| 제목 |
Effects of Exercise in Breast Cancer Patients: Is Mobile Health More Effective than Usual care? |
| 소속 |
Konkuk University Medical Center, Department of Rehabilitation Medicine1, Samsung Medical Center, Department of Rehabilitation Medicine2, National Cancer Center, Department of Rehabilitation Medicine3, The Catholic Kwandong University International St. Mary’s Hospital, Department of Surgery4, The Catholic University of Korea Seoul St. Mary's Hospital , Department of Urology5 |
| 저자 |
Kyeong Eun Uhm1*, Ji Hye Hwang2†, Ji Sung Yoo3, Seung Hyun Jung3, Il Gyun Lee4, Jung Il Kim4, Yong Hyun Park5, Ji Youl Lee5 |
Purpose
The present study aimed to investigate the difference in exercise effects on physical functions and quality of life (QOL) between application with pedometer and brochure in breast cancer patients.
Methods
The study was a prospective, quasi-randomized controlled multicenter trial and 356 patients were enrolled in this study. All patients were instructed 90-150 minutes of moderate intensity aerobic exercise and 4-8 resistance exercises using Thera-band. For the brochure group, newly made exercise brochure was provided. For the application group, newly developed exercise application, “Smart After Care” and pedometer, “InBodyBand” were provided. The amount of physical activity was monitored by device and patients were instructed to record the number of sets for each resistance exercise performed. Physical measurements were conducted at baseline, 6 weeks and 12 weeks, and included body mass index (BMI), systolic and diastolic blood pressure, pulse rate, arm circumference, presence of hand edema, upper and lower extremity strength and cardiorespiratory endurance. Self-reported physical activity was assessed by international physical activity questionnaire-short form (IPAQ-SF). Also, Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) was used to assess the general QOL, and Quality of Life Questionnaire Breast Cancer Module 23 (EORTC QLQ-BR23) as a breast cancer specific QOL tool. All questionnaires were assessed at baseline and 12 weeks.
Results
Basic characteristics were not different between two groups. Physical measurement revealed significantly reduced diastolic blood pressure (DBP), significantly improved upper and lower extremity strength and cardiorespiratory endurance after exercise intervention in both groups. Total weekly physical activity estimated as MET was significantly increased at 12 weeks in both groups and the increment was significantly higher in mHealth group. Also, QOL scores assessed by EORTC QLQ-C30 and –BR23 were significantly improved at 12 weeks in both groups. Particularly, change of arm symptom score was significantly greater in Health group.
Conclusion
Generally, physical functions and QOL were significantly improved after exercise in both groups. However, the patients used mHealth showed significantly higher improvement in amount of physical activity and some items of QOL than control. Further studies will be needed to identify long-term outcome of mHealth when compared with control.
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