Resistance versus aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled study

Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm

Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm – Resistance versus aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled study. Fizjoterapia Polska 2021; 21(5); 220-225

Abstract
Purpose. To compare the effects of resistance and aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
Methods. sixty female patients with ages ranged from 30 to 60 years, diagnosed as breast cancer undergoing adjuvant chemotherapy, complaining of cancer related fatigue and decreased immunity, were recruited from oncology department at Medical Research Institute in Alexandria and divided randomly into two equal groups in number; Group (A), received resistance exercises for 3 months, Group (B), received aerobic exercises for 3 months. Pretreatment, after 6 weeks and after 3 months of treatment assessment was done using Fatigue assessment scale (FAS), Hemoglobin (Hb) level test for fatigue and White blood cells count (WBCS)for immunity were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in FAS, as well as improvement in Hb and WBCS count (p = 0.0001) in favor of group (B).
Conclusion. Aerobic exercise is more effective than resistance exercises in cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
Key words:
cancer-related fatigue, immunity, aerobic exercise, resistance exercises, adjuvant chemotherapy
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Aerobic Versus Resistance Exercises on Liver Enzymes Following Burn Injuries

Aya Gamal Fawzy El-Sayed, Amal Mohammed Abd El Baky, Ahmed Adel Nawar

Aya Gamal Fawzy El-Sayed, Amal Mohammed Abd El Baky, Ahmed Adel Nawar – Aerobic Versus Resistance Exercises on Liver Enzymes Following Burn Injuries . Fizjoterapia Polska 2020; 20(5);  66-70

Abstract

Objective. The current study was conducted to evaluate which was more effective aerobic or resistance exercises in reducing plasma liver enzymes level following burn injuries. Materials and Methods. Sixty burned patients with burned body surface area about 30% to 50% participated in this study. Their ages ranged from 20-45 years. They were selected from Orabi Hospital and were divided randomly into two equal groups. Group (A) composed of 30 patients who received aerobic exercise in form of treadmill exercise for 45 minutes at 60-75% of maximum heart rate, 3times/week for 8 weeks beginning after their release from intensive care unit in addition to their traditional physical therapy program (splinting, stretching ex. and ROM ex.) and medical treatment. Group (B) composed of 30 patients who performed seven resistance exercises using dumbbells, sand bags and body weight for 2 and 3 series of 10 repetitions at intensity of 50%-70% of 1 repetition maximum for 45 minutes/session, 3times/week for 8 weeks beginning after their release from intensive care unit in addition to their traditional physical therapy program (splinting, stretching ex. and ROM ex.) and medical treatment. Method of evaluation was measurements of alanine transaminase (ALT) and aspartate transaminase (AST) liver enzymes by spectrophotometer device. Results. There was a_significant decrease in ALT and AST plasma liver enzymes levels in aerobic exercise group compared to that in resistance exercise group. Conclusion. Aerobic exercise was more effective than resistance exercise in reducing plasma liver enzymes level (AST and ALT) following burn injuries.

Key words:
aerobic exercise, burn, liver enzymes, resistance exercises
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