Treinamento resistido e mulheres sobreviventes de câncer de mama: uma revisão integrativa
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Palavras-chave

câncer
medicina preventiva
exercício físico
promoção da saúde
saúde da mulher

Como Citar

Pereira, M. F., Rosa, G., Sodré, R., Rambal, L. P. P., Cavalheiro-Costa, M., Fernandes-Silva, C., & Bentes, C. M. (2024). Treinamento resistido e mulheres sobreviventes de câncer de mama: uma revisão integrativa. Revista De Educação Física / Journal of Physical Education, 93(3), 180–194. https://doi.org/10.37310/ref.v93i3.3013

Resumo

Introdução: O câncer de mama é o tipo mais comum entre as mulheres, com alta incidência após os 50 anos. Fatores como tabagismo, obesidade e predisposição genética influenciam seu desenvolvimento. Embora os avanços no rastreamento e tratamento tenham elevado as taxas de cura, os efeitos adversos físicos e psicológicos dos tratamentos ainda comprometem significativamente a qualidade de vida das pacientes.

Objetivo: Investigar os efeitos do treinamento resistido (TR) isolado ou combinado com o treinamento aeróbio em mulheres sobreviventes de câncer de mama.

Métodos: Trata-se de uma revisão integrativa com abordagem qualitativa, de natureza descritiva, exploratória e opinativa da literatura. Os acervos eletrônicos Periódicos CAPES, Biblioteca Virtual em Saúde (BVS) e Pub Med foram consultados para buscar estudos de intervenção que relacionavam treinamento resistido/aeróbio com mulheres sobreviventes de câncer de mama, publicados entre 2012 e 2023, com faixa etária de 40 a 80 anos e escritos em português ou inglês.

Resultados e Discussão: O TR, isolado ou combinado com treinamento aeróbio, é eficaz para melhorar vários aspectos em mulheres sobreviventes de câncer de mama, incluindo força muscular, redução da fadiga, qualidade de vida e aspectos psicossociais.

Conclusão: O TR é seguro e flexível, permitindo combinação de exercícios para atender preferências e limitações individuais, abordando domínios fisiológicos não alvo de outros exercícios.

https://doi.org/10.37310/ref.v93i3.3013
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Referências

Arias Serna D, Vallejo Osorio AN, Vera Sagredo A, Poblete-Valderrama F, Monterrosa-Quintero A. Efectos del entrenamiento de la fuerza en personas con Diabetes Mellitus Tipo II: revisión sistemática. Rev Cienc Act Fís UCM. 2023;24(1):1-13. https://doi.org/10.29035/rcaf.24.1.4.

Bruce J, Williamson E, Lait C, Richmond H, Betteley L, Lall R, et al. Randomised controlled trial of exercise to prevent shoulder problems in women undergoing breast cancer treatment: study protocol for the prevention of shoulder problems trial (UK PROSPER). BMJ Open. 2018;8(3):e019078. https://doi.org/10.1136/bmjopen-2017-019078.

Buffart LM, Sweegers MG, May AM, Chinapaw MJ, Van Vulpen JK, Newton RU, et al. Targeting exercise interventions to patients with cancer in need: An individual patient data meta-analysis. J Natl Cancer Inst. 2018;110(11):1190-200. https://doi.org/10.1093/jnci/djy161.

Calonego C, Alberton CL, Santagnello SB, Schaun GZ, Petrarca CR, Umpierre D, et al. Impact of resistance training volume on physical and perceptual outcomes of breast cancer survivors submitted to a combined training program: A randomized, single-blinded study. J Phys Act Health. 2023;20(3):204-16. https://doi.org/10.1123/jpah.2022-0097.

Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375-90. https://doi.org/10.1249/MSS.0000000000002116.

Carayol M, Ninot G, Senesse P, Bleuse J-P, Gourgou S, Sancho-Garnier H, et al. Short-and long-term impact of adapted physical activity and diet counseling during adjuvant breast cancer therapy: the “APAD1” randomized controlled trial. BMC Cancer. 2019;19:1-20.

Da Paixão RC, De Jesus-Leite MAF, Cunha LM, Puga GM, Penha-Silva N. Efeitos do treinamento resistido sobre indicadores de saúde de sobreviventes de câncer de mama. Saúde Pesqui. 2023;16(1):1-12. https://doi.org/10.17765/2176-9206.2023v16n1.e11203.

Da Silva RCF, Pereira FD, Mello D, Alias A, Rosa G. Efectos agudos del ciclismo indoor en la presión inspiratoria máxima (PIMax) y la presión espiratoria máxima (PEMax) de adultos activos. Rev Cienc Act Fís. 2017;18(1):25-31.

Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, Sami N, Lee K, Sweeney FC, et al. Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial. Breast Cancer Res. 2018;20(1):124. https://doi.org/10.1186/s13058-018-1051-6.

Ferreira ASS, Cintra JRD, Fayer VA, Nogueira MC, Junior CB, Bustamante-Teixeira MT, et al. Breast cancer survival and the health system in Brazil: An analysis of public and private healthcare. Front Oncol. 2023;13:927748. https://doi.org/10.3389/fonc.2023.927748.

Garcia-Unciti M, Palacios Samper N, Méndez-Sandoval S, Idoate F, Ibáñez-Santos J. Effect of combining impact-aerobic and strength exercise, and dietary habits on body composition in breast cancer survivors treated with aromatase inhibitors. Int J Environ Res Public Health. 2023;20(6):4872. https://doi.org/10.1016/j.heliyon.2024.e26318.

Hagstrom AD, Marshall PW, Lonsdale C, Cheema BS, Fiatarone Singh MA, Green S. Resistance training improves fatigue and quality of life in previously sedentary breast cancer survivors: A randomised controlled trial. Eur J Cancer Care (Engl). 2016;25(5):784-94. https://doi.org/10.1111/ecc.12422.

Harrington S, Michener LA, Kendig T, Miale S, George SZ. Patient-reported upper extremity outcome measures used in breast cancer survivors: A systematic review. Arch Phys Med Rehabil. 2014;95(1):153-62. https://doi.org/10.1016/j.apmr.2013.07.022.

Hayes SC, Johansson K, Stout NL, Prosnitz R, Armer JM, Gabram S, et al. Upper-body morbidity after breast cancer: incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care. Cancer. 2012;118(S8):2237-49.

Henriques IAD, de Mello DB, Ribeiro Filho KC, de Castro JBP, de Souza Vale RG, Rosa G. Respostas pressóricas em indivíduos normotensos submetidos a diferentes intensidades em sessões de treinamento de força. Rev Cienc Act Fís. 2020;21(1).

Inumaru LE, Silveira ÉA, Naves MMV. Fatores de risco e de proteção para câncer de mama: uma revisão sistemática. Cad Saude Publica. 2011;27(7):1259-70. https://doi.org/10.1590/S0102-311X2011000700002.

Kaltsatou A, Mameletzi D, Douka S. Physical and psychological benefits of a 24-week traditional dance program in breast cancer survivors. J Bodyw Mov Ther. 2011;15(2):162-7. https://doi.org/10.1016/j.jbmt.2010.03.002.

Mijwel S, Backman M, Bolam KA, Olofsson E, Norrbom J, Bergh J, et al. Highly favorable physiological responses to concurrent resistance and high-intensity interval training during chemotherapy: The OptiTrain breast cancer trial. Breast Cancer Res Treat. 2018;169(1):93-103. https://doi.org/10.1007/s10549-018-4663-8.

Naczk A, Huzarski T, Doś J, Górska-Doś M, Gramza P, Gajewska E, et al. Impact of inertial training on muscle strength and quality of life in breast cancer survivors. Int J Environ Res Public Health. 2022;19(6):3278. https://doi.org/10.3390/ijerph19063278.

Paulo TRS, Rossi FE, Viezel J, Tosello GT, Seidinger SC, Simoes RR, et al. The impact of an exercise program on quality of life in older breast cancer survivors undergoing aromatase inhibitor therapy: A randomized controlled trial. Health Qual Life Outcomes. 2019;17(1):17. https://doi.org/10.1186/s12955-019-1090-4.

Rosa G. Plasticidad muscular y entrenamiento concurrente: implicaciones para la prescripción del ejercicio. Rev Cienc Act Fís. 2019;20(2):1-9.

Santagnello SB, Martins FM, de Oliveira Junior GN, de Freitas Rodrigues de Sousa J, Nomelini RS, Murta EFC, et al. Improvements in muscle strength, power, and size and self-reported fatigue as mediators of the effect of resistance exercise on physical performance breast cancer survivor women: A randomized controlled trial. Support Care Cancer. 2020;28:6075-84. https://doi.org/10.1007/s00520-020-05429-6.

Santos W, Vieira A, de Lira CAB, Mota JF, Gentil P, Freitas Junior R, et al. Once a week resistance training improves muscular strength in breast cancer survivors: A randomized controlled trial. Integr Cancer Ther. 2019;18:1534735419879748. https://doi.org/10.1177/1534735419879748.

Serra MC, Ryan AS, Ortmeyer HK, Addison O, Goldberg AP. Resistance training reduces inflammation and fatigue and improves physical function in older breast cancer survivors. Menopause. 2018;25(2):211-6. https://doi.org/10.1097/GME.0000000000000969.

Serra MC, Ryan AS, Ortmeyer HK, Addison O, Goldberg AP. Resistance training reduces inflammation and fatigue and improves physical function in older breast cancer survivors. Menopause. 2018;25(2):211-216. doi:10.1097/GME.0000000000000969.

Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (Sao Paulo). 2010;8(1):102-106. doi:10.1590/S1679-45082010RW1134.

Sweeney FC, Demark-Wahnefried W, Courneya KS, Sami N, Lee K, Tripathy D, Yamada K, Buchanan TA, Spicer DV, Bernstein L, Mortimer JE, Dieli-Conwright CM. Aerobic and resistance exercise improves shoulder function in women who are overweight or obese and have breast cancer: a randomized controlled trial. Phys Ther. 2019;99(10):1334-1345. doi:10.1093/ptj/pzz096.

Thomas GA, Cartmel B, Harrigan M, Fiellin M, Capozza S, Zhou Y, Ercolano E, Gross CP, Hershman D, Llgibel J, Schmitz K, Li F, Sanft T, Irwin ML. The effect of exercise on body composition and bone mineral density in breast cancer survivors taking aromatase inhibitors. Obesity (Silver Spring). 2017;25(2):346-351. doi:10.1002/oby.21729.

Urban L, Chala LF, de Paula IB, Bauab SDP, Schaefer MB, Oliveira ALK, Shimizu C, Oliveira TMG, Moraes PC, Miranda BMM, Aduan FE, Rego SJF, Canella EO, Couto HL, Badan GM, Francisco JLE, Moraes TP, Jakubiak RR, Peixoto JE. Recommendations for breast cancer screening in Brazil, from the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology, and the Brazilian Federation of Gynecology and Obstetrics Associations. Radiol Bras. 2023;56(4):207-214. doi:10.1590/0100-3984.2023.0064-en.

Winters-Stone KM, Dobek J, Bennett JA, Nail LM, Leo MC, Schwartz A. The effect of resistance training on muscle strength and physical function in older, postmenopausal breast cancer survivors: a randomized controlled trial. J Cancer Surviv. 2012;6(2):189-199. doi:10.1007/s11764-011-0210-x.

Zhang M, Sun Y, Wu H, Xiao J, Chen W, Wang H, . . . Luo H. Prognostic analysis of cT1-3N1M0 breast cancer patients who have responded to neoadjuvant therapy undergoing various axillary surgery and breast surgery based on propensity score matching and competitive risk model. Front Oncol. 2024;14:1319981. doi:10.3389/fonc.2024.1319981.

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