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Rehabilitation Practice and Science

Translated Title

系統性回顧：高強度間歇訓練對於癌症患者之效益探討

Abstract

Recent studies have begun to replace low-intensity exercise with high-intensity interval training (HIIT) to improve physical fitness and health-related quality of life of cancer survivors. To the best of our knowledge, there is no systematic reviewarticle to investigate the effect of HIIT on cancer survivors. Therefore, the aim of this systematic reviewarticle study is to summarize relevant randomized controlled trials on the physiologic efficacy of HIIT on cancer survivors, and to establish the clinical intervention principles of HIIT for cancer survivors. The literature reviewarticle covered online electronic databases (Pubmed, Medline, PEDro, and CEPS) from 2000 to 2016, and searched for RCTs related to HIIT application on cancer patients. Seven RCTs were included in this article. According to the results of studies, the exercise protocol of the HIIT is divided into high intensity cardiopulmonary fitness training (HICFT) and high intensity resistance training (HIRT). HICFT applied three times a week, ranged from 6～12 weeks, 15～25 minuets for each session, work to rest ratio is 1:2 or 3:1 progressively to 5:1. Training intensity suggested 80%～95% peak heart rate or peak oxygen uptake (VO_2 _(peak)). HIRT targeted large muscle groups with a frequency of two sets of 10 repetitions week at 70 %～85 % of 1-RM. The results demonstrated that HIIT and low to moderate intensity exercise could both improve VO_2 _(peak), quality of life, cancer-related fatigue and physical activity level compared to control group. However, the HIIT group maintained VO_2 _(peak) at follow-up period, whereas the low-intensity group regressed (2.2 v.s.0.5 ml/kg per/minute, p=.01). No adverse events related to the HIIT exercise group. In conclusion, the benefit of HIIT is a time-efficient strategy for improving certain aspects of the cancer survivors. The HIIT intervention can significantly reduce cancer related fatigue and improve vitality, aerobic capacity, muscular strength, and physical and functional activity, emotional wellbeing, and quality of life. The safe principles of HIIT clinical implication for cancer patients is to assess pre-exercise physical condition, and monitor completely the participants' vital signs during training sessions. Further researches could investigate the feasibility of a home-based HIIT protocol, and examine the long term effect of HIIT on cancer survivors.

Language

Traditional Chinese

First Page

55

Last Page

69

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