Anxiety, Depression, Pain and Fatigue in Patients with Breast Cancer who Submitted to Combined Training
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2611 10.32635/2176-9745.RBC.2022v68n3.2611 |
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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1797042232774098944 |