Exercise Intervention for Cancer Survivors with Heart Failure: Two Case Reports
Identifieur interne : 002986 ( Pmc/Corpus ); précédent : 002985; suivant : 002987Exercise Intervention for Cancer Survivors with Heart Failure: Two Case Reports
Auteurs : Daniel C. Hughes ; Daniel J. Lenihan ; Carol A. Harrison ; Karen M. Basen-EngquistSource :
- Journal of exercise science and fitness [ 1728-869X ] ; 2011.
Abstract
Cardiotoxicity is a troubling long-term side effect of chemotherapy cancer treatment, affecting therapy and quality of life (QOL). Exercise is beneficial in heart failure (HF) patients and in cancer survivors without HF, but has not been tested in cancer survivors with treatment induced HF.
We present case studies for two survivors: a 56-year old female Hodgkin’s lymphoma survivor (Pt 1) and a 44-year old male leukemia survivor (Pt 2). We conducted a 16-week exercise program with the goal of 30 minutes of exercise performed 3 times per week at a minimum intensity of 50% heart rate reserve (HRR) or ‘12’ rating of perceived exertion (RPE).
Pt 1 improved from 11.5 minutes of exercise split over two bouts at an RPE of 14 to a 30 minute bout at an RPE of 15. Pt 2 improved from 11 minutes of exercise split over two bouts at an RPE of 12 to an 18 minute bout at an RPE of 12. Both improved in VO2 peak (Pt 1: 13.9 to 14.3 mlO2/kg/min; Pt 2: 12.5 to 18.7 mlO2/kg/min). Ejection fraction increased for Pt 2 (25–30% to 35–40%) but not for Pt 1 (35–40%). QOL as assessed by the SF-36 Physical Component Scale (PCS) improved from 17.79 to 25.31 for Pt 1 and the Mental Component Scale (MCS) improved from 43.84 to 56.65 for Pt 1 and from 34.79 to 44.45 for Pt 2.
Properly designed exercise interventions can improve physical functioning and quality of life for this growing group of survivors.
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PubMed: 21709755
PubMed Central: 3121107
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PMC:3121107Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Exercise Intervention for Cancer Survivors with Heart Failure: Two Case Reports</title>
<author><name sortKey="Hughes, Daniel C" sort="Hughes, Daniel C" uniqKey="Hughes D" first="Daniel C." last="Hughes">Daniel C. Hughes</name>
<affiliation><nlm:aff id="A1"> Department of Epidemiology & Biostatistics, Institute for Health Promotion Research, the University of Texas Health Science Center at San Antonio, San Antonio TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lenihan, Daniel J" sort="Lenihan, Daniel J" uniqKey="Lenihan D" first="Daniel J." last="Lenihan">Daniel J. Lenihan</name>
<affiliation><nlm:aff id="A2"> Division of Cardiovascular Medicine, Vanderbilt University, Nashville TN</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Harrison, Carol A" sort="Harrison, Carol A" uniqKey="Harrison C" first="Carol A." last="Harrison">Carol A. Harrison</name>
<affiliation><nlm:aff id="A3"> Department of Behavioral Science, the University of Texas M. D. Anderson Cancer Center, Houston TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basen Engquist, Karen M" sort="Basen Engquist, Karen M" uniqKey="Basen Engquist K" first="Karen M." last="Basen-Engquist">Karen M. Basen-Engquist</name>
<affiliation><nlm:aff id="A3"> Department of Behavioral Science, the University of Texas M. D. Anderson Cancer Center, Houston TX</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Exercise Intervention for Cancer Survivors with Heart Failure: Two Case Reports</title>
<author><name sortKey="Hughes, Daniel C" sort="Hughes, Daniel C" uniqKey="Hughes D" first="Daniel C." last="Hughes">Daniel C. Hughes</name>
<affiliation><nlm:aff id="A1"> Department of Epidemiology & Biostatistics, Institute for Health Promotion Research, the University of Texas Health Science Center at San Antonio, San Antonio TX</nlm:aff>
</affiliation>
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<author><name sortKey="Lenihan, Daniel J" sort="Lenihan, Daniel J" uniqKey="Lenihan D" first="Daniel J." last="Lenihan">Daniel J. Lenihan</name>
<affiliation><nlm:aff id="A2"> Division of Cardiovascular Medicine, Vanderbilt University, Nashville TN</nlm:aff>
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<author><name sortKey="Harrison, Carol A" sort="Harrison, Carol A" uniqKey="Harrison C" first="Carol A." last="Harrison">Carol A. Harrison</name>
<affiliation><nlm:aff id="A3"> Department of Behavioral Science, the University of Texas M. D. Anderson Cancer Center, Houston TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Basen Engquist, Karen M" sort="Basen Engquist, Karen M" uniqKey="Basen Engquist K" first="Karen M." last="Basen-Engquist">Karen M. Basen-Engquist</name>
<affiliation><nlm:aff id="A3"> Department of Behavioral Science, the University of Texas M. D. Anderson Cancer Center, Houston TX</nlm:aff>
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<series><title level="j">Journal of exercise science and fitness</title>
<idno type="ISSN">1728-869X</idno>
<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Rationale</title>
<p id="P1">Cardiotoxicity is a troubling long-term side effect of chemotherapy cancer treatment, affecting therapy and quality of life (QOL). Exercise is beneficial in heart failure (HF) patients and in cancer survivors without HF, but has not been tested in cancer survivors with treatment induced HF.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">We present case studies for two survivors: a 56-year old female Hodgkin’s lymphoma survivor (Pt 1) and a 44-year old male leukemia survivor (Pt 2). We conducted a 16-week exercise program with the goal of 30 minutes of exercise performed 3 times per week at a minimum intensity of 50% heart rate reserve (HRR) or ‘12’ rating of perceived exertion (RPE).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Pt 1 improved from 11.5 minutes of exercise split over two bouts at an RPE of 14 to a 30 minute bout at an RPE of 15. Pt 2 improved from 11 minutes of exercise split over two bouts at an RPE of 12 to an 18 minute bout at an RPE of 12. Both improved in VO<sub>2</sub>
peak (Pt 1: 13.9 to 14.3 mlO<sub>2</sub>
/kg/min; Pt 2: 12.5 to 18.7 mlO<sub>2</sub>
/kg/min). Ejection fraction increased for Pt 2 (25–30% to 35–40%) but not for Pt 1 (35–40%). QOL as assessed by the SF-36 Physical Component Scale (PCS) improved from 17.79 to 25.31 for Pt 1 and the Mental Component Scale (MCS) improved from 43.84 to 56.65 for Pt 1 and from 34.79 to 44.45 for Pt 2.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Properly designed exercise interventions can improve physical functioning and quality of life for this growing group of survivors.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101198241</journal-id>
<journal-id journal-id-type="pubmed-jr-id">38907</journal-id>
<journal-id journal-id-type="nlm-ta">J Exerc Sci Fit</journal-id>
<journal-title-group><journal-title>Journal of exercise science and fitness</journal-title>
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<issn pub-type="ppub">1728-869X</issn>
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<article-id pub-id-type="manuscript">NIHMS267603</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Exercise Intervention for Cancer Survivors with Heart Failure: Two Case Reports</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Hughes</surname>
<given-names>Daniel C.</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
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<contrib contrib-type="author"><name><surname>Lenihan</surname>
<given-names>Daniel J.</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Harrison</surname>
<given-names>Carol A.</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Basen-Engquist</surname>
<given-names>Karen M.</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Epidemiology & Biostatistics, Institute for Health Promotion Research, the University of Texas Health Science Center at San Antonio, San Antonio TX</aff>
<aff id="A2"><label>2</label>
Division of Cardiovascular Medicine, Vanderbilt University, Nashville TN</aff>
<aff id="A3"><label>3</label>
Department of Behavioral Science, the University of Texas M. D. Anderson Cancer Center, Houston TX</aff>
<author-notes><corresp id="FN1">Address for correspondence: Daniel C. Hughes, Ph.D., 8207 Callaghan Road, Suite 353, San Antonio, TX 78230; Telephone: (210)562-6522; Fax: (210)348-0554; <email>hughesdc@uthscsa.edu</email>
</corresp>
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<pub-date pub-type="nihms-submitted"><day>23</day>
<month>3</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>23</day>
<month>6</month>
<year>2011</year>
</pub-date>
<volume>9</volume>
<issue>1</issue>
<fpage>65</fpage>
<lpage>73</lpage>
<abstract><sec id="S1"><title>Rationale</title>
<p id="P1">Cardiotoxicity is a troubling long-term side effect of chemotherapy cancer treatment, affecting therapy and quality of life (QOL). Exercise is beneficial in heart failure (HF) patients and in cancer survivors without HF, but has not been tested in cancer survivors with treatment induced HF.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">We present case studies for two survivors: a 56-year old female Hodgkin’s lymphoma survivor (Pt 1) and a 44-year old male leukemia survivor (Pt 2). We conducted a 16-week exercise program with the goal of 30 minutes of exercise performed 3 times per week at a minimum intensity of 50% heart rate reserve (HRR) or ‘12’ rating of perceived exertion (RPE).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Pt 1 improved from 11.5 minutes of exercise split over two bouts at an RPE of 14 to a 30 minute bout at an RPE of 15. Pt 2 improved from 11 minutes of exercise split over two bouts at an RPE of 12 to an 18 minute bout at an RPE of 12. Both improved in VO<sub>2</sub>
peak (Pt 1: 13.9 to 14.3 mlO<sub>2</sub>
/kg/min; Pt 2: 12.5 to 18.7 mlO<sub>2</sub>
/kg/min). Ejection fraction increased for Pt 2 (25–30% to 35–40%) but not for Pt 1 (35–40%). QOL as assessed by the SF-36 Physical Component Scale (PCS) improved from 17.79 to 25.31 for Pt 1 and the Mental Component Scale (MCS) improved from 43.84 to 56.65 for Pt 1 and from 34.79 to 44.45 for Pt 2.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Properly designed exercise interventions can improve physical functioning and quality of life for this growing group of survivors.</p>
</sec>
</abstract>
<kwd-group><kwd>cancer survivorship</kwd>
<kwd>cardiotoxicity</kwd>
<kwd>exercise</kwd>
<kwd>quality of life</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>K01 CA134550-01 || CA</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
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