Melhorias na fadiga e na depressão em sobreviventes de câncer de mama praticantes de treinamento de força

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DOI:

https://doi.org/10.1590/1980-0037.2021v23e73039

Resumo

Devido à alta incidência de câncer de mama em todo o mundo, é importante pesquisar e entender os efeitos fisiológicos e psicológicos dessa doença, como fadiga, depressão e capacidade de realizar tarefas da vida diária e como elas se modificam com a atividade física. O objetivo deste estudo foi analisar os efeitos do treinamento de força na fadiga física (IMF-20), depressão (questionário de Beck), força de preensão manual e desempenho funcional (timed up and go). A amostra foi composta por 17 mulheres sobreviventes de câncer de mama, das quais 8 voluntárias eram praticantes de treinamento de força há pelo menos 6 meses (P) e 9 voluntárias eram não-praticantes (NP). O teste T identificou diferenças significativas (p> 0,05) entre os grupos sobre fadiga (P = 7,37 ± 1,76; NP= 10,77 ± 3,41; p = 0,02) e sobre depressão (P= 8,75 ± 5,20; NP= 14,55 ± 4,21). Não houve diferença significativa entre os grupos em força de preensão manual e desempenho funcional.

Referências

Harbeck N, Penault-Llorca F, Cortes J, Gnant M, Houssami N, Poortmans P, et al. Breast cancer. Vol. 5, Nature Reviews Disease Primers. 2019.

Refaee Saeedi N, Aghamohammadian Sharbaf H, Asghari Ebrahimabad MJ, Kareshki H. Psychological consequences of breast cancer in Iran: A meta-analysis. Iran J Public Health. 2019;48(5):816–24.

INCA. Estimativa 2018-Incidência de câncer no Brasil [Internet]. Instituto Nacional de Câncer José Alencar Gomes da Silva. 2017. 130 p.

Shaw LK, Sherman KA, Fitness J. Women’s experiences of dating after breast cancer. J Psychosoc Oncol 2016;34(4):318–35.

Bower JE. Cancer-related fatigue--mechanisms, risk factors, and treatments. Nat Rev Clin Oncol 2014;11(10):597–609.

Sha F, Zhuang S, Zhou L, Zhang L, Yang Y, Zhang S, et al. Biomarkers for cancer-related fatigue and adverse reactions to chemotherapy in lung cancer patients. Mol Clin Oncol 2015;3(1):163–6.

Al-Majid S, Waters H. The Biological Mechanisms of Cancer-Related Skeletal Muscle Wasting: The Role of Progressive Resistance Exercise. Biol Res Nurs 2008;10(1):7–20.

Berger AM, Gerber LH, Mayer DK. Cancer-related fatigue: Implications for breast cancer survivors. Cancer 2012;118(Suppl.8):2261–9.

Díaz N, Menjón S, Rolfo C, García-Alonso P, Carulla J, Magro A, et al. Patients’ perception of cancer-related fatigue: Results of a survey to assess the impact on their everyday life. Clin Transl Oncol 2008;10(11):753–7.

Simonavice E, Liu P-Y, Ilich J, Kim J-S, Arjmandi B, Panton L. The Effects of Resistance Training on Physical Function and Quality of Life in Breast Cancer Survivors. Healthcare 2015;3(3):695–709.

Broeckel JA, Jacobsen PB, Balducci L, Horton J, Lyman GH. Quality of life after adjuvant chemotherapy for breast cancer. Breast Cancer Res Treat 2000;62(2):141–50.

Merchant CR, Chapman T, Kilbreath SL, Refshauge KM, Krupa K. Decreased muscle strength following management of breast cancer. Disabil Rehabil 2008;30(15):1098–105.

Dawson JK, Dorff TB, Todd Schroeder E, Lane CJ, Gross ME, Dieli-Conwright CM. Impact of resistance training on body composition and metabolic syndrome variables during androgen deprivation therapy for prostate cancer: A pilot randomized controlled trial. BMC Cancer 2018;18(1):1–15.

Ergun M, Eyigor S, Karaca B, Kisim A, Uslu R. Effects of exercise on angiogenesis and apoptosis-related molecules, quality of life, fatigue and depression in breast cancer patients. Eur J Cancer Care 2013;22(5):626–37.

Milne HM, Wallman KE, Gordon S, Courneya KS. Effects of a combined aerobic and resistance exercise program in breast cancer survivors: A randomized controlled trial. Breast Cancer Res Treat 2008;108(2):279–88.

Ferguson B. ACSM’s Guidelines for Exercise Testing and Prescription 9th Ed. 2014. J Can Chiropr Assoc 2014;58(3):328.

Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 1995;39(3):315-25.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71

Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 1984;9(2):222–6.

Rikli RE, Jones CJ. Functional fitness normative scores for community-residing older adults, ages 60-94. J Aging Phys Act 1999;7:162–181.

Ebede CC, Jang Y, Escalante CP. Cancer-Related Fatigue in Cancer Survivorship. Med Clin North Am 2017;101(6):1085–97.

Hagstrom AD, Marshall PWM, Lonsdale C, Papalia S, Cheema BS, Toben C, et al. The effect of resistance training on markers of immune function and inflammation in previously sedentary women recovering from breast cancer : a randomized controlled trial. Breast Cancer Res Treat 2016;155(3):471-82.

Van Waart H, Stuiver MM, Van Harten WH, Geleijn E, Kieffer JM, Buffart LM, et al. Effect of low-intensity physical activity and moderate- to high-intensity physical exercise during adjuvant chemotherapy on physical fitness, fatigue, and chemotherapy completion rates: Results of the PACES randomized clinical trial. J Clin Oncol 2015;33(17):1918–27.

Battaglini C, Bottaro M, Dennehy C, Barfoot D, Shields E, Kirk D, et al. The effects of resistance training on muscular strength and fatigue levels in breast cancer patients. Rev Bras Med Esporte 2006;12(3):153–8.

Lima FD, Bottaro M, de Oliveira Valeriano R, Cruz L, Battaglini CL, Vieira CA, et al. Cancer-Related Fatigue and Muscle Quality in Hodgkin’s Lymphoma Survivors. Integr Cancer Ther 2017:53473541771200.

Bower JE. Cancer-related fatigue: Mechanisms, risk factors, and treatments. Nat Rev Clin Oncol 2014; 11(10): 597–609.

Smith HR. Depression in cancer patients: Pathogenesis, implications and treatment (review). Oncol Lett 2015;9(4):1509–14.

Matthews VB, Åström MB, Chan MHS, Bruce CR, Krabbe KS, Prelovsek O, et al. Brain-derived neurotrophic factor is produced by skeletal muscle cells in response to contraction and enhances fat oxidation via activation of AMP-activated protein kinase. Diabetologia 2009;52(7):1409–18.

Craft L, Vaniterson E, Helenowski I, Rademaker A, Courneya K. Exercise Effects on Depressive Symptoms in Cancer Survivors : Cancer Epidemiol Biomarkers Prev 2012;21(1):3–19.

Patsou ED, Alexias GD, Anagnostopoulos FG, Karamouzis M V. Effects of physical activity on depressive symptoms during breast cancer survivorship: A meta-analysis of randomised control trials. ESMO Open 2017;2(5):e000271.

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2021-12-09

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