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Safety, feasibility, and effectiveness of implementing supervised exercise into the clinical care of individuals with advanced cancer.
- Source :
- Clinical Rehabilitation; Dec2022, Vol. 36 Issue 12, p1666-1678, 13p
- Publication Year :
- 2022
-
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<subscript>2max</subscript> 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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 36
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 159693792
- Full Text :
- https://doi.org/10.1177/02692155221114556