ULS_10-MED
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Browsing ULS_10-MED by Subject "Adherence"
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- A supervised home-based exercise program to improve functional performance in women with breast cancer (Home-Pac): a randomized controlled trialPublication . Ramos, Pedro G. F.; Júdice, Pedro B.; Valadas, Gabriela; Bento, Alexandra; Nobre, Inês; Rodrigues, Bruno; Carraça, Eliana V.Background:Endocrine therapy's effects may hinder the functional performance and quality of life of women with breast cancer. Physical activity can counteract these effects, but this population does not regularly adopt it. This study aimed to test the impact of a 12-week home-based exercise intervention with a supervised component on the functional performance, quality of life, and physical activity of women with breast cancer undergoing endocrine therapy. Methods:Twenty-one women were initially randomized. Three participants were missing at random before the intervention started, leaving 18 with breast cancer stage I to III diagnosis, aged 18 to 75 years, receiving endocrine therapy, and reporting low to moderate activity levels. The study comprised a weekly online exercise session and, an exercise booklet intervention, and control group. Functional performance, quality of life, and physical activity were assessed. ANOVAs with repeated measures and Bonferroni-adjusted pairwise comparisons were conducted. Results:High adherence to program was observed (80%). Significant group-by-time interactions, favoring the intervention group, were found for functional performance-sit-to-stand (F = 19.64; P < .001; Eta2 = .55), arm curl (F = 13.01; P = .002; Eta2 = .45), and timed-up-go (F = 12.22; P = .003; Eta2 = .43); quality of life-insomnia (F = 6.05; P = 0.026; Eta2 = .27) and global health status (F = 6.81; P = .020; Eta2 = .31); and total physical activity (F = 5.95; P = .027; Eta2 = .27). Conclusion:The findings suggest that home-based exercise programs might be feasible and improve strength and overall mobility. These programs may contribute to increasing physical activity and quality of life of women with breast cancer. Further studies with larger samples are needed to confirm these findings.
- The who-when-why triangle of complementary and alternative medicine use among Portuguese IBD patientsPublication . Portela, Francisco; Dias, Camila C.; Caldeira, Paulo; Cravo, Marilia; Deus, João; Gonçalves, Raquel; Lago, Paula; Morna, Henrique; Peixe, Paula; Ramos, Jaime; Sousa, Helena Tavares; Tavares, Lurdes; Vasconcelos, Helena; Magro, Fernando; Ministro, PaulaBackground: The use of complementary and alternative medicines is increasing among chronic patients, particularly those afflicted with inflammatory bowel diseases. Aim: This study aimed to address the prevalence of complementary and alternative medicines use among Portuguese inflammatory bowel diseases' patients. Methods: Patients were invited to fill an anonymous questionnaire concerning the use of complementary and alternative medicines. Results: Thirty-one per cent of the patients reported having used complementary and alternative medicines in the past, whereas 12% were using them by the time the questionnaire was administered. Fifty-nine per cent of the users did not share this information with their physician, whereas 14% and 8% discontinued their medication and periodical examination, respectively. Steroids prescription (OR = 2.880) and a higher instruction level (OR = 3.669) were predictors of complementary and alternative medicines use in this cohort. Conclusions: Roughly a third of Portuguese IBD patients had used CAM. Steroid treatment and an academic degree are associated with CAM use. Given the potential side effects and interactions, patient information about the benefits and limitations of conventional and complementary treatments should be reinforced. (C) 2017 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.