Dia rosa da atividade física: avaliação dos fatores limitantes a prática de atividade física em pacientes tratadas por câncer de mama / Physical activity pink day: assessment of limiting factors to physical activity in patients treated for breast cancer

Maíra Roveratti, Maíta Poli de Araújo, Benno Ejnisman, Gil Facina

Abstract


Introdução: A participação de pacientes com câncer de mama em programas de atividade física está associada á redução de mortalidade e recidiva, melhora da qualidade de vida e redução dos sintomas relacionados ao tratamento. Apesar dessas evidências, aproximadamente dois terços das pacientes são insuficientemente ativas. Assim, programas educativos e ações na comunidade encorajam sobreviventes de câncer de mama no aumento do nível de atividade física. Objetivos: Promover uma experiência prática de atividade física em pacientes tratadas por câncer de mama e avaliar os motivos que impedem a prática de atividade física nessa população. Métodos: Evento de extensão cadastrado sob o número PROEX 16866 a ser realizado anualmente, organizado por médicos, fisioterapeutas, profissionais de educação física, psicólogos e nutricionistas. Consiste em: práticas de atividade física supervisionada e palestra sobre a importância da prática de atividade física regular. Como instrumentos de avaliação foram utilizados questionários de avaliação dos fatores limitantes a prática de  atividade física e de função dos membros superiores. Projeto aprovado sob o número CAAE 36724320.4.0000.5505. Resultados: A taxa de adesão ao evento foi de 75%. 64% das participantes apresentavam sobrepeso ou obesidade. Os principais motivos relatados para a não realização da atividade física foram: falta de tempo (55%) e cansaço (33%). Pacientes sedentárias (11%) apresentaram piores valores de função dos membros superiores quando comparados às fisicamente ativas. Conclusão: Falta de tempo é o principal motivo que limita a atividade física em pacientes com câncer de mama. Ações na comunidade permitem a conscientização e promoção do exercício físico nessa população.


Keywords


câncer de mama, atividade física, questionários, qualidade de vida.

References


INCA: Instituto Nacional do Câncer.internet. Rio de janeiro;modified 2019 dec 17; cited jan 21.Avaiable from:http://www.inca.gov.br.

INCA: Instituto Nacional de Câncer.internet. Dieta, nutrição, atividade física e câncer : uma perspectiva global : um resumo do terceiro relatório de especialistas com uma perspectiva brasileira. Rio de Janeiro; modified 2020 oct 19; cited sept 21. Avaiable from:http://www.inca.gov.br.

Lee J. A meta-analysis of the association between physical activity and breast cancer mortality. Cancer Nurs. 2019;42(4):271–85.

Cormie P, Zopf EM, Zhang X, Schmitz KH. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev. 2017;39(1):71–92.

Cannioto RA, Dighe S, Mahoney MC, Moysich KB, Sen A, Hulme K, et al. Habitual recreational physical activity is associated with significantly improved survival in cancer patients: evidence from the Roswell Park Data Bank and BioRepository. Cancer Causes Control. 2019;30(1):0.

Fuller JT, Hartland MC, Maloney LT, Davison K. Therapeutic effects of aerobic and resistance exercises for cancer survivors: A systematic review of meta-analyses of clinical trials. Br J Sports Med. 2018;52(20):1311.

Loprinzi PD, Cardinal BJ, Winters-Stone K, Smit E, Loprinzi CL. Physical activity and the risk of breast cancer recurrence: A literature review. Oncol Nurs Forum. 2012;39(3):269–74.

Blaney J, Lowe-Strong A, Rankin J, Campbell A, Allen J, Gracey J. The cancer rehabilitation journey: Barriers to and facilitators of exercise among patients with cancer-related fatigue. Phys Ther. 2010;90(8):1135–47.

Baumann FT, Bloch W, Weissen A, Brockhaus M, Beulertz J, Zimmer P, et al. Physical activity in breast cancer patients during medical treatment and in the aftercare - A review. Breast Care. 2013;8(5):330–4.

Santa Mina D, Petrella A, Currie KL, Bietola K, Alibhai SMH, Trachtenberg J, et al. Enablers and barriers in delivery of a cancer exercise program: The Canadian experience. Curr Oncol. 2015;22(6):374–84.

Bland KA, Neil-Sztramko SE, Kirkham AA, Bonsignore A, Van Patten CL, McKenzie DC, et al. Predictors of attendance to an oncologist-referred exercise program for women with breast cancer. Support Care Cancer. 2018;26(9):3297 306.

Witlox L, Velthuis MJ, Boer JH, Steins Bisschop CN, van der Wall E, van der Meulen WJTM, et al. Attendance and compliance with an exercise program during localized breast cancer treatment in a randomized controlled trial: The PACT study. PLoS One. 2019;14(5):1–17.

Orfale AG. Tradução e validação da Disabilities of the Arm, Shoulder and Hand (DASH) para a língua portuguesa tese. São Paulo: Unversidade Federal de São Paulo; 2003.

Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and Its Short Version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society Standardized Shoulder . Arthritis Care Res. 2011;63(SUPPL. 11):174–88.

Shana Harrington, Lori A Michener, Tiffany Kendig SM and SZG. Patient-Reported Soulder Outcome Measures Utilized in Breast Cancer Survivors: a Systematic Review. Arch Phys Med Rehabil. 2014;95(1):153–62.

Fontes KP, Veiga DF, Naldoni AC, Sabino-Neto M, Ferreira LM. Physical activity, functional ability, and quality of life after breast cancer surgery. J Plast Reconstr Aesthetic Surg. 2019;72(3):394–400.

Matsudo, Sandra; Araújo Timóteo; Matsudo, Victor; Andrade D. Questionário Internacional De Atividade Física (Ipaq): Estudo De Validade E Reprodutibilidade No Brasil. Atividade Física e Saúde. 2012;6(2):5–18.

Demark-wahnefried BW, Winer EP, Rimer BK. Why Women Gain Weight With Adjuvant Chemotherapy for Breast Cancer. 1993;11(7):1418–29.

Demark-Wahnefried W, Rimer BK, Winer EP. Weight gain in women diagnosed with breast cancer. Vol. 97, Journal of the American Dietetic Association. 1997;97(5): 519–26.

Rietman JS, Dijkstra PU, Hoekstra HJ, Eisma WH, Szabot BG, Groothoff JW, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: A systematic review. Eur J Surg Oncol. 2003;29(3):229–38.

Hidding JT, Beurskens CHG, Van Der Wees PJ, Van Laarhoven HWM, Nijhuis-van Der Sanden MWG. Treatment related impairments in arm and shoulder in patients with breast cancer: A systematic review. PLoS One. 2014;9(5).

Boing L, Guimarães AC de A, Reis NM, Ribovski M. Atividade física após o diagnóstico do câncer de mama: Revisão sistemática. / Life Physical activity after breast cancer diagnosis: systematic review. Motricidade. 2016;12(2):155–66.

Ortiz A, Tirado M, Hughes DC, Gonzalez V, Song JJ, Mama SK, et al. Relationship between physical activity, disability, and physical fitness profile in sedentary Latina breast cancer survivors. Physiother Theory Pract. 2018;34(10):783–94.

Vardar-Yagli N, Sener G, Saglam M, Calik-Kutukcu E, Arikan H, Inal-Ince D, et al. Associations among physical activity, comorbidity, functional capacity, peripheral muscle strength and depression in breast cancer survivors. Asian Pacific J Cancer Prev. 2015;16(2):585–9.

De Groef A, Geraerts I, Demeyer H, Van der Gucht E, Dams L, de Kinkelder C, et al. Physical activity levels after treatment for breast cancer: Two-year follow-up. Breast. 2018;40:23–8.

Furmaniak AC, Menig M, Markes MH. Exercise for women receiving adjuvant therapy for breast cancer ( Review ) Summary of findings for the main comparison. Cochrane Database Syst Rev. 2016;(9).

Nesvold IL, Foss SD, Holm I, Naume B, Dahl AA. Arm/shoulder problems in breast cancer survivors are associated with reduced health and poorer physical quality of life. Acta Oncol (Madr). 2010;49(3):347–53.

Cheifetz O, Dorsay JP, MacDermid JC. Exercise facilitators and barriers following participation in a community-based exercise and education program for cancer survivors. J Exerc Rehabil. 2015;11(1):20–9.

Sander AP, Wilson J, Izzo N, Mountford SA, Hayes KW. Factors that affect decisions about physical activity and exercise in survivors of breast cancer: A qualitative study. Phys Ther. 2012;92(4):525–36.

National Comprehensive Cancer Network. NCCC.internet. Pensilvânia. cited 2021 May 27. Avaiable from: http://www.nccn.org/.

Furmaniak AC, Menig M, Markes MH. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev. 2016;2016(9).

Turner RR, Steed L, Quirk H, Greasley RU, Saxton JM, Taylor SJC, Rosario DJ, Thaha MA, Bourke L. Interventions for promoting habitual exercise in people living with and beyond cancer (Review). Cochrane Database Syst. Rev. 2018;9(9):1-129.

Courneya KS, Segal RJ, Gelmon K, Reid RD, Mackey JR, Friedenreich CM, et al. Predictors of supervised exercise adherence during breast cancer chemotherapy. Med Sci Sports Exerc. 2008;40(6):1180–7.

Huang HP, Wen FH, Tsai JC, Lin YC, Shun SC, Chang HK, et al. Adherence to prescribed exercise time and intensity declines as the exercise program proceeds: findings from women under treatment for breast cancer. Support Care Cancer. 2015;23(7):2061–71.

Park JH, Lee J, Oh M, Park H, Chae J, Kim DI, Lee MK, Yoon YJ, Lee CW, Park S, Jones LW, Kim NK, Kim SI JJ. The effect of oncologists’ exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer: A randomized controlled trial. Cancer. 2015;121(16):2740–8.




DOI: https://doi.org/10.34119/bjhrv5n3-224

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