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        "resumen" => "<p class="elsevierStylePara"> Introducci&#243;&#58; L&#8217;objectiu d&#8217;aquest estudi fou definir els efectes d&#8217;un programa combinat d&#8217;exercicis de for&#231;a i aer&#242;bics d&#8217;alta intensitat sobre la qualitat de vida&#44; la fatiga&#44; el consum m&#224;xim d&#8217;oxigen&#44; la for&#231;a i l&#8217;IGF-I en persones supervivents de c&#224;ncer de mama &#40;SCM&#41; que havien estat sotmeses a cirurgia&#44; quimioter&#224;pia i&#47;o radioter&#224;pia i tractades amb tamoxif&#232;&#46;</p> <p class="elsevierStylePara"> M&#232;tode&#58; Vuit supervivents de c&#224;ncer de mama van seguir el programa d&#8217;exercicis&#44; 3 vegades a la setmana&#44; durant un per&#237;ode de 22 setmanes&#44; a una intensitat del 80&#37;&#46; S&#8217;avaluaren la reserva del ritme card&#237;ac &#40;RRC&#41;&#44; la for&#231;a&#44; la qualitat de vida &#40;QV&#41;&#44; la fatiga i el factor de creixement insul&#237;nic tipus 1 &#40;IGF-I&#41;&#46;</p> <p class="elsevierStylePara"> Resultats&#58; Les participants tingueren un &#237;ndex d&#8217;adher&#232;ncia del 97&#44;8&#37; al programa d&#8217;entrenament&#46; S&#8217;observ&#224; un increment del consum m&#224;xim d&#8217;oxigen &#40;20&#37;&#41;&#44; l&#8217;increment de for&#231;a &#40;56&#44;9&#37;&#41; del bra&#231; sense limfadenectomia i l&#8217;increment de for&#231;a &#40;104&#37;&#41; en el bra&#231; amb limfadenectomia&#46; Es produ&#237; una millora de la qualitat de vida &#40;24&#37;&#41; segons les escales SF36 i FACT-B&#46; Disminu&#237; la fatiga general i el des&#224;nim &#40;67&#44;7&#37;&#41;&#44; aix&#237; com els nivells plasm&#224;tics de l&#8217;IGF-I &#40;22&#44;8&#37;&#41;&#46;</p> <p class="elsevierStylePara"> Conclusions&#58; Un programa en qu&#232; s&#8217;incrementa la for&#231;a i l&#8217;exercici aer&#242;bic al 80&#37; de l&#8217;RRC pot resultar efica&#231; per millorar la QV&#44; el consum m&#224;xim d&#8217;oxigen i la for&#231;a&#44; i disminuir la fatiga i els nivells plasm&#224;tics d&#8217;IGF-I&#44; en les persones supervivents de c&#224;ncer de mama&#44; sense generar ni exacerbar el limfedema</p>"
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        "resumen" => "<p class="elsevierStylePara"> Introduction&#58; The purpose of this study was to determine the effects of a combined strength and high-intensity aerobic exercise program on the quality of life &#40;QOL&#41;&#44; fatigue&#44; peak oxygen consumption&#44; strength and IGF-I in breast cancer survivors &#40;BCSs&#41; who had undergone surgery&#44; chemotherapy and&#47;or radiation therapy and were being treated with tamoxifen&#46;</p> <p class="elsevierStylePara"> Methods&#58; Eight BCSs followed the exercise program three times per week for 22 weeks at an intensity of 80&#37;&#46; Heart rate reserve &#40;HRR&#41;&#44; strength&#44; QOL&#44; fatigue and insulin-like growth factor-I were evaluated&#46;</p> <p class="elsevierStylePara"> Results&#58; The eight participants had a 97&#46;8&#37; adherence rate to the training program&#46; Increased peak oxygen consumption &#40;20&#37;&#41;&#44; increased strength &#40;56&#46;9&#37;&#41; in the arm without lymphadenectomy &#40;AWL&#41;&#44; and increased strength &#40;104&#37;&#41; in the lymphadenectomy arm &#40;AL&#41; were observed&#46; QOL was improved &#40;24&#37;&#41; according to the SF36 and the FACT-B scales&#46; Both general and mood fatigue decreased &#40;67&#46;7&#37;&#41;&#44; as did the plasma IGF-I levels &#40;22&#46;8&#37;&#41;&#46;</p> <p class="elsevierStylePara"> Conclusions&#58; A program of incremental strength and aerobic exercise at 80&#37; of the HRR may be effective in improving QOL&#44; maximum oxygen consumption&#44; and strength and in decreasing fatigue and plasma levels of IGF-I in BCSs and does not generate or exacerbate lymphedema&#46;</p>"
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Vol. 51. Issue 189.
Pages 3-12 (January - March 2016)
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Vol. 51. Issue 189.
Pages 3-12 (January - March 2016)
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Efecte d’un programa combinat d’exercicis de força i aeròbics d’alta intensitat en pacients supervivents de càncer de mama: un estudi pilot
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Jairo Alejandro Fernández Ortegaa, José Antonio de Paz Fernándezb
a Universidad Pedagógica Nacional de Colombia, Exercise Physiology Laboratory, Bogotà, Colòmbia
b b Instituto de Biomedicina, Universidad de León, Lleó, Espanya
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Introducció: L’objectiu d’aquest estudi fou definir els efectes d’un programa combinat d’exercicis de força i aeròbics d’alta intensitat sobre la qualitat de vida, la fatiga, el consum màxim d’oxigen, la força i l’IGF-I en persones supervivents de càncer de mama (SCM) que havien estat sotmeses a cirurgia, quimioteràpia i/o radioteràpia i tractades amb tamoxifè.

Mètode: Vuit supervivents de càncer de mama van seguir el programa d’exercicis, 3 vegades a la setmana, durant un període de 22 setmanes, a una intensitat del 80%. S’avaluaren la reserva del ritme cardíac (RRC), la força, la qualitat de vida (QV), la fatiga i el factor de creixement insulínic tipus 1 (IGF-I).

Resultats: Les participants tingueren un índex d’adherència del 97,8% al programa d’entrenament. S’observà un increment del consum màxim d’oxigen (20%), l’increment de força (56,9%) del braç sense limfadenectomia i l’increment de força (104%) en el braç amb limfadenectomia. Es produí una millora de la qualitat de vida (24%) segons les escales SF36 i FACT-B. Disminuí la fatiga general i el desànim (67,7%), així com els nivells plasmàtics de l’IGF-I (22,8%).

Conclusions: Un programa en què s’incrementa la força i l’exercici aeròbic al 80% de l’RRC pot resultar eficaç per millorar la QV, el consum màxim d’oxigen i la força, i disminuir la fatiga i els nivells plasmàtics d’IGF-I, en les persones supervivents de càncer de mama, sense generar ni exacerbar el limfedema

Palabras clave:
IGF-I
Supervivents de càncer de mama
Qualitat de vida
Fatiga
Exercicis de força
Activitat física

Introduction: The purpose of this study was to determine the effects of a combined strength and high-intensity aerobic exercise program on the quality of life (QOL), fatigue, peak oxygen consumption, strength and IGF-I in breast cancer survivors (BCSs) who had undergone surgery, chemotherapy and/or radiation therapy and were being treated with tamoxifen.

Methods: Eight BCSs followed the exercise program three times per week for 22 weeks at an intensity of 80%. Heart rate reserve (HRR), strength, QOL, fatigue and insulin-like growth factor-I were evaluated.

Results: The eight participants had a 97.8% adherence rate to the training program. Increased peak oxygen consumption (20%), increased strength (56.9%) in the arm without lymphadenectomy (AWL), and increased strength (104%) in the lymphadenectomy arm (AL) were observed. QOL was improved (24%) according to the SF36 and the FACT-B scales. Both general and mood fatigue decreased (67.7%), as did the plasma IGF-I levels (22.8%).

Conclusions: A program of incremental strength and aerobic exercise at 80% of the HRR may be effective in improving QOL, maximum oxygen consumption, and strength and in decreasing fatigue and plasma levels of IGF-I in BCSs and does not generate or exacerbate lymphedema.

Keywords:
IGF-I
Breast cancer survivors
Quality of life
Fatigue
Strength exercise training
Physical activity
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