不同强度抗阻训练对老年癌症生存者癌因性疲乏及生存质量的影响  

Effects of resistance exercise with different intensities on cancer related fatigue and quality of life in older patients with cancer

作　　者：晁敏[1] 梁丰[1] 孙涛[2] 王尊[1] 王磊[1] 

机构地区：[1]南京中医药大学,210029 [2]江苏省肿瘤医院

出　　处：《中国康复医学杂志》2015年第8期777-781,共5页Chinese Journal of Rehabilitation Medicine

基　　金：全国高校博士点基金项目(20123237120008)

摘　　要：目的:观察不同强度抗阻训练对老年癌症生存者癌因性疲乏(CRF)及生存质量(QOL)的影响方法:将45例纳入标准的老年癌症生存者随机分为高强度(60%1-RM)抗阻训练组(n=15)、低强度(30%1-RM)抗阻训练组(n=15)及对照组(n=15),所有患者训练前后均进行六大肌群肌肉一次最大重复负荷(1-RM)、脂肪重量(FM)、瘦体重(LBM)测定以及简易疲乏量表(BFI)、中国癌症化疗患者生存质量量表(QLQ-CCC)评估。高强度及低强度抗阻训练组均进行为期12周的抗阻训练,每周3次,每次3节,每节10项,每节间休息3min。结果:训练前3组的六大肌群1-RM、FM、LBM、BF1、QLQ-CCC评分均无明显差异(P>0.05)。训练后3组的以上五项指标参数的两两比较均有差异(P<0.05),高强度组增加明显高于低强度组。结论:与低强度抗阻训练相比,高强度抗阻训练可以明显缓解老年癌症患者CRF、提高其QOL。Objective： To observe the effects of resistance exercise with different intensities on cancer related fatigue（CRF）and quality of life QOL in older patients with cancer.Method： Forty-five older patients with cancer were divided into high-intensity（60%1-RM） resistance exercises group（n=15）, low-intensity（30% 1-RM） resistance exercise group（n=15） and control group（n=15）.All patients were evaluated with one-repetition maximum（1-RM） of 6 muscle groups, fat mass（FM）, lean body mass（LBM）and assessed with brief fatigue inventory（BFI） and quality of life questionaire-Chinese cancer chemotherapy patients（QLQ-CCC） before and after training. Resistance exercise was lasted for 12 weeks, 3 times every week,3 sessions every time, 10 sections every session with 3 min interval.Result： There was no significant difference（P〉0.05） in all variables in three groups before training. After training, the differences of 1-RM of 6 muscle groups, FM, LBM and scores of BFI and QLQ-CCC among three groups were significantly different（P〈0.05）, and the related parameters of high-intensity group improved more than those of low-intensity group.Conclusion： Comparing with low-intensity resistance exercise,high-intensity resistance exercise can significantly reduce CRF and improve QOL in older patients with cancer.

关 键 词：抗阻训练 癌因性疲乏 生存质量 

分 类 号：R473.73[医药卫生—护理学]