Os efeitos da prescrição individualizada de exercícios na composição corporal de pacientes após o tratamento de câncer de mama

Autores

  • Claudio Battaglini The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • Martim Bottaro The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • Carolyn Dennehy The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • Logan Rae The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • Edgar Shields The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • David Kirk The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.
  • Anthony Hackney The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

Palavras-chave:

Exercício, Neoplasias, Tecido adiposo, Dobras cutâneas, Músculos

Resumo

CONTEXTO E OBJETIVO: Alterações no metabolismo têm sido apresentadas pela literatura e são comumente caracterizadas pela mudança progressiva da composição corporal observada na maioria de pacientes de câncer em tratamento. A literatura reporta os efeitos de programas de exercícios aeróbicos para combater o câncer e seus efeitos colaterais, porém, poucos estudos relacionados à intervenção por meio de exercícios de resistência em pacientes com câncer de mama e seus efeitos na composição corporal foram reportados na literatura. O objetivo foi determinar se um protocolo de exercícios de resistência traz alterações na composição corporal e força de pacientes com câncer de mama. TIPO DE ESTUDO E LOCAL: Estudo randomizado com um grupo de controle da University of Northern Colorado, Campus Recreation and Rocky Mountain Cancer Rehabilitation Institute e North Colorado Medical Center. MÉTODOS: 20 pacientes portadoras de câncer de mama foram divididas aleatoriamente em um grupo que realizou 21 semanas de exercícios (n = 10) e um grupo de controle (n = 10). O grupo experimental realizou exercícios de intensidade baixa e moderada durante 60 minutos duas vezes por semana. A composição corporal foi avaliada pelo método de dobras cutâneas e a força msucular pelo teste de uma repetição máxima (1 RM). RESULTADOS: Foram encontradas diferenças signifi cativas na massa magra, gordura corporal e força (p = 0,004, p = 0,004, p = 0,025, respectivamente) entre os grupos ao fi nal do estudo. CONCLUSÃO: Os resultados deste estudo sugerem que exercícios com treinamento de força promovem mudanças na composição corporal e força em pacientes portadoras de câncer de mama sob tratamento médico.

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Biografia do Autor

Claudio Battaglini, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

PhD. University of North Carolina at Chapel Hill, Department of Exercise and Sport Science, Chapel Hill, North Carolina, United States.

Martim Bottaro, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

PhD. University of Brasília, College of Physical Education, Brasília, Federal District, Brazil.

Carolyn Dennehy, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

PhD. Navitas Cancer Rehabilitation Centers of America, Inc., Westminster, Colorado, United States.

Logan Rae, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

MA. University of North Carolina at Chapel Hill, Department of Exercise and Sport Science, Chapel Hill, North Carolina, United States.

Edgar Shields, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

PhD. University of North Carolina at Chapel Hill, Department of Exercise and Sport Science, Chapel Hill, North Carolina, United States.

David Kirk, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

MD. University of North Carolina at Chapel Hill, Department of Pulmonary Disease and Critical Care Medicine, Chapel Hill, North Carolina, United States.

Anthony Hackney, The University of North Carolina at Chapel Hill, University of Brasilia and Navitas Cancer Rehabilitation Centers of America Inc.

PhD. University of North Carolina at Chapel Hill, Department of Exercise and Sport Science, Chapel Hill, North Carolina, United States.

Referências

American Cancer Society. Breast Cancer Facts and Figures, 2003-2004. Atlanta: American Cancer Society Publications; 2003. Available from: http://www.cancer.org/downloads/STT/CAFF2003BrFPWSecured.pdf. Accessed in 2006 (Nov 1).

Courneya KS. Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc. 2003;35(11):1846-52.

Whiteman MK, Hillis SD, Curtis KM, McDonald JA, Wingo PA, Marchbanks PA. Body mass and mortality after breast cancer diag- nosis. Cancer Epidemiol Biomarkers Prev. 2005;14(8):2009-14.

Dixon JK, Moritz DA, Baker FL. Breast cancer and weight gain: an unexpected finding. Oncol Nurs Forum. 1978;5(3):5-7.

Demark-Wahnefried W, Peterson BL, Winer EP, et al. Changes in weight, body composition, and factors influencing energy balance among premenopausal breast cancer patients receiving adjuvant chemotherapy. J Clin Oncol. 2001;19(9):2381-9.

Goodwin PJ, Ennis M, Bordeleau MJ, et al. Health-related quality of life and psychosocial status in breast cancer prognosis: analysis of multiple variables. J Clin Oncol. 2004;22(20):4184-92.

Chang VT, Hwang SS, Feuerman M, Kasimis BS. Symptom and quality of life survey of medical oncology patients at a veterans affairs medical center: a role for symptom assessment. Cancer. 2000;88(5):1175-83.

Dimeo F, Fetscher S, Lange W, Mertelsmann R, Keul J. Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood. 1997;90(9):3390-4.

Dimeo FC. Effects of exercise on cancer-related fatigue. Cancer. 2001;92(6 Suppl):1689-93.

Courneya KS, Friedenreich CM. Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med. 1999;21(2):171-9.

al-Majid S, McCarthy DO. Cancer-induced fatigue and skeletal muscle wasting: the role of exercise. Biol Res Nurs. 2001;2(3):186-97.

Freedman RJ, Aziz N, Albanes D, et al. Weight and body composition changes during and after adjuvant chemother- apy in women with breast cancer. J Clin Endocrinol Metab. 2004;89(5):2248-53.

Costa LJ, Varella PC, del Giglio A. Weight changes during chemo- therapy for breast cancer. Sao Paulo Med J. 2002;120(4):113-7.

American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 7th ed. Baltimore: Lippincott Williams & Wilkins; 2005.

Dimeo FC, Stieglitz RD, Novelli-Fischer U, Fetscher S, Keul J. Effects of physical activity on the fatigue and psycho- logic status of cancer patients during chemotherapy. Cancer. 1999;85(10):2273-7.

Mock V, Dow KH, Meares CJ, et al. Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum. 1997;24(6):991-1000.

Winningham ML, MacVicar MG, Bondoc M, Anderson JI, Minton JP. Effect of aerobic exercise on body weight and compo- sition in patients with breast cancer on adjuvant chemotherapy. Oncol Nurs Forum. 1989;16(5):683-9.

Kraemer WJ, Adams K, Cafarelli E, et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-80.

Adamsen L, Midtgaard J, Rorth M, et al. Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy. Support Care Cancer. 2003;11(11):707-16.

Battaglini CL, Bottaro M, Campbell JS, Novaes J, Simão R. Atividade física e níveis de fadiga em pacientes portadores de câncer. [Physical activity and levels of fatigue in cancer patients]. Rev Bras Med Esporte. 2004;10(2):98-110.

Durak EP, Lilly PC. The application of an exercise and well- ness program for cancer patients: a preliminary outcomes report. J Strength Cond Res. 1998;12(1):3-6. Available from: http://nsca.allenpress.com/nscaonline/?request=get-abstract&doi=10.1519%2F1533-4287(1998)012%3C0003:TAOAEA%3E2.3.CO%3B2. Accessed in 2006 (Nov 06).

Durak EP, Lilly PC, Hackworth JL. Physical and psychosocial responses to exercise in cancer patients: A two-year follow-up survey with prostate, leukemia, and general carcinoma. Journal of Exercise Physiology. 1999;2(1):1-6. Available from: http://faculty.css.edu/tboone2/asep/jan12b.htm. Accessed in 2006 (Nov 06).

Porock D, Kristjanson LJ, Tinnelly K, Duke T, Blight J. An exercise intervention for advanced cancer patients experiencing fatigue: a pilot study. J Palliat Care. 2000;16(3):30-6.

Segal R, Evans W, Johnson D, et al. Structured exercise improves physical functioning in women with stages I and II breast cancer: results of a randomized controlled trial. J Clin Oncol. 2001;19(3):657-65.

Jackson AS, Pollock ML, Ward A. Generalized equations for predicting body density of women. Med Sci Sports Exerc. 1980;12(3):175-81.

Kuramoto AK, Payne VG. Predicting muscular strength in women: a preliminary study. Res Q Exerc Sport. 1995;66(2):168-72.

Schneider CM, Dennehy CA, Carter SD. Exercise and cancer recovery. Champaign: Human Kinetics; 2003.

Kolden GG, Strauman TJ, Ward A, et al. A pilot study of group exercise training (GET) for women with primary breast cancer: feasibility and health benefits. Psychooncology. 2002;11(5):447-56.

Schwartz AL. Exercise and weight gain in breast cancer patients receiving chemotherapy. Cancer Pract. 2000;8(5):231-7.

Segal R, Reid RD, Courneya KS, et al. Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol. 2003;21(9):1653-9.

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Publicado

2007-01-01

Como Citar

1.
Battaglini C, Bottaro M, Dennehy C, Rae L, Shields E, Kirk D, Hackney A. Os efeitos da prescrição individualizada de exercícios na composição corporal de pacientes após o tratamento de câncer de mama. Sao Paulo Med J [Internet]. 1º de janeiro de 2007 [citado 15º de outubro de 2025];125(1):22-8. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/2036

Edição

v. 125 n. 1 (2007)

Seção

Artigo Original

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.