUSIONS: The hospital-based exercise program was feasible intervention to increase the level of physical activity and improve body composition in cancer survivors. Considering that the current study is not a randomized controlled trial and also small portion of cancer survivors returned to the follow up test, the efficacy of this exercise counselling program should be tested with proper study design.

Abstract

PURPOSE: Although physical activity may reduce the risk of cancer recurrence and risk of mortality in cancer patients, majority of cancer survivors are still remained physically inactive. Since most of cancer patients visit their oncologists on a regular basis, it would be ideal to provide exercise counselling program along with their hospital visit. However, the feasibility of hospital based exercise counselling program has not been tested. Therefore, the purpose of this exploratory study was to evaluate the feasibility of hospital-based exercise counselling program on the level of physical activity and body composition in cancer survivors. METHODS: Among 118 cancer survivors underwent exercise counselling program at the cancer prevention center of university affiliated hospital, 47 cancer survivors (mean age, 51.8 years) revisited after an 8-week. At baseline and after 8 weeks, the level of physical activity and body composition were measured. RESULTS: Compared to their baseline value, we observed significant increase in walking (baseline vs. 8 weeks: 170.7±197.8 vs. 362.2±343.4 minutes/week, p<.05) and frequency of resistance exercise (baseline vs. 8 weeks: 0.21±1.2 vs. 2.5±2.5 day/week, p<.05). Percent body fat was decreased (baseline vs. 8 weeks: 30.3±9.6 vs. 29.7±9.5%, p=.025) and skeletal muscle mass was increased at the 8th week follow up visit compared to their baseline value (baseline vs. 8 weeks: 22.9±3.7 vs. 23.2±3.8 kg, p=.019). CONCLUSIONS: The hospital-based exercise program was feasible intervention to increase the level of physical activity and improve body composition in cancer survivors. Considering that the current study is not a randomized controlled trial and also small portion of cancer survivors returned to the follow up test, the efficacy of this exercise counselling program should be tested with proper study design.

참고문헌 (23)

  1. Korea Central Cancer Registry, "2016 Cancer Registration in Korea", ~ (2018)
  2. 전미선, "유방암 환자의 상지 부작용과 관련 요인", Radiation oncology journal, 23(1), pp.32~42 (2005), 대한방사선종양학회
  3. National Comprehensive Cancer Network, "Clinical practice guidelines in oncology", J Natl Compr Canc Netw, 1(3), pp.308~ (2003)
  4. Travis LB, "Therapy-associated solid tumors", Acta Oncol, 41(4), pp.323~333 (2002)
  5. Boyle T, "Physical activity and risks of proximal and distal colon cancers: a systematic review and meta-analysis", J Natl Cancer Inst, pp.354~ (2012)
  6. Lahart IM, "Physical activity, risk of death and recurrence in breast cancer survivors : a systematic review and meta-analysis of epidemiological studies", Acta Oncol, 54(5), pp.635~654 (2015)
  7. Grotta A, "Physical ac-tivity and body mass index as predictors of prostate cancer risk", World J Urol, pp.1~8 (2015)
  8. Moore SC, "Physical activity, sedentary behaviours, and the prevention of endometrial cancer", Br J Cancer, 103(7), pp.933~938 (2010)
  9. Mishra SI, "Exercise interventions on health-related quality of life for cancer survivors", Cochrance Database Syst Rev, 8 (2012)
  10. Speck RM, "An update of controlled physical activity trials in cancer survivors : a systematic review and meta-analysis", J Cancer Surviv, 4(2), pp.87~100 (2010)
  11. Meyerhardt, JA, "Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer : findings from CALGB 89803", J Clin Oncol, 24(22), pp.3535~3541 (2006)
  12. Holmes MD, "Physical activity and survival after breast cancer diagnosis", JAMA, 293(20), pp.2479~2486 (2005)
  13. Schmitz KH, "American College of Sports Medicine roundtable on exercise guidelines for cancer survivors", Med Sci Sports Exerc, 42(7), pp.1409~1426 (2010)
  14. 민지희, "한국 5대 암환자의 신체활동 참여 실태: 국민건강영양조사 2009년~2013년까지 결과를 바탕으로", 한국체육학회지, 54(6), pp.389~397 (2015), 한국체육학회
  15. Jones LW, "Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors : a single-blind, randomized controlled trial", Ann Behav Med, 28(2), pp.105~113 (2004)
  16. Park JH, "The effect of oncologists’exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer : a randomized controlled trial", Cancer, 121(16), pp.2740~2748 (2015)
  17. Lee DH, "Effects of a 12-week home-based exercise program on the level of physical activity, insulin, and cytokines in colorectal cancer survivors : a pilot study", Support Care Cancer, 21(9), pp.2537~2545 (2013)
  18. Manrow RE, "NCI’s Physician Data Query(PDQ®)Cancer Information Summaries : History, Editorial Processes, Influence, and Reach", J Cancer Educ, 29(1), pp.198~205 (2014)
  19. Junga Lee, "Development of the Korean Global Physical Activity Questionnaire: reliability and validity study", Global Health Promotion, 27(3), pp.44~55 (2020), SAGE Publications[DOI]
  20. Irwin ML, "Changes in body fat and weight after a breast cancer diagnosis : influence of demographic, prognostic, and lifestyle factors", J Clin Oncol, 23(4), pp.774~782 (2015)
  21. Murphy TK, "Body mass index and colon cancer mortality in a large prospective study", Am J Epidemiol, 152(9), pp.847~854 (2000)
  22. Jung HW, "Effect of muscle mass on toxicity and survival in patients with colon cancer undergoing adjuvant chemotherapy", Support Care Cancer, 23(3), pp.687~694 (2015)
  23. Segal RJ, "Resistance exercise in men receiving androgen deprivation therapy for prostate cancer", J Clin Oncol, 21(9), pp.1653~1659 (2003)

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