癌症存活者之運動促進

Promoting Exercise in Cancer Survivors

郭裴翎(Pei-Ling Kuo) ； 余家慧(Chia-Hui Yu) ； 王采芷(Tsae-Jyy Wang)

《腫瘤護理雜誌》 18卷增訂刊 (2018/10) Pp. 19-27

https://doi.org/10.6880/TJON.201810/SP_18.02

摘要

癌症存活者常須面對因癌症與治療造成的持續生理後果與心理影響以及癌症復發的威脅，規律運動能改善癌症治療所導致的特定副作用並降低某些癌症復發的風險，儘管如此，只有三分之一的癌症存活者達到美國癌症協會對癌症存活者身體活動指引的建議。因此本文主要介紹癌症存活者運動指引，不同存活期運動的特殊考量，以及影響癌症存活者規律運動的因素，以作為協助癌症存活者建立規律運動行為的參考。整體而言，在任何階段的癌症存活者皆可進行規律運動，設計適當的運動訓練有助於病人改善健康狀況、提升身體功能與維持生活品質。其運動訓練除可依循一般成年人運動指引的共同原則，更需評估與考量因癌症與治療所造成的影響與限制，制定個人化的運動計畫。對於運動行為改變較具挑戰性之個案，可進一步考慮運用健康行為改變理論於運動習慣之建立與維持。

關鍵字

癌症存活者 ； 運動促進 ； 運動指引 ； 運動影響因素

並列摘要

Cancer survivors often face the persistent physiological consequences and psychological impacts of cancer and related treatment, as well as the threat of cancer recurrence. Regular exercise can relieve specific side effects caused by cancer treatments and reduce the recurrence risk of certain cancers. Despite these benefits, only one-third of cancer survivors meet the recommendations of the American Cancer Society’s physical activity guidelines for cancer survivors. To serve as a reference for helping cancer survivors establish regular exercise behaviors, this review article shares the exercise guidelines for cancer survivors, the special considerations for exercise training in different survival stages, and the factors influencing regular exercise in cancer survivors. On the whole, cancer survivors at any stage can exercise regularly. Appropriately designed exercise training can help cancer survivors improve their health, physical functions, and quality of life. In addition to following the general principles of adult exercise guidelines, a cancer survivor needs a personalized exercise plan with the assessments and considerations of impacts and limitations resulted from cancer and its treatment. For patients who may find the exercise behavioral change more challenging, theories of health behavior changes can be further applied for establishing and maintaining exercise habits.

並列關鍵字

cancer survivors ； promoting exercise ； exercise guideline ； exercise influencing factors

參考文獻

Almstedt, H. C., Grote, S., Korte, J. R., Perez Beau- dion, S., Shoepe, T. C., Strand, S., & Tarleton, H. P. (2016). Combined aerobic and resistance training improves bone health of female cancer survivors. Bone Rep, 5, 274-279. doi:10.1016/ j.bonr.2016.09.003

Christensen, J. F., Bandak, M., Campbell, A., Jones, L. W., & H jman, P. (2015). Treatment-related cardiovascular late effects and exercise training countermeasures in testicular germ cell cancer survivorship. Acta Oncologica, 54(5), 592-599. doi:10.3109/0284186X.2014.995776

Garcia, D. O., & Thomson, C. A. (2014). Physical activity and cancer survivorship. Nutrition in Clinical Practice, 29(6), 768-779. doi:10. 1177/0884533614551969

Hefferon, K., Murphy, H., McLeod, J., Mutrie, N., & Campbell, A. (2013). Understanding barriers to exercise implementation 5-year post-breast cancer diagnosis: A large-scale qualitative study. Health Education Research, 28(5), 843- 856. doi:10.1093/her/cyt083

Inoue-Choi, M., Robien, K., & Lazovich, D. (2013). Adherence to the WCRF/AICR guidelines for cancer prevention is associated with lower mortality among older female cancer survivors. Cancer Epidemiology, Biomarkers and Preven- tion, 22(5), 792-802. doi:10.1158/1055-9965. epі-13-0054