51. Safety, feasibility, and effectiveness of implementing supervised exercise into the clinical care of individuals with advanced cancer.
- Author
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Gil Herrero, Lucía, McNeely, Margaret L, Courneya, Kerry S, Castellanos Montealegre, Mónica, González Marquez, Ana Isabel, Pollan Santamaría, Marina, and Casla Barrio, Soraya
- Subjects
PILOT projects ,CONFIDENCE intervals ,SELF-evaluation ,HEALTH outcome assessment ,COMMUNITY health services ,TUMOR classification ,TREATMENT effectiveness ,PRE-tests & post-tests ,T-test (Statistics) ,COMPARATIVE studies ,CANCER patients ,HUMAN services programs ,PHYSICAL activity ,ANALYSIS of covariance ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,QUALITY of life ,INTEGRATED health care delivery ,DATA analysis software ,FATIGUE (Physiology) ,REHABILITATION ,CANCER patient rehabilitation ,EXERCISE therapy ,PATIENT safety ,EVALUATION - Abstract
Objective: To evaluate the safety, feasibility, and preliminary effectiveness of implementing supervised exercise programming into the clinical care of individuals with advanced cancer. Design: Single group implementation feasibility study using a pre–posttest design. Setting: Exercise Oncology Unit of the Spanish Cancer Association (a cancer-specific community facility outside the hospital setting). Participants: Adult individuals with advanced cancer profile involving advanced local cancer or distant metastases. Intervention: A 12-week, twice-weekly, supervised, clinic-based multi-component exercise program. Main Measure: Paired t -tests were used to assess pre–post changes and analyses of covariance were used to compare effects based on selected participant characteristics. Results: Eighty-four individuals with advanced cancer completed the baseline assessment, with six participants withdrawing prior to the start of the program. Of the 78 participants, 17 dropped out, thus, a total of 61 completed the final assessment. Mean adherence was 82.5%. No serious adverse events occurred. Exercise significantly improved VO
2max by 5.2 mL·kg·min (p < 0.001), chest strength (p < 0.001), leg strength (p < 0.001), lean body mass (p = 0.003), skeletal muscle mass (p < 0.002), % body fat (p = 0.02), quality of life by 5.3 points (p = 0.009), fatigue by 3.2 points (p = 0.012), and physical activity by 1680 METs/week (p < 0.001). Conclusions: Our clinically supervised and tailored exercise program involving moderate to vigorous intensity exercise was found to be feasible, safe, and effective for individuals with advanced cancer. Implications for Cancer Survivors: With proper screening and supervision, individuals with advanced cancer can benefit from tailored exercise oncology support as part of an overall therapeutic care plan. [ABSTRACT FROM AUTHOR]- Published
- 2022
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