Purpose: The aim of the present study was to evaluate the effects of different exercise interventions on quality of life parameters in breast cancer patients during 1 year of outpatient rehabilitation. Material and Methods: A total of 115 breast cancer patients met the eligibility criteria and completed the study. Participants were randomly allocated for the water exercise interventions (group A, n = 45), for the Pilates exercise interventions (group B, n = 40), and yoga exercise interventions (group C, n = 30). The 3 groups attended relevant programs for 1 year and received 144 rehabilitation sessions. Quality of life parameters were assessed using the Functional Assessment of Cancer Therapy questionnaire with a specific module for breast cancer patients (FACT-B). Quality of life data were recorded at baseline and after 6 and 12 months of exercise interventions. Results: A significant increase in quality of life indicators was observed in participants of all groups. Based on the results of the 12-month monitoring, patients of group A scored significantly more points for emotional well-being compared with group B and group C by 1.40 points ( P < .05) and 1.69 points ( P < .01), respectively, as well as by breast cancer subscale by 2.15 points ( P < .05) compared with group B. Patients in group C scored significantly better compared with group A in social/family well-being by 2.80 points ( P < .01). Conclusions: It was found that using water exercise intervention is more effective for improving emotional well-being and decreasing negative symptoms associated with breast cancer treatment compared with Pilates and yoga interventions, while yoga was more effective in improving social/family well-being. Further research on water interventions for different populations is warranted.
Background To study the peculiarities of changes in creatinine concentration in blood serum of untrained men during the prolonged usage of training loads different in volume and intensity, and to determine the value of this biochemical marker for the assessment of adaptive body changes during fitness training. Methods We examined 50 untrained men aged 18–20 years who had no contraindications for practicing fitness. Taking into account the aim of the research, we divided these people into two groups: group A and group B. The research participants used training load regimes different in volume and intensity: representatives of group Aused low intensity training load regime (Ra = 0.53) and representatives of group B used high intensity training load regime (Ra = 0.72). To assess the adaptive body changes in the examined contingent, we used the anthropometry method (circumference body size) and bioimpedansometry (body composition indicators). We also determined the features of adaptation-compensatory body reactions to different training loads by means of biochemical control of creatinine concentration in blood serum. Results The obtained results showed a significant increase in basal level of creatinine concentration in blood serum (by 17.6%) of group B representatives fixed after 3 months of practicing fitness in high intensity training load regime (Ra = 0.72). This group representative also revealed the most pronounced manifestation of adaptive body changes confirmed by the results of the maximal muscle strength growth (1RM) and circumference body size, which was almost 2.5 times higher than the results of group A representatives for the same period of time. The parameters indicating the load volume in a set (Wn) were almost 62.0 % higher in group A representatives in comparison with group B during all stages of control. Nonetheless, the highest creatinine concentration in blood serum (by 11.1 % (p < 0.05) was fixed in group A representatives in response to training load after 3 months of practicing. This fact testifies to the important role of the creatine phosphokinase mechanism of energy supply of muscular activity in the conditions of high volume and low intensity training load regime (Ra = 0.53). Conclusion The analysis of the results obtained during a series of experimental studies indicates the need and feasibility of using the indicator of basal level of creatinine concentration in blood during fitness training, especially in the conditions of high intensity and low volume training load regime (Ra = 0.72), as an informative marker for assessing the process of long-term adaptation.
Introduction. The aim of the study was to examine the impact of different exercise interventions on anxiety and depression in breast cancer patients through 1-year outpatient rehabilitation. Methods. overall, 138 breast cancer patients were assessed for eligibility. After excluding 14 women, 124 patients were randomly allocated to water exercise interventions (group A, n = 50), Pilates exercise interventions (group B, n = 44), and yoga exercise interventions (group C, n = 30). Finally, 115 patients completed relevant interventions and were analysed. The participants reported anxiety and depression using the Hospital Anxiety and depression Scale at baseline and after 6 and 12 months of the interventions. Results. After 12 months, a decrease in anxiety and depression was observed by 5.64 (p < 0.001) and 4.09 (p < 0.001) points in group A, by 5.75 (p < 0.001) and 4.60 (p < 0.001) points in group B, and by 4.07 (p < 0.001) and 3.14 (p < 0.001) points in group C, respectively. Group A showed significantly better results than group C in anxiety (by 1.54 points; p < 0.01) and depression (by 1.40 points; p < 0.05). Group B obtained significantly better results than group C in anxiety (by 1.61 points; p < 0.01) and depression (by 1.81 points; p < 0.01). Conclusions. Practising a water exercise program resulted in a better decrease of anxiety and depression levels compared with Pilates and yoga interventions.
The results of the study suggest that individual programs of physical rehabilitation could be considered effective for the improvement of respiratory function of the patients with post-mastectomy syndrome. The results obtained could serve as a basis for more widespread clinical program development.
Introduction. The aim of the study was to determine the pattern of the psycho-emotional state and quality of life in women with post-mastectomy syndrome with different types of attitude to the disease at the dispensary stage of rehabilitation.Methods.
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