Blood Pressure, Salivary Cortisol, and Inflammatory Cytokine Outcomes in Senior Female Cancer Survivors Enrolled in a Tai Chi Chih Randomized Controlled Trial
Identifieur interne : 002D08 ( Main/Exploration ); précédent : 002D07; suivant : 002D09Blood Pressure, Salivary Cortisol, and Inflammatory Cytokine Outcomes in Senior Female Cancer Survivors Enrolled in a Tai Chi Chih Randomized Controlled Trial
Auteurs : Rebecca A. Campo [États-Unis] ; Kathleen C. Light [États-Unis] ; Kathleen O Onnor [États-Unis] ; Yoshio Nakamura [États-Unis] ; David Lipschitz [États-Unis] ; Paul C. Lastayo [États-Unis] ; Lisa M. Pappas [États-Unis] ; Kenneth M. Boucher [États-Unis] ; Michael R. Irwin [États-Unis] ; Harry R. Hill [États-Unis] ; Thomas B. Martins [États-Unis] ; Neeraj Agarwal [États-Unis] ; Anita Y. Kinney [États-Unis]Source :
- Journal of cancer survivorship : research and practice [ 1932-2259 ] ; 2014.
Abstract
Older cancer survivors are a vulnerable population due to an increased risk for chronic diseases (e.g., cardiovascular disease) compounded with treatment late-effects and declines in physical functioning. Therefore, interventions that reduce chronic disease risk factors (i.e., blood pressure, chronic inflammation, & cortisol) are important in this population. Tai Chi Chih (TCC) is a mind-body exercise associated with reductions in chronic disease risk factors, but has not been examined with older cancer survivors. In a feasibility randomized controlled trial of TCC, we examined secondary outcomes of blood pressure, salivary cortisol, and inflammatory cytokines (interleukin (IL)-6, IL-12, tumor necrosis factor-α, IL-10, IL-4) due to their implications in chronic diseases.
Sixty-three senior female cancer survivors (
Controlling for baseline values, the TCC group had significantly lower systolic blood pressure (SBP,
This TCC feasibility trial was associated with significant reductions in SBP and cortisol AUC in senior female cancer survivors. Larger, definitive trials are needed to confirm these findings.
Url:
DOI: 10.1007/s11764-014-0395-x
PubMed: 25164513
PubMed Central: 4344390
Affiliations:
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Le document en format XML
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<author><name sortKey="Irwin, Michael R" sort="Irwin, Michael R" uniqKey="Irwin M" first="Michael R." last="Irwin">Michael R. Irwin</name>
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<author><name sortKey="Hill, Harry R" sort="Hill, Harry R" uniqKey="Hill H" first="Harry R." last="Hill">Harry R. Hill</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
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<affiliation wicri:level="2"><nlm:aff id="A9">Department of Pathology, University of Utah, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>Department of Pathology, University of Utah, Salt Lake City</wicri:cityArea>
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<author><name sortKey="Martins, Thomas B" sort="Martins, Thomas B" uniqKey="Martins T" first="Thomas B" last="Martins">Thomas B. Martins</name>
<affiliation wicri:level="2"><nlm:aff id="A8">ARUP Institute for Clinical and Experimental Pathology, University of Utah School of Medicine, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>ARUP Institute for Clinical and Experimental Pathology, University of Utah School of Medicine, Salt Lake City</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A9">Department of Pathology, University of Utah, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>Department of Pathology, University of Utah, Salt Lake City</wicri:cityArea>
</affiliation>
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<author><name sortKey="Agarwal, Neeraj" sort="Agarwal, Neeraj" uniqKey="Agarwal N" first="Neeraj" last="Agarwal">Neeraj Agarwal</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>Huntsman Cancer Institute, University of Utah, Salt Lake City</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A10">Department of Internal Medicine, University of Utah, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>Department of Internal Medicine, University of Utah, Salt Lake City</wicri:cityArea>
</affiliation>
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<author><name sortKey="Kinney, Anita Y" sort="Kinney, Anita Y" uniqKey="Kinney A" first="Anita Y." last="Kinney">Anita Y. Kinney</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
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</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A10">Department of Internal Medicine, University of Utah, Salt Lake City, Utah</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Utah</region>
</placeName>
<wicri:cityArea>Department of Internal Medicine, University of Utah, Salt Lake City</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A11">University of New Mexico Cancer Center, Albuquerque, NM</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Nouveau-Mexique</region>
</placeName>
<wicri:cityArea>University of New Mexico Cancer Center, Albuquerque</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A12">Department of Internal Medicine, University of New Mexico, Albuquerque, NM</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Nouveau-Mexique</region>
</placeName>
<wicri:cityArea>Department of Internal Medicine, University of New Mexico, Albuquerque</wicri:cityArea>
</affiliation>
</author>
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<series><title level="j">Journal of cancer survivorship : research and practice</title>
<idno type="ISSN">1932-2259</idno>
<idno type="eISSN">1932-2267</idno>
<imprint><date when="2014">2014</date>
</imprint>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">Older cancer survivors are a vulnerable population due to an increased risk for chronic diseases (e.g., cardiovascular disease) compounded with treatment late-effects and declines in physical functioning. Therefore, interventions that reduce chronic disease risk factors (i.e., blood pressure, chronic inflammation, & cortisol) are important in this population. Tai Chi Chih (TCC) is a mind-body exercise associated with reductions in chronic disease risk factors, but has not been examined with older cancer survivors. In a feasibility randomized controlled trial of TCC, we examined secondary outcomes of blood pressure, salivary cortisol, and inflammatory cytokines (interleukin (IL)-6, IL-12, tumor necrosis factor-α, IL-10, IL-4) due to their implications in chronic diseases.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Sixty-three senior female cancer survivors (<italic>M</italic>
age=67 years, <italic>SD=7</italic>
.15) with physical functioning limitations (SF-12 physical functioning≤80 or role-physical≤72) were randomized to 12-weeks (60-minutes, three times a week) of TCC or Health Education control (HEC) classes. Resting blood pressure, 1-day salivary cortisol samples, and fasting plasma samples for cytokine multiplex assays were collected at baseline and 1-week post-intervention.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Controlling for baseline values, the TCC group had significantly lower systolic blood pressure (SBP, <italic>p</italic>
=0.002) and cortisol area-under-curve (AUC, <italic>p</italic>
=0.02) at post-intervention than the HEC group. There was no intervention effect on inflammatory cytokines (<italic>p’s</italic>
>0.05).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">This TCC feasibility trial was associated with significant reductions in SBP and cortisol AUC in senior female cancer survivors. Larger, definitive trials are needed to confirm these findings.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Caroline du Nord</li>
<li>Nouveau-Mexique</li>
<li>Utah</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Campo, Rebecca A" sort="Campo, Rebecca A" uniqKey="Campo R" first="Rebecca A." last="Campo">Rebecca A. Campo</name>
</region>
<name sortKey="Agarwal, Neeraj" sort="Agarwal, Neeraj" uniqKey="Agarwal N" first="Neeraj" last="Agarwal">Neeraj Agarwal</name>
<name sortKey="Agarwal, Neeraj" sort="Agarwal, Neeraj" uniqKey="Agarwal N" first="Neeraj" last="Agarwal">Neeraj Agarwal</name>
<name sortKey="Boucher, Kenneth M" sort="Boucher, Kenneth M" uniqKey="Boucher K" first="Kenneth M." last="Boucher">Kenneth M. Boucher</name>
<name sortKey="Hill, Harry R" sort="Hill, Harry R" uniqKey="Hill H" first="Harry R." last="Hill">Harry R. Hill</name>
<name sortKey="Hill, Harry R" sort="Hill, Harry R" uniqKey="Hill H" first="Harry R." last="Hill">Harry R. Hill</name>
<name sortKey="Irwin, Michael R" sort="Irwin, Michael R" uniqKey="Irwin M" first="Michael R." last="Irwin">Michael R. Irwin</name>
<name sortKey="Kinney, Anita Y" sort="Kinney, Anita Y" uniqKey="Kinney A" first="Anita Y." last="Kinney">Anita Y. Kinney</name>
<name sortKey="Kinney, Anita Y" sort="Kinney, Anita Y" uniqKey="Kinney A" first="Anita Y." last="Kinney">Anita Y. Kinney</name>
<name sortKey="Kinney, Anita Y" sort="Kinney, Anita Y" uniqKey="Kinney A" first="Anita Y." last="Kinney">Anita Y. Kinney</name>
<name sortKey="Kinney, Anita Y" sort="Kinney, Anita Y" uniqKey="Kinney A" first="Anita Y." last="Kinney">Anita Y. Kinney</name>
<name sortKey="Lastayo, Paul C" sort="Lastayo, Paul C" uniqKey="Lastayo P" first="Paul C." last="Lastayo">Paul C. Lastayo</name>
<name sortKey="Light, Kathleen C" sort="Light, Kathleen C" uniqKey="Light K" first="Kathleen C." last="Light">Kathleen C. Light</name>
<name sortKey="Lipschitz, David" sort="Lipschitz, David" uniqKey="Lipschitz D" first="David" last="Lipschitz">David Lipschitz</name>
<name sortKey="Martins, Thomas B" sort="Martins, Thomas B" uniqKey="Martins T" first="Thomas B" last="Martins">Thomas B. Martins</name>
<name sortKey="Martins, Thomas B" sort="Martins, Thomas B" uniqKey="Martins T" first="Thomas B" last="Martins">Thomas B. Martins</name>
<name sortKey="Nakamura, Yoshio" sort="Nakamura, Yoshio" uniqKey="Nakamura Y" first="Yoshio" last="Nakamura">Yoshio Nakamura</name>
<name sortKey="O Onnor, Kathleen" sort="O Onnor, Kathleen" uniqKey="O Onnor K" first="Kathleen" last="O Onnor">Kathleen O Onnor</name>
<name sortKey="Pappas, Lisa M" sort="Pappas, Lisa M" uniqKey="Pappas L" first="Lisa M." last="Pappas">Lisa M. Pappas</name>
</country>
</tree>
</affiliations>
</record>
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