乳腺癌术后患者体力活动状况的研究进展

doi:10.3969/j.issn.1006-9771.2017.09.007

摘要/Abstract

摘要： 体力活动与乳腺癌术后患者的生活质量密切相关,包括频率、持续时间、强度等要素。目前尚无统一的测量工具,常用的方法有主观测量和客观测量两种。主观测量方法主要有体力活动日记、体力活动问卷,由被调查者自我报告体力活动状况;客观测量方法有双标水法、间接热量测定法、运动传感器测定法、心率监测法。乳腺癌术后患者的年龄、文化程度、社会和经济地位、体质量指数与其体力活动水平相关,疾病与治疗相关情况、心理和社会支持情况、健康相关生活质量亦会影响其体力活动水平,建议此类患者在术前提高自己的体力活动水平。

关键词: 乳腺癌, 术后, 体力活动, 测量, 影响因素, 综述

Abstract: Physical activity is closely related to the quality of life of postoperative patients with breast cancer, which is expressed in frequency, duration, intensity, and others factors. There is no uniform measurement of physical activity, the common measurements may be classified as subjective and objective, such as exercise log, physical activity questionnaire and self-reported physical activities of the former; doubly labeled water, indirect calorimetry, motion sensors and heart rate monitors of the latter. The age, educational level, social and economic status, and body mass index are related to the level of physical activity in patients post operation for breast cancer, while illness and treatment, psychological and social support, and health-related quality of life also affect the level of physical activity, which suggest that such patients need to improve their physical activity before operation.

Key words: breast cancer, postoperation, physical activity, measurement, related factors, review

中图分类号:

R737.9

康华, 路潜. 乳腺癌术后患者体力活动状况的研究进展[J]. 《中国康复理论与实践》, 2017, 23(9): 1021-1026.

KANG Hua, LU Qian. Advances in Physical Activity among Patients post Operation for Breast Cancer (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1021-1026.

参考文献

[1] 郑莹,吴春晓,张敏璐. 乳腺癌在中国的流行状况和疾病特征[J]. 中国癌症杂志, 2013, 23(8): 561-569.
[2] 陈万青,郑荣寿,张思维,等. 2012年中国恶性肿瘤发病和死亡分析[J]. 中国肿瘤, 2016, 25(1): 1-8.
[3] Bourke L, Homer KE, Thaha MA, et al. Interventions for promoting habitual exercise in people living with and beyond cancer [J]. Cochrane Database Syst Rev, 2013(9): CD010192.
[4] 李春月,路潜,欧阳倩,等. 乳腺癌术后患者体力活动状况的研究[J]. 护理管理杂志, 2015, 15(8): 563-565.
[5] Thompson CL, Owusu C, Nock NL, et al. Race, age, and obesity disparities in adult physical activity levels in breast cancer patients and controls [J]. Front Public Health, 2014, 2: 150.
[6] Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions anddistinctions for health-related research [J]. Public Health Rep, 1985, 100(2): 126-131.
[7] 常华军. 体力活动研究进展综述[J]. 浙江体育科学, 2013, 35(5): 111-115.
[8] Courneya KS, Rogers LQ, Campbell KL, et al. 体力活动与癌症生存研究的10大问题[J]. 北京体育大学学报, 2016, 39(2): 40-48.
[9] Johnson-Kozlow M, Rock CL, Gilpin EA, et al. Validation of the WHI brief physical activity questionnaire among women diagnosed with breast cancer [J]. Am J Health Behav, 2007, 31(2): 193-202.
[10] Phillips SM, McAuley E. Physical activity and quality of life in breast cancer survivors: the role of self-efficacy and health status [J]. Psychooncology, 2014, 23(1): 27-34.
[11] Amireault S, Godin G, Lacombe J, et al. Validation of the Godin-Shephard Leisure-Time Physical Activity Questionnaire classification coding system using accelerometer assessment among breast cancer survivors [J]. J Cancer Surviv, 2015, 9(3): 532-540.
[12] Hsu HT, Dodd MJ, Guo SE, et al. Predictors of exercise frequency in breast cancer survivors in Taiwan [J]. J Clin Nurs, 2011, 20(13-14): 1923-1935.
[13] Midtgaard M, Baadsgaard MT, Moller T, et al. Self-reported physical activity behaviour; exercise motivation and information among Danish adult cancer patients undergoing chemotherapy [J]. Eur J Oncol Nurs, 2009, 13(2): 116-121.
[14] 汤强,王香生,盛蕾. 体力活动测量方法研究进展[J]. 体育与科学, 2008, 29(6): 79-86.
[15] Paxton RJ, Nayak P, Taylor WC, et al. African-American breast cancer survivors' preferences for various types of physical activity interventions: a Sisters Network Inc. web-based survey [J]. J Cancer Surviv, 2014, 8(1): 31-38.
[16] Fassier P, Zelek L, Partula V, et al. Variations of physical activity and sedentary behavior between before and after cancer diagnosis: results from the prospective population-based NutriNet-Santé cohort [J]. Medicine (Baltimore), 2016, 95(40): e4629.
[17] Yi M, Kim J. Factors influencing health-promoting behaviors in Korean breast cancersurvivors [J]. Eur J Oncol Nurs, 2013, 17(2): 138-145.
[18] Ottenbacher AJ, Day RS, Taylor WC, et al. Exercise among breast and prostate cancer survivors-what are their barriers? [J]. J Cancer Surviv, 2011, 5(4): 413-419.
[19] Brunet J, Taran S, Burke S, et al. A qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer [J]. Disabil Rehav, 2013, 35(24): 2038-2045.
[20] 胡斌,林烂芳,袁子宇,等. 3种体力活动测量问卷的效度研究[J]. 现代预防医学, 2013, 40(16): 3061-3065.
[21] 戴剑松,孙飙. 体力活动测量方法综述[J]. 体育科学, 2005, 25(9): 69-75.
[22] 戴剑松,孙飙,沈洪兵. 加速度传感器测量体力活动的应用综述[J]. 中国运动医学杂志, 2009, 28(6): 720-727.
[23] Emery CF, Yang HC, Frierson GM, et al. Determinants of physical activity among women treated for breast cancer in a 5-year longitudinal follow-up investigation [J]. Psychooncology, 2009, 18(4): 377-386.
[24] 屈宁宁,李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 87-90.
[25] 刘庚,金三丽. 乳腺癌康复期患者生活质量与体力活动的相关性研究[J]. 护理学杂志, 2010, 25(24): 16-18.
[26] Cuevas BT, Hughes DC, Parma DL, et al. Motivation, exercise, and stress in breast cancer survivors [J]. Support Care Cancer, 2014, 22(4): 911-917.
[27] Rogers LQ, Markwell SJ, Courneya KS, et al. Physical activity type and intensity among rural breast cancer survivors: patterns and associations with fatigue and depressive symptoms [J]. J Cancer Surviv, 2011, 5(1): 54-61.
[28] Kang SJ. The association of physical activity and colorectal and breast cancer: The Fifth Korea National Health and Nutrition Examination Survey (2008-2011) [J]. J Exerc Rehabil, 2015, 11(3): 155-160.
[29] Dyrstad SM, Hansen BH, Holme IM, et al. Comparison of self-reported versus accelerometer-measured physical activity [J]. Med Sci Sports Exerc, 2014, 46(1): 99-106.
[30] Johnson-Kozlow M, Sallis JF, Gilpin EA, et al. Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer [J]. Int J Behav Nutr Phys Act, 2006, 3: 7.
[31] Amireault S, Godin G, Lacombe J, et al. The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review [J]. BMC Med Res Methodol, 2015, 15: 60.
[32] Oyekanmi G, Paxton RJ. Barriers to physical activity among African American breast cancer survivors [J]. Psychooncology, 2014, 23(11): 1314-1317.
[33] Harrison SA, Hayes SC, Newman B. Age-related differences in exercise and quality of life among breast cancer survivors [J]. Med Sci Sports Exerc, 2010, 42(1): 67-74.
[34] Sabiston CM, Brunet J, Burke S. Pain, movement, and mind: does physical activity mediate the relationship between pain and mental health among survivors of breast cancer? [J]. Clin J Pain, 2012, 28(6): 489-495.
[35] Sloane R, Snyder DC, Demark-Wahnefried WR, et al. Comparing the 7-day physical activity recall with a triaxial accelerometer for measuring time in exercise [J]. Med Sci Sports Exerc, 2009, 41(6): 1334-1340.
[36] Rock CL, Doyle C, Demark-Wahnefried W, et al. Nutrition and Physical Activity Guidelines for Cancer Survivors [J]. CA Cancer J Clin, 2012, 62(4): 243-274.
[37] Borch KB, Braaten T, Lund E, et al. Physical activity before and after breast cancer diagnosis and survival–the Norwegian women and cancer cohort study [J]. Bmc Cancer, 2015, 15: 967.
[38] Hair BY, Hayes S, Tse CK, et al. Racial differences in physical activity among breast cancer survivors [J]. Cancer, 2014, 120(14): 2174-2182.
[39] Hefferon K, Murphy H, McLeod J, et al. Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: a large-scale qualitative study [J]. Health Educ Res, 2013, 28(5): 843-856.
[40] Husebo AML, Karlsen B, Allan H, et al. Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study [J]. J Clin Nurs, 2015, 24(3-4): 500-510.
[41] Loh SY, Chew SL, Lee SY. Physical activity and women with breast cancer: insights from expert patients [J]. Asian Pac J Cancer Prev, 2011, 12(1): 87-94.
[42] Bradshaw PT, Ibrahim JG, Khankari N, et al. Post-diagnosis physical activity and survival after breast cancer diagnosis: the Long Island Breast Cancer Study [J]. Breast Cancer Res Treat, 2014, 145(3): 735-742.
[43] Phillips SM, Awick EA, Conroy DE, et al. Objectively measured physical activity and sedentary behavior and quality of life indicators in survivors of breast cancer [J]. Cancer, 2015, 121(22): 4044-4052.
[44] Irwin ML, Crumley D, McTiernan A, et al. Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study [J]. Cancer, 2003, 97(7): 1746-1757.
[45] Phillips SM, McAuley E. Social cognitive influences on physical activity participation inlong-term breast cancer survivors [J]. Psychooncology, 2013, 22(4): 783-791.
[46] Spector D, Battaglini C, Groff D. Perceived exercise barriers and facilitators amongethnically diverse breast cancer survivors [J]. Oncol Nurs Forum, 2013, 40(5): 472-480.