Abstract
BackgroundBreast cancer (BC) patients who undergo surgery followed by radiotherapy and chemotherapy have limitations on physical activity which will lead to a decreased quality of life and poor physical fitness level. The purpose of this study was to investigate the effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on postoperative breast cancer patients by evaluating their quality of life, muscle strength and cardiorespiratory capacity.MethodsThis study was a randomized control trial with an intervention period of 12 weeks. Sixty participants (30 in each group, 42–60 years old, female) were recruited through an outpatient department. Procedure of exercise in the intervention group included: via phone step-recording app, ask the individuals to complete the target number of steps within a specified period of exercise, four times per week; face-to-face remote video instruction of individuals on muscle training, three times per week; via social media apps daily push common knowledge of physical exercise BC rehabilitation. The control group received traditional treatment and rehabilitation according to daily specifications of the hospital. The primary outcome was quality of life and the secondary outcomes were muscle strength and cardiorespiratory capacity.ResultsExperiments using a Short Form 36 showed that the CEIBISMS yielded significantly better results than traditional methods, in vitality (p = 0.009), mental health (p = 0.001) and reported health transition (p = 0.048) by week 12. The CEIBISMS resulted in significant improvement in the stand-up and sit-down chair test (p < 0.0001), arm lifting test (p = 0.017).ConclusionThe CEIBISMS offered rehabilitative effects in quality of life (QOL) and muscle strength of postoperative patients with breast cancer (BC) in China.Trial registrationChiCTR-IPR-17012368. Trial registered on 14 August, 2017.
Highlights
Breast cancer (BC) is a malignant cancer that severely harms women’s health worldwide and is the most common cancer in women in both developed and developing countries
Over the course of the study, 4 participants in the intervention group withdrew because of health issues (n = 3) or stopping exercise (n = 1); 6 participants in the control group withdrew due to health issues (n = 2) and 4 participants were lost during the follow-up in the control group (n = 4)
In the present study, according to the changes of the 36-item Short Form Health Survey (SF-36), Stand-up and sit-down chair test (SPSDCT), Arm lifting test (ALT) and VO2max at baseline as well as at 12 weeks after the combined exercise intervention, we demonstrated that the CEIBISMS resulted in a statistically significant improvement in many subdomains of the SF-36, SPSDCT and ALT, which in turn was associated with improvements in quality of life (QOL), muscle strength
Summary
Breast cancer (BC) is a malignant cancer that severely harms women’s health worldwide and is the most common cancer in women in both developed and developing countries. Some results of previous studies demonstrated that exercises may improve muscle strength and cardiorespiratory endurance in BC patients during rehabilitation and further improve their emotions and QOL [5, 7,8,9,10,11,12]. Breast cancer (BC) patients who undergo surgery followed by radiotherapy and chemotherapy have limitations on physical activity which will lead to a decreased quality of life and poor physical fitness level. The purpose of this study was to investigate the effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on postoperative breast cancer patients by evaluating their quality of life, muscle strength and cardiorespiratory capacity
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