ORIGINAL PAPER
Cardiopulmonary function in breast cancer patients versus healthy control women
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1
Department of Physical Rehabilitation, Khortytsia National Academy, Zaporizhzhya, Ukraine
2
Department of Theory of Sport and Physical Culture, Lviv State University of Physical Culture, Lviv, Ukraine
3
Department of Human and Animals Physiology, Ivan Franko National University of Lviv, Lviv, Ukraine
4
Department of Gymnastics and Martial Arts, South Ukrainian National Pedagogical University
named after K.D. Ushynsky, Odessa, Ukraine
5
Department of Physical Education and Sport, Ukrainian State University of Railway Transport, Kharkiv, Ukraine
Submission date: 2019-09-10
Acceptance date: 2019-10-22
Publication date: 2020-02-10
Physiother Quart. 2020;28(1):6-10
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ABSTRACT
Introduction:
The study investigated cardiopulmonary function in breast cancer patients versus healthy control women.
Methods:
Overall, 115 women after breast cancer surgery and 50 healthy controls were included. The outcome measures were spirographic and hemodynamic parameters.
Results:
Most of the investigated parameters in breast cancer patients were significantly lower than in healthy women. The actual vital capacity (VC) was significantly lower by 0.34 l (p < 0.001), forced vital capacity (FVC) by 0.25 l (p < 0.001), forced expiratory volume in 1 second (FEV1) by 0.26 l (p < 0.001), peak expiratory flow (PEF) by 0.95 l/s (p < 0.001), maximum expiratory flow25 (MEF25) by 0.98 l/s (p < 0.001), maximum expiratory flow50 (MEF50) by 0.65 l/s (p < 0.001), expiratory reserve volume by 0.48 l (p < 0.001), maximal voluntary ventilation by 22.73 l/min (p < 0.001). The percentage of predicted values of VC, FVC, FEV1, PEF, MEF25, and MEF50 was lower by 9.93% (p < 0.001), 7.39% (p < 0.001), 8.87% (p < 0.001), 15.7% (p < 0.001), 18.09% (p < 0.001), and 15.96% (p < 0.001), respectively. As for the cardiovascular system, the actual stroke volume was higher in the control group compared with the main group by 12.20 ml/beat (p < 0.001), stroke index by 8.85 ml/beat/m2 (p < 0.001), cardiac output by 0.87 l/min (p < 0.001), left ventricular work by 0.96 g · m/beat (p < 0.001), LVP by 0.26 W (p < 0.001).
Conclusions:
Cancer treatment negatively affected most cardiorespiratory parameters. The results support the need for physiotherapy intervention in breast cancer patients after treatment.