Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training

Detalhes bibliográficos
Autor(a) principal: Bringel, Marília de Oliveira
Data de Publicação: 2022
Outros Autores: Reis, Andréa Dias, Aguiar, Letícia Campos, Garcia, João Batista Santos
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2611
Resumo: Introduction: Despite the increase of the survival of patients with breast cancer, many persist with anxiety, depression, fatigue, and pain even after anticancer treatment, factors associated with a worse quality-of-life. Objective: Evaluate the influence of combined training on anxiety, depression, pain and fatigue in breast cancer patients. Method: Randomized controlled trial with 26 patients undergoing chemotherapy, radiotherapy, or clinical follow-up at a referral centre for cancer treatment, aged 30 to 59 years, not practicing physical training in the last three months. The experimental group (EG) (n=13) was submitted to 3 sessions per week of aerobic and resistance training, for 12 weeks, lasting 60 minutes, and 2 sessions per week of flexibility training lasting 20 seconds in 3 sets. The control group (CG) (n=13) submitted only to conventional hospital treatment. All assessments were performed at baseline and after 12 weeks. Results: EG patients showed a significant reduction in anxiety (p=0.0242), pain intensity (p=0.0290) and the behavioral dimension of fatigue (0.0033). No differences were observed in depression (p=0.0803), interference of pain in usual activities (p=0.0933) and affective (p=0.0583) and sensory/cognitive/emotional (p=0.5525) dimensions of fatigue. The GC remained unchanged in all variables. Conclusion: Combined training involving aerobic, resistance and flexibility exercises for 12 weeks has beneficial effects on anxiety, fatigue and pain in breast cancer patients.
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spelling Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined TrainingAnsiedad, Depresión, Dolor y Fatiga en Pacientes con Cáncer de Mama con Entrenamiento CombinadoAnsiedade, Depressão, Dor e Fadiga em Pacientes com Câncer de Mama que Realizaram Treinamento Combinadoneoplasias da mamaexercício físicomanejo da dorbreast neoplasmsexercisepain managementneoplasias de la mamaejercicio físicomanejo del dolorIntroduction: Despite the increase of the survival of patients with breast cancer, many persist with anxiety, depression, fatigue, and pain even after anticancer treatment, factors associated with a worse quality-of-life. Objective: Evaluate the influence of combined training on anxiety, depression, pain and fatigue in breast cancer patients. Method: Randomized controlled trial with 26 patients undergoing chemotherapy, radiotherapy, or clinical follow-up at a referral centre for cancer treatment, aged 30 to 59 years, not practicing physical training in the last three months. The experimental group (EG) (n=13) was submitted to 3 sessions per week of aerobic and resistance training, for 12 weeks, lasting 60 minutes, and 2 sessions per week of flexibility training lasting 20 seconds in 3 sets. The control group (CG) (n=13) submitted only to conventional hospital treatment. All assessments were performed at baseline and after 12 weeks. Results: EG patients showed a significant reduction in anxiety (p=0.0242), pain intensity (p=0.0290) and the behavioral dimension of fatigue (0.0033). No differences were observed in depression (p=0.0803), interference of pain in usual activities (p=0.0933) and affective (p=0.0583) and sensory/cognitive/emotional (p=0.5525) dimensions of fatigue. The GC remained unchanged in all variables. Conclusion: Combined training involving aerobic, resistance and flexibility exercises for 12 weeks has beneficial effects on anxiety, fatigue and pain in breast cancer patients.Introducción: A pesar del aumento de la supervivencia de las pacientes con cáncer de mama, muchas persisten con ansiedad, depresión, fatiga y dolor incluso después del tratamiento anticanceroso, factores asociados a una peor calidad de vida. Objetivo: evaluar la influencia del entrenamiento combinado sobre la ansiedad, la depresión, el dolor y la fatiga en pacientes con cáncer de mama. Método: Ensayo controlado aleatorio con 26 pacientes bajo quimioterapia, radioterapia o seguimiento clínico en un centro de referencia para el tratamiento del cáncer, con edades comprendidas entre los 30 y los 59 años, que no han practicado entrenamiento físico en los últimos tres meses. El grupo experimental (GE) (n=13) fue sometido a tres sesiones semanales de entrenamiento aeróbico y de resistencia en 12 semanas, de 60 minutos de duración, y a dos sesiones semanales de entrenamiento de flexibilidad de 20 segundos en tres series. El grupo de control (GC) (n=13) solo realizo el tratamiento hospitalario convencional. Todas las evaluaciones se realizaron al inicio y después de 12 semanas. Resultados: Los pacientes del GE mostraron una reducción significativa de la ansiedad (p=0,0242), la intensidad del dolor (p=0,0290) y la dimensión conductual de la fatiga (0,0033). No se observaron diferencias en la depresión (p=0,0803), la interferencia del dolor en las actividades habituales (p=0,0933) y las dimensiones afectivas (p=0,0583) y sensoriales/cognitivas/emocionales (p=0,5525) de la fatiga. El GC se mantuvo sin cambios en todas las variables. Conclusión: El entrenamiento combinado de ejercicios aeróbicos, de resistencia y de flexibilidad durante 12 semanas presenta efectos beneficiosos sobre la ansiedad, la fatiga y el dolor en pacientes con cancer de mama.Introdução: Apesar do aumento na sobrevida de pacientes com neoplasias de mama, muitas persistem com ansiedade, depressão, fadiga e dor mesmo após o tratamento anticancerígeno, fatores associados a uma pior qualidade de vida. Objetivo: Avaliar a influencia do treinamento combinado na ansiedade, depressão, dor e fadiga em pacientes com câncer de mama. Método: Ensaio controlado randomizado com 26 pacientes em quimioterapia, radioterapia ou acompanhamento clinico em um centro de referência em tratamento de câncer, com idade 30 a 59 anos, não praticantes de treinamento físico nos últimos três meses. O grupo experimental (GE) (n=13) foi submetido a três sessões por semana de treinamento aeróbico e resistido em 12 semanas, com duração de 60 minutos, e duas sessões de treinamento de flexibilidade por semana com duração de 20 segundos em três series. O grupo controle (GC) (n=13) realizou somente o tratamento hospitalar convencional. Todas as avaliações foram realizadas no tempo basal e após 12 semanas. Resultados: As pacientes do GE apresentaram redução significativa da ansiedade (p=0,0242), intensidade da dor (p=0,0290) e dimensão comportamental da fadiga (0,0033). Não foram observadas diferenças na depressão (p=0,0803), interferência da dor nas atividades habituais (p=0,0933) e dimensões afetiva (p=0,0583) e sensorial/cognitiva/emocional (p=0,5525) da fadiga. O GC permaneceu inalterado em todas as variáveis. Conclusão: O treinamento combinado, envolvendo exercícios aeróbios, de resistência e de flexibilidade durante 12 semanas, apresenta efeitos benéficos na ansiedade, fadiga e dor em pacientes com câncer de mama.INCA2022-09-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/261110.32635/2176-9745.RBC.2022v68n3.2611Revista Brasileira de Cancerologia; Vol. 68 No. 3 (2022): July/Aug./Sept.; e-242611Revista Brasileira de Cancerologia; Vol. 68 Núm. 3 (2022): jul./ago./sept; e-242611Revista Brasileira de Cancerologia; v. 68 n. 3 (2022): jul./ago./set.; e-2426112176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/2611/2186https://rbc.inca.gov.br/index.php/revista/article/view/2611/2777https://rbc.inca.gov.br/index.php/revista/article/view/2611/2291Copyright (c) 2022 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBringel, Marília de OliveiraReis, Andréa DiasAguiar, Letícia CamposGarcia, João Batista Santos2023-04-11T13:24:13Zoai:rbc.inca.gov.br:article/2611Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-04-11T13:24:13Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
Ansiedad, Depresión, Dolor y Fatiga en Pacientes con Cáncer de Mama con Entrenamiento Combinado
Ansiedade, Depressão, Dor e Fadiga em Pacientes com Câncer de Mama que Realizaram Treinamento Combinado
title Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
spellingShingle Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
Bringel, Marília de Oliveira
neoplasias da mama
exercício físico
manejo da dor
breast neoplasms
exercise
pain management
neoplasias de la mama
ejercicio físico
manejo del dolor
title_short Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
title_full Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
title_fullStr Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
title_full_unstemmed Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
title_sort Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
author Bringel, Marília de Oliveira
author_facet Bringel, Marília de Oliveira
Reis, Andréa Dias
Aguiar, Letícia Campos
Garcia, João Batista Santos
author_role author
author2 Reis, Andréa Dias
Aguiar, Letícia Campos
Garcia, João Batista Santos
author2_role author
author
author
dc.contributor.author.fl_str_mv Bringel, Marília de Oliveira
Reis, Andréa Dias
Aguiar, Letícia Campos
Garcia, João Batista Santos
dc.subject.por.fl_str_mv neoplasias da mama
exercício físico
manejo da dor
breast neoplasms
exercise
pain management
neoplasias de la mama
ejercicio físico
manejo del dolor
topic neoplasias da mama
exercício físico
manejo da dor
breast neoplasms
exercise
pain management
neoplasias de la mama
ejercicio físico
manejo del dolor
description Introduction: Despite the increase of the survival of patients with breast cancer, many persist with anxiety, depression, fatigue, and pain even after anticancer treatment, factors associated with a worse quality-of-life. Objective: Evaluate the influence of combined training on anxiety, depression, pain and fatigue in breast cancer patients. Method: Randomized controlled trial with 26 patients undergoing chemotherapy, radiotherapy, or clinical follow-up at a referral centre for cancer treatment, aged 30 to 59 years, not practicing physical training in the last three months. The experimental group (EG) (n=13) was submitted to 3 sessions per week of aerobic and resistance training, for 12 weeks, lasting 60 minutes, and 2 sessions per week of flexibility training lasting 20 seconds in 3 sets. The control group (CG) (n=13) submitted only to conventional hospital treatment. All assessments were performed at baseline and after 12 weeks. Results: EG patients showed a significant reduction in anxiety (p=0.0242), pain intensity (p=0.0290) and the behavioral dimension of fatigue (0.0033). No differences were observed in depression (p=0.0803), interference of pain in usual activities (p=0.0933) and affective (p=0.0583) and sensory/cognitive/emotional (p=0.5525) dimensions of fatigue. The GC remained unchanged in all variables. Conclusion: Combined training involving aerobic, resistance and flexibility exercises for 12 weeks has beneficial effects on anxiety, fatigue and pain in breast cancer patients.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-19
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dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2611
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url https://rbc.inca.gov.br/index.php/revista/article/view/2611
identifier_str_mv 10.32635/2176-9745.RBC.2022v68n3.2611
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2611/2186
https://rbc.inca.gov.br/index.php/revista/article/view/2611/2777
https://rbc.inca.gov.br/index.php/revista/article/view/2611/2291
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 68 No. 3 (2022): July/Aug./Sept.; e-242611
Revista Brasileira de Cancerologia; Vol. 68 Núm. 3 (2022): jul./ago./sept; e-242611
Revista Brasileira de Cancerologia; v. 68 n. 3 (2022): jul./ago./set.; e-242611
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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