Factores Asociados con la Aptitud Cardiorrespiratoria en Sobrevivientes de Cáncer de Mama del Estado de Santa Catarina, Brasil: Estudio Transversal
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3239Palabras clave:
breast neoplasms, exercise, walking, cardiorespiratory fitness, cancer survivorsResumen
Introducción: El consumo de oxígeno (VO2) es indicativo de aptitud cardiorrespiratoria (ACR) y los niveles más bajos se relacionan con un mayor riesgo de mortalidad total entre las personas con cáncer cuya terapia puede tener consecuencias adversas sobre el sistema cardiovascular. Objetivo: Examinar las asociaciones de los resultados sociodemográficos, clínicos, antropométricos y variables funcionales informados por las pacientes con la ACR en 69 mujeres (55±10 años) e identificar si caminar es un predictor de la variación del VO2 máximo en esta población con cáncer de mama (CM). Método: Mujeres sobrevivientes de CM que recibieron terapia hormonal después de dos tipos de cirugía (conservadora y mastectomía) se sometieron a una prueba de ACR en un cicloergómetro para medir el VO2 máximo. Se aplicó un cuestionario que contenía datos sociodemográficos, clínicos, resultados informados por los pacientes (RIP) (síntomas depresivos, calidad del sueño, fatiga, imagen corporal) y caminata autoinformada y pruebas para medir el porcentaje de grasa corporal, la circunferencia de la cintura, la flexibilidad y el rango de movimiento (RoM) del hombro. Resultados: El desempleo y la jubilación se asociaron con una baja ACR, al igual que el uso de inhibidores de la aromatasa en lugar de tamoxifeno. Síntomas depresivos, peor imagen corporal, mayor perímetro de cintura, menor flexibilidad y RoM de los hombros también se asociaron con una baja ACR. La duración de la caminata, controlada por edad e índice de masa corporal (IMC), es un predictor del 13% de la variación del VO2 pico en esta muestra. Conclusión: Estos factores deben ser considerados para comprender el perfil de ACR de los sobrevivientes de CM. Como la caminata fue un predictor de la variación del VO2 pico, debe recomendarse actividad física para pacientes con CM en terapia hormonal.
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Schmid D, Leitzmann MF. Cardiorespiratory fitness as predictor of cancer mortality: a systematic review and meta-analysis. Ann Oncol. 2015;26(2):272-8. doi: https://doi.org/10.1093/annonc/mdu250 DOI: https://doi.org/10.1093/annonc/mdu250
Lundby C, Montero D, Joyner M. Biology of VO2 max: looking under the physiology lamp. Acta Physiol (Oxf). 2017;220(2):218-28. doi: https://doi.org/10.1111/apha.12827 DOI: https://doi.org/10.1111/apha.12827
Beaudry RI, Kirkham AA, Thompson RB, et al. exercise intolerance in anthracycline-treated breast cancer survivors: the role of skeletal muscle bioenergetics, oxygenation, and composition. Oncologist. 2020;25(5):e852-e860. doi: https://doi.org/10.1634/theoncologist.2019-0777 DOI: https://doi.org/10.1634/theoncologist.2019-0777
Kim DY, Kim JH, Park SW. Aerobic capacity correlates with health-related quality of life after breast cancer surgery. Eur J Cancer Care (Engl). 2019;28(4):e13050. doi: https://doi.org/10.1111/ecc.13050 DOI: https://doi.org/10.1111/ecc.13050
Tolentino GP, Battaglini CL, Araújo SS, et al. Cardiorespiratory fitness and quality-of-life analysis posttreatment in breast cancer survivors. J Psychosoc Oncol. 2010;28(4):381-98. doi: https://doi.org/10.1080/07347332.2010.484831 DOI: https://doi.org/10.1080/07347332.2010.484831
Burnett D, Kluding P, Porter C, et al. Cardiorespiratory fitness in breast cancer survivors. Springerplus. 2013;2(1):68. doi: https://doi.org/10.1186/2193-1801-2-68 DOI: https://doi.org/10.1186/2193-1801-2-68
Jones LW, Courneya KS, Mackey JR, et al. Cardiopulmonary function and age-related decline across the breast cancer survivorship continuum. J Clin Oncol. 2012;30(20):2530-7. doi: https://doi.org/10.1200/JCO.2011.39.9014 DOI: https://doi.org/10.1200/JCO.2011.39.9014
Santos-Lozano A, Ramos J, Alvarez-Bustos A, et al. Cardiorespiratory fitness and adiposity in breast cancer survivors: is meeting current physical activity recommendations really enough? Support Care Cancer. 2018;26(7):2293-2301. doi: https://doi.org/10.1007/s00520-018-4055-y DOI: https://doi.org/10.1007/s00520-018-4055-y
Peel AB, Thomas SM, Dittus K, et al. Cardiorespiratory fitness in breast cancer patients: a call for normative values. J Am Heart Assoc. 2014;3(1):e000432. doi: https://doi.org/10.1161/JAHA.113.000432 DOI: https://doi.org/10.1161/JAHA.113.000432
Zeiher J, Ombrellaro KJ, Perumal N, et al. Correlates and determinants of cardiorespiratory fitness in adults: a systematic review. Sports Med Open. 2019;5(1):39. doi: https://doi.org/10.1186/s40798-019-0211-2 DOI: https://doi.org/10.1186/s40798-019-0211-2
Smoot B, Johnson M, Duda JJ, et al. Cardiorespiratory fitness in women with and without lymphedema following breast cancer treatment. Cancer Clin Oncol. 2012;1(1):21-31. doi: https://doi.org/10.5539/cco.v1n1p21 DOI: https://doi.org/10.5539/cco.v1n1p21
Taylor DL, Nichols JF, Pakiz B, et al. Relationships between cardiorespiratory fitness, physical activity, and psychosocial variables in overweight and obese breast cancer survivors. Int J Behav Med. 2010;17(4):264-70. doi: https://doi.org/10.1007/s12529-010-9076-y DOI: https://doi.org/10.1007/s12529-010-9076-y
Boing L, Fretta TB, Vieira MCS, et al. Pilates and dance to patients with breast cancer undergoing treatment: study protocol for a randomized clinical trial - MoveMama study. Trials. 2020;21(1):35. doi: https://doi.org/10.1186/s13063-019-3874-6 DOI: https://doi.org/10.1186/s13063-019-3874-6
Ribeiro G, Aguiar RA, Penteado R, et al. A-mode ultrasound reliability in fat and muscle thickness measurement. J Strength Cond Res. 2022;36(6):1610-7. doi: https://doi.org/10.1519/JSC.0000000000003691 DOI: https://doi.org/10.1519/JSC.0000000000003691
Beck AT, Ward CH, Mendelson M. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-71. doi: https://doi.org/10.1001/archpsyc.1961.01710120031004 DOI: https://doi.org/10.1001/archpsyc.1961.01710120031004
Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi: https://doi.org/10.1016/0165-1781(89)90047-4 DOI: https://doi.org/10.1016/0165-1781(89)90047-4
Ishikawa NM, Thuler LCS, Giglio AG, et al. Validation of the Portuguese version of Functional Assessment of Cancer Therapy-Fatigue (FACT-F) in Brazilian cancer patients. Support Care Cancer. 2010;18(4):481-90. doi: https://doi.org/10.1007/s00520-009-0697-0 DOI: https://doi.org/10.1007/s00520-009-0697-0
Baxter NN, Goodwin PJ, McLeod RS, et al. Reliability and validity of the body image after breast cancer questionnaire. Breast J. 2006;12(3):221-32. doi: https://doi.org/10.1111/j.1075-122X.2006.00246.x DOI: https://doi.org/10.1111/j.1075-122X.2006.00246.x
Gonçalves CO, Tavares MCGCF, Campana ANNB, et al. Validation of the instrument “Body image after breast cancer” in Brazil. Mot Rev Educ Fís. 2014;20(1):8-15. doi: https://doi.org/10.1590/S1980-65742014000100002 DOI: https://doi.org/10.1590/S1980-65742014000100002
Matsudo S, Araújo T, Matsudo V, et al. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde. 2001;6(2):5-17. doi: https://doi.org/10.12820/rbafs.v.6n2p5-18
Colombino ICF, Sarri AJ, Castro IQ, et al. Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil. Support Care Cancer. 2020;28(9):4445-58. doi: https://doi.org/10.1007/s00520-019-05164-7 DOI: https://doi.org/10.1007/s00520-019-05164-7
Beckwée D, Leysen L, Meuwis K, et al. Prevalence of aromatase inhibitor-induced arthralgia in breast cancer: a systematic review and meta-analysis. Support Care Cancer. 2017;25(5):1673-86. doi: https://doi.org/10.1007/s00520-017-3613-z DOI: https://doi.org/10.1007/s00520-017-3613-z
Aydiner A. Meta-analysis of breast cancer outcome and toxicity in adjuvant trials of aromatase inhibitors in postmenopausal women. Breast. 2013;22(2):121-9. doi: https://doi.org/10.1016/j.breast.2013.01.014 DOI: https://doi.org/10.1016/j.breast.2013.01.014
Cuppone F, Bria E, Verma S, et al. Do adjuvant aromatase inhibitors increase the cardiovascular risk in postmenopausal women with early breast cancer? Meta-analysis of randomized trials. Cancer. 2008;112(2):260-7. doi: https://doi.org/10.1002/cncr.23171 DOI: https://doi.org/10.1002/cncr.23171
Paulo TRS, Viezel J, Aro BL, et al. Relationship between physical activity practice and metabolic profile of postmenopausal women under treatment with aromatase inhibitors for breast cancer. Eur J Obstet Gynecol Reprod Biol. 2017;216:33-7. doi: https://doi.org/10.1016/j.ejogrb.2017.07.003 DOI: https://doi.org/10.1016/j.ejogrb.2017.07.003
Burstein HJ. Aromatase inhibitor-associated arthralgia syndrome. Breast. 2007;16(3):223-34. doi: https://doi.org/10.1016/j.breast.2007.01.011 DOI: https://doi.org/10.1016/j.breast.2007.01.011
Yao S, Laurent CA, Roh JM, et al. Serum bone markers and risk of osteoporosis and fragility fractures in women who received endocrine therapy for breast cancer: a prospective study. Breast Cancer Res Treat. 2020;180(1):187-95. doi: https://doi.org/10.1007/s10549-019-05518-z DOI: https://doi.org/10.1007/s10549-019-05518-z
Carlsen T, Salvesen Ø, Sui X, et al. Long-term changes in depressive symptoms and estimated cardiorespiratory fitness and risk of all-cause mortality: the Nord-Trøndelag health study. Mayo Clin Proc. 2018;93(8):1054-64. doi: https://doi.org/10.1016/j.mayocp.2018.01.015 DOI: https://doi.org/10.1016/j.mayocp.2018.01.015
Patsou ED, Alexias GT, Anagnostopoulos FG, et al. Physical activity and sociodemographic variables related to global health, quality of life, and psychological factors in breast cancer survivors. Psychol Res Behav Manag. 2018;11:371-81. doi: https://doi.org/10.2147/PRBM.S170027 DOI: https://doi.org/10.2147/PRBM.S170027
Boing L, Pereira GS, Araújo CCR, et al. Factors associated with depression symptoms in women after breast cancer. Rev Saude Publica. 2019;53:30. doi: https://doi.org/10.11606/S1518-8787.2019053000786 DOI: https://doi.org/10.11606/S1518-8787.2019053000786
Paans NPG, Bot M, Brouwer IA, et al. Contributions of depression and body mass index to body image. J Psychiatr Res. 2018;103:18-25. doi: https://doi.org/10.1016/j.jpsychires.2018.05.003 DOI: https://doi.org/10.1016/j.jpsychires.2018.05.003
Miaja M, Platas A, Martinez-Cannon BA. Psychological impact of alterations in sexuality, fertility, and body image in young breast cancer patients and their partners. Rev Investig Clin. 2017;69(4):204-9. doi: https://doi.org/10.24875/RIC.17002279 DOI: https://doi.org/10.24875/RIC.17002279
Ng ET, Ang RZ, Tran BX, et al. Comparing quality of life in breast cancer patients who underwent mastectomy versus breast-conserving surgery: a meta-analysis. Int J Environ Res Public Health. 2019;16(24):4970. doi: https://doi.org/10.3390/ijerph16244970 DOI: https://doi.org/10.3390/ijerph16244970
Kohler R, Rorato P, Braga ALF, et al. Effects of aging and exercise on the cardiorespiratory fitness of older women. rev bras geriatr gerontol. 2016;19(4):603-12. doi: https://doi.org/10.1590/1809-98232016019.150092 DOI: https://doi.org/10.1590/1809-98232016019.150092
Canella C, Mikolasek M, Rostock M, et al. Developing an integrative treatment program for cancer-related fatigue using stakeholder engagement - A qualitative study. Integr Cancer Ther. 2018;17(3):762-73. doi: https://doi.org/10.1177/1534735417740629 DOI: https://doi.org/10.1177/1534735417740629
Dieli-Conwright CM, Orozco B. Exercise after breast cancer treatment: current perspectives. Breast Cancer (Dove Med Press). 2015;7:353-62. doi: https://doi.org/10.2147/BCTT.S82039 DOI: https://doi.org/10.2147/BCTT.S82039
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