Can the Six-Minute Walk Test Be Used to Individualize Physical Activity Intensity in Patients with Breast Cancer?

التفاصيل البيبلوغرافية
العنوان: Can the Six-Minute Walk Test Be Used to Individualize Physical Activity Intensity in Patients with Breast Cancer?
المؤلفون: L. Venat, Thibault Cornette, Sophie Leobon, Nicole Tubiana-Mathieu, Stéphane Mandigout, François Vincent, Elise Deluche
المساهمون: Handicap, Activité, Vieillissement, Autonomie, Environnement (HAVAE), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)
المصدر: Cancers, Vol 13, Iss 5851, p 5851 (2021)
Cancers
Cancers, MDPI, 2021, 13 (22), pp.5851. ⟨10.3390/cancers13225851⟩
Cancers; Volume 13; Issue 22; Pages: 5851
بيانات النشر: MDPI AG, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Cancer Research, medicine.medical_specialty, Intraclass correlation, [SDV]Life Sciences [q-bio], 030204 cardiovascular system & hematology, Article, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, breast cancer, Internal medicine, Adjuvant therapy, Medicine, RC254-282, 2. Zero hunger, six-minute walk test, business.industry, home training, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, medicine.disease, Confidence interval, 3. Good health, Oncology, adapted physical activity, 030220 oncology & carcinogenesis, Concomitant, Exercise intensity, Ventilatory threshold, business, cardiopulmonary test, Body mass index
الوصف: Simple Summary Physical activity has proven to be effective in breast cancer patients. Appropriate exercise intensity for each patient is necessary to maintain this practice in patients with possible comorbidities and potential adverse events of specific treatments. These programs should be proposed to many patients so to prescribe the adapted program; this will necessitate easy and cost-effective tests. It is useful to use an adapted target heart rate (HR) to prescribe exercise intensity. In this work, we assessed the potential equivalence of the ventilatory threshold HR obtained during a cardiopulmonary exercise test and the HR measured over the last 3 min of the six-minute walk test (6MWT-HR). At baseline, the 6MWT-HR was in good agreement and showed moderate but statistical correlation with the VT-HR in breast cancer patients. The best correlation between these two tests was obtained after the APA program and chemotherapy. These results were independent of body mass index. The 6MWT is useful to prescribe APA programs before and also after chemotherapy concomitant with physical activity. Abstract Background: Adapted physical activity (APA) aids breast cancer patients. It is necessary to use an adapted target heart rate (HR) when prescribing exercise intensity. Methods: In total, 138 patients previously included in two published randomized clinical trials underwent the CPET and 6MWT before and after adjuvant therapy. Of these patients, 85 had performed APA, and 53 had received only the usual therapy. HRs were recorded during the two tests. Results: Before starting chemotherapy, good agreement (intraclass correlation (ICC) 0.69; confidence interval at 95% IC0.95 (0.591–0.769); p < 0.001) and a moderate correlation were evident between the 6MWT-HR and ventilatory threshold HR of the CPET (r = 0.70; p < 0.001). Good agreement and a high positive correlation were noted only in the group who engaged in APA (ICC 0.77; IC0.95 (0.659–0.848); p < 0.001; r = 0.8; p < 0.01); moderate agreement and a moderate positive correlation were apparent in the control group (ICC 0.57; IC0.95 (0.329–0.74); p < 0.001; r = 0.6; p < 0.01). The correlations were independent of age and body mass index. Conclusions: The 6MWT-HR can be used to prescribe exercise intensity for breast cancer patients both before and after specific treatment with concomitant APA.
وصف الملف: application/pdf
اللغة: English
تدمد: 2072-6694
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bbcb0fd635930832a8a5c7aa961a6942Test
https://www.mdpi.com/2072-6694/13/22/5851Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....bbcb0fd635930832a8a5c7aa961a6942
قاعدة البيانات: OpenAIRE