癌症幸存者的身体活动 (PACES) 试验:一个因子随机试验,以优化乳腺癌幸存者的干预
Chad D Rethorst1, Thomas J Carmody2, Keith E Argenbright3,4
1Institute for Advancing Health Through Agriculture, Texas A&M Agrilife Research, 17360 Coit Road, Dallas, TX, 75252, US. chad.rethorst@ag.tamu.edu.
Journal of behavioral medicine
|September 21, 2024
概括
在乳腺癌幸存者中,监督的运动会显著增加了中度至剧烈的体力活动 (MVPA) 和轻强度体力活动 (LPA). 这些好处持续了六个月,即使在短期的监督行使.
科学领域:
- 运动科学 运动科学
- 癌症的生存率 癌症的生存率
- 公共卫生干预 公共卫生干预
背景情况:
- 乳腺癌幸存者经常难以满足身体活动建议.
- 优化干预对于有效的现实世界实施至关重要.
- 以前的策略显示出希望,但坚持仍然是一个挑战.
研究的目的:
- 为乳腺癌幸存者优化体育活动干预措施.
- 确定有效的成分,以增加中度至强烈的体力活动 (MVPA) 和轻强度体力活动 (LPA).
- 为未来的体育活动计划提供高效和有效的信息.
主要方法:
- 基于多相优化策略的全因数设计被采用.
- 337名乳腺癌幸存者被随机分为组,接受四个干预组件的组合:监督炼,设施会员,每天活跃生活 (ALED) 和Fitbit.
- 在基线,3个月和6个月使用Actigraph GT3X+测量身体活动 (MVPA和LPA).
主要成果:
- 接受监督炼的参与者显示MVPA (153.58分钟/周对133.0分钟/周) 和LPA (170.26分钟/天对160.98分钟/天) 显著更高.
- 监督运动对MVPA和LPA的积极影响持续了6个月,尽管会议仅在前6周发生.
- 每天活跃生活 (ALED) 组件与LPA降低有关 (p=0.011),而设施会员和Fitbit对MVPA或LPA没有显著影响.
结论:
- 监督的运动会是提高乳腺癌幸存者的MVPA和LPA的关键有效组成部分.
- 监督实践的积极影响长期持续,突出其效率.
- 这些发现可以指导为这一群体开发优化,基于证据的体育活动干预措施.
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