암 생존자 사상체질별 유산소운동 프로그램 개발

Abstract

Objectives This study aimed to develop a Sasang constitution-based aerobic exercise program for cancer survivors. The program incorporated constitution-specific physiological and psychological characteristics to support cardiopulmonary function, reduce fatigue, and improve post-treatment quality of life. Methods A literature review identified aerobic exercise components suitable for cancer survivors and physiological features relevant to Sasang constitutional types. Domestic and international research on cancer rehabilitation, aerobic exercise, and Sasang constitutional medicine theory were synthesized to construct an initial model. The draft included core aerobic elements with constitution-specific adaptations related to cardiorespiratory capacity, metabolism, and exercise tolerance. A two-round expert review was conducted with five specialists in Sasang medicine, rehabilitation medicine, oncology care, and exercise physiology. Quantitative evaluation used median scores, convergence, and concordance, and qualitative feedback was applied to refine the program. Results Expert review confirmed validity and feasibility across all domains, with higher agreement in the second round. Based on feedback, intensity cues were standardized using CR10 and HRmax, and wording revised for clarity. The finalized program consists of constitution-specific aerobic protocols, including speed- and intensity-modulated formats reflecting physiological differences among Sasang constitution types. Conclusions This study presents a clinically applicable model for personalized aerobic exercise for cancer survivors by integrating Sasang constitutional medicine principles with modern aerobic training. The program offers a foundation for individualized rehabilitation in Korean medicine, with potential to enhance cardiopulmonary recovery and quality of life after treatment.