Comparación de dos protocolos de ejercicios físicos domiciliarios sobre la aptitud física de mujeres mayores con cáncer de mama en tratamiento hormonal: ensayo clínico
DOI:
https://doi.org/10.1590/Palabras clave:
Neoplasia de la Mama, Ejercicio Físico, Aptitud FísicaResumen
El estudio tiene el objetivo de comparar los efectos de
dos protocolos de ejercicios físicos domiciliarios sobre la aptitud
física de mujeres mayores que utilizan terapia hormonal para tratar
el cáncer de mama. Se trata de un estudio comparativo entre
los efectos de dos ensayos clínicos desarrollados con pacientes
sometidas a protocolos de ejercicios físicos domiciliarios distintos
a lo largo de diferentes períodos de ejecución. Se incluyeron
68 mujeres mayores, de 60 a 74 años, diagnosticadas con cáncer
de mama, estadio I o II, divididas en dos grupos. El grupo A
(n=38) realizó un protocolo compuesto por 29 ejercicios y el
grupo B (n=30) utilizó un protocolo con 12 ejercicios, ambos con
una duración de 12 semanas y que proporcionaban orientación a
través de una conferencia introductoria, material autoinstructivo
y contactos telefónicos semanales. La evaluación de la aptitud
física se realizó a través de Senior Fitness Test en el inicio y
después de la 12ª semana. Se realizaron análisis estadísticos a
través del STATA versión 12, con nivel de significación de p<0,05.
Los protocolos evaluados mostraron ganancias relacionadas con
los componentes de la aptitud física, rango de movimiento y
fuerza, mostrando el Grupo A mayores ganancias que el Grupo B.
La elección entre protocolos debe realizarse en función de los
objetivos terapéuticos determinados
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Referencias
INCA – Instituto Nacional de Câncer. Estimativa 2023: Incidência
de Câncer no Brasil. [cited 2024 Oct 09]. Rio de Janeiro: Inca;
Available from: https://www.inca.gov.br/sites/ufu.sti.inca.
local/files//media/document//estimativa-2023.pdf
American Cancer Society. Cancer Facts and Figures 2023.
American Cancer Society; 2023. Disponível em: https://www.
cancer.org/research/cancer-facts-statistics/all-cancer-factsfigures/
-cancer-facts-figures.html
Senkus E, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P,
et al. Primary breast cancer: ESMO Clinical Practice Guidelines
for diagnosis, treatment and follow-up. Ann Oncol.
;26(Suppl 5):v8-v30. doi: 10.1093/annonc/mdv298
Colleoni M, Gelber S, Goldhirsch A, Castiglione-Gertsch M,
Price KN, et al. Tamoxifen after adjuvant chemotherapy for
premenopausal women with lymph node – positive breast
cancer: International Breast Cancer Study Group Trial 13-93.
J Clin Oncol. 2006;24(9):1332-41. doi: 10.1200/JCO.2005.03.0783
Burstein HJ, Lacchetti C, Anderson H, Buchholz TA, Davidson NE,
et al. Adjuvant endocrine therapy for women with hormone
receptor-positive breast cancer: American Society of Clinical
Oncology Clinical Practice Guideline Update on Ovarian
Suppression. J Clin Oncol. 2016;34(14):1689-701. doi: 10.1200/
JCO.2015.65.9573
Murphy CC, Bartholomew LK, Carpentier MY, Bluethmann SM,
Vernon SW. Adherence to adjuvant hormonal therapy among
breast cancer survivors in clinical practice: a systematic review.
Breast Cancer Res Treat. 2012;134(2):459-78. doi: 10.1007/
s10549-012-2114-5
Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W,
Galvão DA, et al. American College of Sports Medicine roundtable
on exercise guidelines for cancer survivors. Med Sci Sports
Exerc. 2010;42(7):1409-26. doi: 10.1249/MSS.0b013e3181e0c112
de Glas NA, Fontein DBY, Bastiaannet E, Pijpe A, De Craen AJM,
et al. Physical activity and survival of postmenopausal,
hormone receptor-positive breast cancer patients: results
of the Tamoxifen Exemestane Adjuvant Multicenter Lifestyle
study. Cancer. 2014;120(18):2847-54. doi: 10.1002/cncr.28783
Huizinga F, Westerink NDL, Berendsen AJ, Walenkamp AME,
de Greef MHG, et al. Home-based physical activity to alleviate
fatigue in cancer survivors: a systematic review and metaanalysis.
Med Sci Sports Exerc. 2021;53(12):2661-74. doi: 10.1249/
MSS.0000000000002735 10. Swartz MC, Lewis ZH, Lyons EJ, Jennings K, Middleton A,
et al. Effect of home- and community-based physical activity
interventions on physical function among cancer survivors:
a systematic review and meta-analysis. Arch Phys Med Rehabil.
;98(8):1652-65. doi: 10.1016/j.apmr.2017.03.017
Salerno EA, Gao R, Fanning J, Gothe NP, Peterson LL, et al.
Designing home-based physical activity programs for rural
cancer survivors: A survey of technology access and preferences.
Front Oncol. 2023;13:1061641. doi: 10.3389/fonc.2023.1061641
Starrett K, Cordoza G, Thompson PD. ACSM’s guidelines for
exercise testing and prescription. 9th Ed. Vol. 116, J Can Chiropr
Assoc. 2014;58(3):328. ISBN: 9781609139551.
World Health Organization. Physical status: the use and
interpretation of anthropometry. [Internet]. 1995. Disponível em:
http://www.who.int/childgrowth/publications/physical_
status/en/
Wolin KY, Schwartz AL, Matthews CE, Courneya KS, Schmitz KH.
Implementing the exercise guidelines for cancer survivors.
J Support Oncol. 2012;10(5):171-7. doi: 10.1016/j.suponc.2012.02.001
Rikli RE, Jones CJ. The reliability and validity of a 6-minute
walk test as a measure of physical endurance in older adults.
J Aging Phys Act. 1998;6(4):363-75. doi: 10.1123/japa.6.4.363
Rikli RE, Jones JC. 30 Second Sit To Stand. J Aging Phys Act.
;7(x):129-161.
Rikli RE, Jones CJ. Functional fitness normative scores for
community-residing older adults, ages 60-94. J Aging Phys
Act. 1999;7(2):162-81. doi: 10.1123/japa.7.2.162
Campbell KL, Winters-Stone KM, Wiskemann J, May AM,
Schwartz AL, et al. Exercise Guidelines for Cancer Survivors:
Consensus Statement from International Multidisciplinary
Roundtable. Med Sci Sports Exerc. 2019;51(11):2375-90.
doi: 10.1249/MSS.0000000000002116
Pinto BM, Kindred MD, Dunsiger SI, Williams DM. Sedentary
behavior among breast cancer survivors: a longitudinal study
using ecological momentary assessments. J Cancer Surviv.
;15(4):546-53. doi: 10.1007/s11764-020-00948-x
Sabiston CM, Brunet J, Vallance JK, Meterissian S. Prospective
examination of objectively assessed physical activity and
sedentary time after breast cancer treatment: sitting on the
crest of the teachable moment. Cancer Epidemiol Biomarkers
Prev. 2014;23(7):1324-30. doi: 10.1158/1055-9965.EPI-13-1179
Phillips SM, Dodd KW, Steeves J, McClain J, Alfano CM, et al.
Physical activity and sedentary behavior in breast cancer
survivors: new insight into activity patterns and potential
intervention targets. Gynecol Oncol. 2015;138(2):398-404.
doi: 10.1016/j.ygyno.2015.05.026
Koh D, Song S, Moon S-E, Jung S-Y, Lee ES, et al. Adherence to
the American Cancer Society guidelines for cancer survivors
and health-related quality of life among breast cancer survivors.
Nutrients. 2019; 11(12):2924. doi: 10.3390/nu11122924
Brown NI, Pekmezi DW, Oster RA, Courneya KS, McAuley E, et al.
Relationships between obesity, exercise preferences, and related
social cognitive theory variables among breast cancer survivors.
Nutrients. 2023;15(5):1286. doi: 10.3390/nu15051286
Boyd P, Lowry M, Morris KL, Land SR, Agurs-Collins T, et al.
Health behaviors of cancer survivors and population controls
from the national health interview survey (2005-2015). JNCI
Cancer Spectr. 2020;4(5):pkaa043. doi: 10.1093/jncics/pkaa043.
Coughlin SS, Caplan L, Stone R, Stewart J. A review of homebased
physical activity interventions for breast cancer survivors.
Curr Cancer Rep. 2019;1(1):6-12. doi: 10.25082/CCR.2019.01.002
Vincent F, Deluche E, Bonis J, Leobon S, Antonini MT, et al. Homebased
physical activity in patients with breast cancer: during
and/or after chemotherapy? Impact on cardiorespiratory fitness.
A 3-arm randomized controlled trial (APAC). Integr Cancer Ther.
;19:1534735420969818. doi: 10.1177/1534735420969818
Souza Filho BAB, Silva Júnior JR, Smethurst WS, Santos DC,
Carmo CN, et al. Efeito de 12 semanas de exercício físico
domiciliar na aptidão física de idosas com câncer de mama em
hormonioterapia: ensaio clínico randomizado. Acta Fisiátrica.
;26(1):6-13. doi: 10.11606/issn.2317-0190.v26i1a163420
Souza Filho BAB, Matias GHL, Tritany EF, Silva DSS, Smethurst WS,
et al. Doze semanas de exercício físico domiciliar melhora a
amplitude de movimento do ombro de idosas mastectomizadas
em tratamento para câncer de mama. Estud Interdiscip
Envelhec. 2020;25(1):41-62. doi: 10.22456/2316-2171.93259
Gurgel ARB, Mingroni-Netto P, Farah JC, Brito CMM, Levin AS,
et al. Determinants of health and physical activity levels among
breast cancer survivors during the COVID-19 pandemic: a crosssectional
study. Front Physiol. 2021;12:624169. doi: 10.3389/
fphys.2021.624169
Pudkasam S, Feehan J, Talevski J, Vingrys K, Polman R, et al.
Motivational strategies to improve adherence to physical
activity in breast cancer survivors: a systematic review
and meta-analysis. Maturitas. 2021;152:32-47. doi: 10.1016/j.
maturitas.2021.06.008
An KY, Morielli AR, Kang DW, Friedenreich CM, McKenzie DC,
et al. Effects of exercise dose and type during breast cancer
chemotherapy on longer-term patient-reported outcomes
and health-related fitness: a randomized controlled trial.
Int J Cancer. 2020;146(1):150-60. doi: 10.1002/ijc.32493
Fretta TB, Boing L, Leite B, Vieira MCS, Moratelli J, et al. Physical
functionality of the upper limb after breast cancer surgery in
Southern Brazilian survivors: cross-sectional study. Rev Bras
Cancerol. 2021;67(3):e-021168. doi: 10.32635/2176-9745.
RBC.2021v67n3.1168
Yang EJ, Kwon Y. Changes in shoulder muscle activity pattern
on surface electromyography after breast cancer surgery.
J Surg Oncol. 2018;117(2):116-23. doi: 10.1002/jso.24800
Min J, Kim JY, Yeon S, Ryu J, Min JJ, et al. Change in shoulder
function in the early recovery phase after breast cancer surgery:
a prospective observational study. J Clin Med. 2021;10(15):3416.
doi: 10.3390/jcm10153416
Blackwood J, Rybicki K. Physical function measurement in
older long-term cancer survivors. J Frailty Sarcopenia Falls.
;6(3):139-46. doi: 10.22540/JFSF-06-139
Lee CE, Warden SJ, Szuck B, Lau YKJ. A preliminary study on
the efficacy of a community-based physical activity intervention
on physical function-related risk factors for falls among breast
cancer survivors. Am J Phys Med Rehabil. 2016;95(8):561-70.
doi: 10.1097/PHM.0000000000000440
Kenzik KM, Morey MC, Cohen HJ, Sloane R, Demark-Wahnefried W.
Symptoms, weight loss, and physical function in a lifestyle intervention study of older cancer survivors. J Geriatr Oncol.
;6(6):424-32. doi: 10.1016/j.jgo.2015.08.004
Hojan K, Milecki P, Molińska-Glura M, Roszak A, Leszczyński P.
Effect of physical activity on bone strength and body composition in
breast cancer premenopausal women during endocrine therapy.
Eur J Phys Rehabil Med. 2013;49(3):331-9 [cited 2024 Oct 09].
Available from:https://www.minervamedica.it/en/journals/
europa-medicophysica/article.php?cod=R33Y2013N03A0331.
Cantarero-Villanueva I, Fernández-Lao C, Fernández-delas-
Peñas C, Díaz-Rodríguez L, Sanchez-Cantalejo E, et al.
Associations among musculoskeletal impairments, depression,
body image and fatigue in breast cancer survivors within the
first year after treatment. Eur J Cancer Care. 2011;20(5):632-9.
doi: 10.1111/j.1365-2354.2011.01245.x
Grusdat NP, Stäuber A, Tolkmitt M, Schnabel J, Schubotz B,
et al. Routine cancer treatments and their impact on physical
function, symptoms of cancer-related fatigue, anxiety,
and depression. Support Care Cancer. 2022;30(5):3733-44.
doi: 10.1007/s00520-021-06787-5
Rietman JS, Dijkstra PU, Debreczeni R, Geertzen JHB, Robinson
DPH, et al. Impairments, disabilities and health related quality
of life after treatment for breast cancer: a follow-up study
7 years after surgery. Disabil Rehabil. 2004;26(2):78-84.
doi: 10.1080/09638280310001629642
Souza Filho BAB. Papel do profissional de educação física
nos cuidados paliativos. In: ANCP – Academia Nacional de
Cuidados Paliativos. Manual de Cuidados Paliativos. 3a ed.
Rio de Janeiro: Atheneu; 2021. p. 624
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Derechos de autor 2025 Ana Clara Carvalho Gonçalves Guerra, Guilherme Henrique de Lima Matias, Breno Augusto Bormann de Souza Filho, Érika Fernandes Tritany, Victor Rafael Fernandes da Silva, Cleber Nascimento do Carmo, João Guilherme Bezerra Alves, Jurema Telles Alves de Oliveira Lima, José Roberto da Silva Júnior

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