Hemodynamic overload of effort testing for breast cancer patients
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.213796Palabras clave:
Breast neoplasms, Exercise, Health, Hemodynamics, Chronic diseaseResumen
Introduction: There is a link between breast cancer and cardiovascular diseases. However, stress test comparisons in breast cancer patients have not been established in the field of exercise prescription. Objective: This study aimed at comparing the hemodynamic responses of the Six-minute Walk Test (SMWT) with the Modified Naughton Test (MNT) in women with and without breast cancer. Methods: Participants included 42 women with breast cancer and 36 women with other chronic noncommunicable diseases. All women underwent hemodynamic evaluations, heart rate (HR), systolic (SBP) and diastolic (DBP) blood pressure, and rating of perceived exertion (RPE) of the SMWT and MNT, measured before, immediately after and five min after testing. Results: The group with breast cancer exhibited lower DBP (p=0.020) before the SMWT, lower DBP(p=0.008) and HR (p=0.008) immediately after the MNT. In addition, the women with breast cancer the MNT occurred a peak of SBP (stage nine), as also higher double product (DP) (p<0.001), DP reserve (p<0.001), Δ% of HR, and anticipation of deflection point of HR (6 km/h). Conclusion: SMWT seemed to be more conservative in generating lower peak
hemodynamic variables, while MNT, although had increased both the DP, DP reserve and Δ% of HR, showed better hemodynamic control, with the possibility to detect the deflection point of the HR, mainly for women with breast cancer.
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GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet 2016;388, 1459-544.
DeSantis CE, Fedewa SA, Goding-Sauer A, Kramer JL, Smith RA, Jemal A. Breast cancer statistics. Convergence of incidence rates between black and white women. CA: a Cancer Journal for Clinicians 2015;66, 31-42.
Löllgen H, Leyk D. Exercise testing in sports medicine. Deutsches Ärzteblatt International 2018;115, 409.
American Thoracic Society. ATS Statement: Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine 2002;166, 111–117.
American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. 9th ed. Michigan: American College of Sports Medicine; 2014.
Rogers LQ, McAuley E, Anton FM, Courneya KS, Vicari S, Hopkins-Price P, et al. Better exercise adherence after treatment for cancer (BEAT Cancer) study: rationale, design, and methods. Contemporary Clinical Trials 2012;33, 124-137.
Byrd JB, Newby DE, Anderson JA, Calverley PMA, Celli BR, Cowans NJ, et al. Blood pressure, heart rate, and mortality in chronic obstructive pulmonary disease: the SUMMIT trial. European Heart Journal 2018;39, 3128-3134.
Okwuosa TM, Ray RM, Palomo A, Foraker RE, Johnson L, Paskett ED, et al. Pre-diagnosis exercise and cardiovascular events in primary breast cancer: women’s health initiative. JACC CardioOncology 2019;1, 41-50.
Felipe J, Viezel J, Reis AD, Barros EAC, Paulo TRS, Neves LM, et al. Relationship of different intensities of physical activity and quality of life in postmenopausal women. Health and Quality of Life Outcomes 2020;18, 1-7.
Freitas Júnior IF. Standardization of anthropometric measurements and assessment of body composition. 1st ed. São Paulo: Regional Council of Physical Education; 2018.
Dual Energy X. Ray Absorptiometry for Bone Mineral Density and Body Composition Assessment. 1st ed. Vienna: International Atomic Energy Agency, 2011.
Rafie AHS, Sungar GW, Dewey FE, Hadley D, Myers J, Froelicher V. Prognostic value of double product reserve. European Journal of Cardiovascular Prevention & Rehabilitation 2008;15, 541-547.
Guida JL, Ahles TA, Beblsky D, Campisi J, Cohen H , DeGregori J, et al. Measuring aging and identifying aging phenotypes in Cancer survivors. JNCI: Journal of the National Cancer Institute 2019;111, 1245-1254.
D’Ascenzi F, Anselmi F, Fiorentini C, Mannucci R, Bonifazi M, Mondillo S. The benefits of exercise in cancer patients and the criteria for exercise prescription in cardio-oncology. European Journal of Preventive Cardiology 2019;7, 2047487319874900.
Buchheit M, Laursen PB. High-intensity interval training, solutions to the programming puzzle. Sports Medicine 2013;43, 927-954.
Plowman AS, Smith DL. Exercise physiology for health, fitness and performance. 1st ed. Filadélfia: Lippincott Williams & Wilkins; 2013.
Ortiz A, Tirado M, Hughes DC, González V, Song JJ, Mama SK, et al. Relationship between physical activity, disability, and physical fitness profile in sedentary Latina breast cancer survivors. Physiotherapy Theory and Practice 2018;34, 783-794.
Galiano-Castillo N, Arroyo-Morales M, Ariza-Garcia A, Sánchez-Salado C, Fernández-Lao C, Cantarero-Villanueva I, et al. The 6-minute walk test as a measure of health in breast cancer patients. Journal of Aging and Physical Activity 2016;24, 508-515.
Yee J, Davis GM, Hackett D, Beith JM, Nicholas Wilcken N, Currow D, et al. Physical Activity for Symptom Management in Women With Metastatic Breast Cancer: A Randomized Feasibility Trial on Physical Activity and Breast Metastases. Journal of Pain and Symptom Management 2019;58, 929-939.
Leclerc A, Foidart-Dessalle M, Tomasella M, Coucke P, Devos M, Bruyère O, et al. Multidisciplinary rehabilitation program after breast cancer: benefits on physical function, anthropometry and quality of life. European Journal of Physical and Rehabilitation Medicine 2017;53, 633-642.
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 Pac J Cancer Prev 2015;16, 585-589.
Smith TM, Broomhall CN, Crecelius AR. Physical and psychological effects of a 12-session cancer rehabilitation exercise program. Clin J Oncol Nurs 2016;20:653-9.
Cenik F, Keilani M, Galid A, Crevenna R. First exercise group for Turkish breast cancer patients in Vienna–a pilot project to include Turkish migrants. Disability and Rehabilitation 2019;42, 1-6.
Costa RR, Reichert T, Barroso BM, da Rocha VMB, Preissler AAB, Santiago E, et al. Heart rate deflection point as na alternative to determining the anaerobic threshold in dyslipidaemic patients. Motriz 2019;25, 1-7.
Grazzi G, Mazzoni G, Casoni I, Uliari S, Colini G, Heide Lvd, et al. Identification of a Vo2 Deflection Point Coinciding With the Heart Rate Deflection Point and Ventilatory Threshold in Cycling. Journal of Strength and Conditioning Research 2008;22, 1116.
Jones LM, Stoner L, Brown C, Baldi JC, McLaren B. Cardiorespiratory fitness predicts cardiovascular health in breast cancer survivors, independent of body composition, age and time post-treatment completion. Breast Cancer 2019;26, 729-737.
Herdy AH, Caixeta A. Brazilian cardiorespiratory fitness classification based on maximum oxygen consumption. Arquivos Brasileiros de Cardiologia 2016;106, 389-395.
Clausen JS, Marott JL, Holtermann A, Gyntelberg F, Jensen MT. Midlife cardiorespiratory fitness and the long-term risk of mortality: 46 years of follow-up. Journal of the American College of Cardiology 2018;72, 987-995.
Reis AD, Pereira PTVT, Diniz RR, de Castro Filha JGL, dos Santos AM, Ramallo BT, et al. Effect of exercise on pain and functional capacity in breast cancer patients. Health and Quality of Life Outcomes 2018;16, 58.
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Derechos de autor 2024 Andréa Dias Reis, Pedro Gabriel Senger Braga, Êmili Amice da Costa Barros, Caique Figueiredo, James Wilfred Navalta, Fabrício Azevedo Voltarelli, Alessandro Moura Zagatto, Ismael Forte Freitas Júnior
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
