期刊
SUPPORTIVE CARE IN CANCER
卷 29, 期 3, 页码 1337-1345出版社
SPRINGER
DOI: 10.1007/s00520-020-05614-7
关键词
Oncology; Survivorship; Quality-of-life; Lifestyle behaviour; Symptoms; Exercise
资金
- National Breast Cancer Foundation, Australia
The study found that survivors attending SCSC increased their exercise levels after 3 months of treatment, and sustained the increase at 1 year. Most overweight or obese survivors were able to avoid further weight gain. Survivors had relatively good quality of life at 1 year, with improvements in many symptoms and lifestyle factors.
Background Sydney Cancer Survivorship Centre (SCSC) clinic provides multidisciplinary care after primary adjuvant treatment, with similar to 40% of attendees continuing follow-up with SCSC. Methods SCSC survivors completed measures of symptoms, quality-of-life and lifestyle factors at initial visit (T1), first follow-up (T2) and 1 year (T3). Analyses used mixed effect models, adjusted for age, sex and tumour type. Results Data from 206 survivors (2013-2019) were included: 51% male; median age 63 years; tumour types colorectal 68%, breast 12%, upper gastrointestinal 12%, other 8%. Mean time from: T1 to T2, 3.6 months; T1 to T3, 11.8 months. Mean weight remained stable, but 45% (35/77) of overweight/obese survivors lost weight from T1 to T3. Moderately-intense aerobic exercise increased by 63 mins/week at T2, and 68 mins/week T3. Proportion meeting aerobic exercise guidelines increased from 20 to 41%. Resistance exercise increased by 26 mins/week at T2. Global quality-of-life was unchanged from T1 to T2, improving slightly by T3 (3.7-point increase), mainly in males. Mean distress scores were stable, but at T3 the proportion scoring 4+/10 had declined from 41 to 33%. At T3, improvements were seen in pain, fatigue and energy, but > 20% reported moderate-severe fatigue, pain or sleep disturbance. Proportion reporting 5+ moderate-severe symptoms declined from 35% at T1 to 26% at T3, remaining higher in women. Conclusions Survivors attending SCSC increased exercise by 3 months, and sustained it at 1 year. Most overweight/obese survivors avoided further weight gain. Survivors had relatively good quality-of-life, with improvement in many symptoms and lifestyle factors at 1 year.
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