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Effects of a home based exercise rehabilitation program for cancer survivors.
Journal of Sports Medicine and Physical Fitness 2018 October 2
BACKGROUND: Aerobic and resistance exercises have been promoted recently to improve quality of life in cancer patients. Most cancer survivorship rehabilitation programs consists of supervised exercise programs; however, less data is available on the effects of unsupervised or home-based exercise interventions. The study aimed to compare the physical and physiologic changes in a group of cancer survivors (CS) and a control group of non-cancer, health controls (HC) who participated in individualized home-based aerobic and resistance exercises for 12 months.
METHODS: Thirty-three surviving cancer survivors (CS) aged 55.6±3 y were enrolled for 1 year of unsupervised exercise prescription programs. Anthropometric parameters hydration status, fitness, and echocardiographic examination were measured every six month and compared to10 HC (aged 52.6 ± 7.7 y) individuals prior to starting the program (t0) and at 6 (t6) and 12 (t12) months.
RESULTS: Among the CS subjects a significant reductions in waist circumference t0: 97.5 ±15.2; t6: 86.6 ±13.5; t12: 85.8 ± 13.9, p<0.05; body cell mass% t0: 50.9±4.7; t6: 52.3±4.4; t12: 53.7±3.7; p<0.05 and extracellular mass %, t0: 49.1±4.7 t6; 47.6±4.4, t12: 46.2±3.7, p < 0.05, were observed as well significant improvements in lower body muscle strength (chair test t0:13.3±4.1, t6: 14.2±3.5, t12: 15.1±3.2; p<0.05). Changes in functionality and heart function were similar between CS and HC's.
CONCLUSIONS: Individually prescribed home-based exercise programs were cost effective, safe and resulted in modest improvements in body composition, strength, and total body water distribution with little to no adverse effect on cardiac function.
METHODS: Thirty-three surviving cancer survivors (CS) aged 55.6±3 y were enrolled for 1 year of unsupervised exercise prescription programs. Anthropometric parameters hydration status, fitness, and echocardiographic examination were measured every six month and compared to10 HC (aged 52.6 ± 7.7 y) individuals prior to starting the program (t0) and at 6 (t6) and 12 (t12) months.
RESULTS: Among the CS subjects a significant reductions in waist circumference t0: 97.5 ±15.2; t6: 86.6 ±13.5; t12: 85.8 ± 13.9, p<0.05; body cell mass% t0: 50.9±4.7; t6: 52.3±4.4; t12: 53.7±3.7; p<0.05 and extracellular mass %, t0: 49.1±4.7 t6; 47.6±4.4, t12: 46.2±3.7, p < 0.05, were observed as well significant improvements in lower body muscle strength (chair test t0:13.3±4.1, t6: 14.2±3.5, t12: 15.1±3.2; p<0.05). Changes in functionality and heart function were similar between CS and HC's.
CONCLUSIONS: Individually prescribed home-based exercise programs were cost effective, safe and resulted in modest improvements in body composition, strength, and total body water distribution with little to no adverse effect on cardiac function.
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