Exercício Físico Remoto e Fadiga em Sobreviventes do Câncer de Mama: Uma Intervenção em Tempos do Covid-19

O objetivo do presente estudo foi verificar os efeitos de um programa de exercício físico supervisionado remotamente sobre a percepção de fadiga de sobreviventes do câncer de mama durante a pandemia da COVID-19. Participaram do estudo dez mulheres (56,30 ± 14,00 anos) fisicamente ativas, participantes de um programa de extensão universitário e que foram diagnosticadas com câncer de mama entre os estágios I-III (5,65 ± 2,19 anos de diagnóstico). O programa de exercício físico foi realizado de forma supervisionada por meio de chamada de vídeo durante 12 semanas, com duas sessões semanais de 30 minutos, em dias não consecutivos. Os treinos foram compostos por exercícios de mobilidade articular, de força, aeróbios e de equilíbrio, sendo modificados a cada três semanas. A percepção de fadiga relacionada ao câncer foi medida pela Piper Fatigue Scale por meio de chamada telefônica, antes e após as 12 semanas de intervenção. Os dados foram analisados utilizando o teste não-paramétrico Wilcoxon. Os resultados demonstraram valores de todos os domínios da fadiga relacionada ao câncer (fadiga total: p = 0,463; comportamental: p = 0,655; afetiva: p = 0,593; sensorial: p = 0,223; cognitiva: p = 0,141) estatisticamente semelhantes entre os momentos pré e pós intervenção. Conclui-se que, após 12 semanas de um programa de exercício físico supervisionado remotamente por chamada de vídeo, durante o distanciamento social devido a pandemia da COVID-19, a percepção de fadiga de mulheres sobreviventes do câncer de mama permaneceu estável.

Referências

Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12(6):1583.

Narici M, De Vito G, Franchi M, Paoli A, Moro T, Marcolin G, et al. Impact of sedentarism due to the COVID-19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J Sport Sci. 2020. Disponível em: https://www.tandfonline.com/doi/full/10.1080/17461391.2020.1761076 . [Epub ahead of print]

Schuch FB, Bulzing RA, Meyer J, Vancampfort D, Firth J, Stubbs B, et al. Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil. Psychiatry Res. 2020. Disponível em: https://www.sciencedirect.com/science/article/pii/S0165178120316127. [Epub ahead of print]

World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. World Health Organization. 2018 Disponível em: https://apps.who.int/iris/handle/10665/272722. License: CC BY-NC-SA 3.0 IGO

Mattioli AV, Ballerini Puviani M, Nasi M, Farinetti A. COVID-19 pandemic: the effects of quarantine on cardiovascular risk. Eur J Clin Nutr. 2020;74(6):852–5.

Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, et al. American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors. Med Sci Sport Exerc. 2010;42(7):1409–26.

Cormie P, Atkinson M, Bucci L, Cust A, Eakin E, Hayes S, et al. Clinical Oncology Society of Australia position statement on exercise in cancer care. Med J Aust. 2018;209(4):184–7.

Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise Guidelines for Cancer Survivors. Med Sci Sport Exerc. 2019;51(11):2375–90.

Blanchard CM, Courneya KS, Stein K. Cancer Survivors’ Adherence to Lifestyle Behavior Recommendations and Associations With Health-Related Quality of Life: Results From the American Cancer Society’s SCS-II. J Clin Oncol. 2008;26(13):2198–204.

Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11:CD006145.

Stone P, Richardson A, Ream E, Smith AG, Kerr DJ, Kearney N. Cancer-related fatigue: Inevitable, unimportant and untreatable? Results of a multi-centre patient survey. Ann Oncol. 2000;11(8):971–5.

Ryan JL, Carroll JK, Ryan EP, Mustian KM, Fiscella K, Morrow GR. Mechanisms of Cancer-Related Fatigue. Oncologist. 2007;12(S1):22–34.

Dennett AM, Peiris CL, Shields N, Prendergast LA, Taylor NF. Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression. J Physiother. 2016;62(2):68–82.

Flechtner H, Bottomley A. Fatigue and Quality of Life: Lessons from the Real World. Oncologist. 2003;8(S1):5–9.

Jiang M, Ma Y, Yun B, Wang Q, Huang C, Han L. Exercise for fatigue in breast cancer patients: An umbrella review of systematic reviews. Int J Nurs Sci. 2020;7(2):248–54.

Stull VB, Snyder DC, Demark-Wahnefried W. Lifestyle Interventions in Cancer Survivors: Designing Programs That Meet the Needs of This Vulnerable and Growing Population. J Nutr. 2007;137(1):243S-248S.

Goode AD, Lawler SP, Brakenridge CL, Reeves MM, Eakin EG. Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review. J Cancer Surviv. 2015;9(4):660–82.

de Oliveira Neto L, de Oliveira Tavares VD, Schuch FB, Lima KC. Coronavirus Pandemic (SARS-COV-2): Pre-Exercise Screening Questionnaire (PESQ) for Telepresential Exercise. Front Public Heal. 2020;8:146.

Mota DDCF, Pimenta CAM, Piper BF. Fatigue in Brazilian cancer patients, caregivers, and nursing students: a psychometric validation study of the Piper Fatigue Scale-Revised. Support Care Cancer. 2009;17(6):645–52.

Puetz TW, Herring MP. Differential Effects of Exercise on Cancer-Related Fatigue During and Following Treatment. Am J Prev Med. 2012;43(2):e1–24.

Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of Supervised Multimodal Exercise Interventions on Cancer-Related Fatigue: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biomed Res Int. 2015;2015:328636.

Brown JC, Huedo-Medina TB, Pescatello LS, Pescatello SM, Ferrer RA, Johnson BT. Efficacy of Exercise Interventions in Modulating Cancer-Related Fatigue among Adult Cancer Survivors: A Meta-Analysis. Cancer Epidemiol Biomarkers Prev. 2011;20(1):123–33.

Juvet LK, Thune I, Elvsaas IKØ, Fors EA, Lundgren S, Bertheussen G, et al. The effect of exercise on fatigue and physical functioning in breast cancer patients during and after treatment and at 6 months follow-up: A meta-analysis. Breast. 2017;33:166–77.

Mustian KM, Alfano CM, Heckler C, Kleckner AS, Kleckner IR, Leach CR, et al. Comparison of Pharmaceutical, Psychological, and Exercise Treatments for Cancer-Related Fatigue. JAMA Oncol. 2017;3(7):961-8.

Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Supervised exercise reduces cancer-related fatigue: a systematic review. J Physiother. 2015;61(1):3–9.

Hayes SC, Rye S, DiSipio T, Yates P, Bashford J, Pyke C, et al. Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer. Breast Cancer Res Treat. 2013;137(1):175–86.

Ligibel JA, Meyerhardt J, Pierce JP, Najita J, Shockro L, Campbell N, et al. Impact of a telephone-based physical activity intervention upon exercise behaviors and fitness in cancer survivors enrolled in a cooperative group setting. Breast Cancer Res Treat. 2012;132(1):205-13.

Yun YH, Lee KS, Kim Y-W, Park SY, Lee ES, Noh D-Y, et al. Web-Based Tailored Education Program for Disease-Free Cancer Survivors With Cancer-Related Fatigue: A Randomized Controlled Trial. J Clin Oncol. 2012;30(12):1296–303.

Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, Ariza-García A, Díaz-Rodríguez L, Del-Moral-Ávila R, et al. Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer. 2016;122(20):3166–74.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.

Acessar