Efeitos de um Programa On-line de Exercício Físico sobre Fadiga, Cognição e Ansiedade de Sobreviventes de Câncer de Mama durante a Pandemia da Covid-19
DOI:
https://doi.org/10.32635/2176-9745.RBC.2025v71n2.5087Palavras-chave:
Neoplasias da Mama, Sobreviventes de Câncer, COVID-19, Fadiga Mental, Exercício FísicoResumo
Introdução: Durante a pandemia da covid-19, mulheres sobreviventes de câncer de mama enfrentaram desafios que exacerbaram fadiga relacionada ao câncer, comprometimentos cognitivos e ansiedade, frequentemente relatados por essa população. Objetivo: Investigar os efeitos de programa on-line de exercício físico supervisionado remotamente sobre fadiga, função cognitiva e ansiedade em mulheres sobreviventes de câncer de mama durante a pandemia da covid-19. Método: Estudo pré-experimental com nove mulheres sobreviventes de câncer de mama (média de idade: 55,89 ± 12,18 anos), participantes de programa universitário. A intervenção consistiu em 18 semanas de exercícios supervisionados remotamente, realizados via chamadas de vídeo, com dois atendimentos semanais de 30 minutos. O programa incluiu exercícios de mobilidade articular, atividades aeróbicas e força, estruturados em formato de circuito, seguidos de alongamentos, com ajustes periódicos a cada duas semanas. Os desfechos foram avaliados antes e após intervenção, via contato telefônico, utilizando questionários Piper Fatigue Scale, FACT-Cog-v3 e IDATE. Os dados foram analisados pelo teste de Wilcoxon (α = 0,05). Resultados: Houve melhora significativa no domínio sensorial da fadiga (p = 0,042), enquanto outros domínios da fadiga (fadiga total: p = 0,128; comportamental: p = 0,144; afetiva: p = 0,705; cognitivo-emocional: p = 0,752), função cognitiva (p = 0,999) e níveis de ansiedade (estado: p = 0,104; traço: p = 0,400) permaneceram estáveis. Conclusão: O programa de 18 semanas foi eficaz em melhorar os níveis de fadiga sensorial e manter estáveis a fadiga geral, função cognitiva e ansiedade em sobreviventes de câncer de mama durante distanciamento social imposto pela pandemia da covid-19.
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