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000125384 0247_ $$2doi$$a10.1007/s00520-017-3694-8
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000125384 041__ $$aeng
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000125384 1001_ $$0P:(DE-He78)f52b77d7ab843c9b900134aafc61638a$$aClauss, Dorothea$$b0$$eFirst author$$udkfz
000125384 245__ $$aCardiorespiratory fitness and muscle strength in pancreatic cancer patients.
000125384 260__ $$aBerlin$$bSpringer$$c2017
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000125384 520__ $$aCancer patients frequently experience reduced physical fitness due to the disease itself as well as treatment-related side effects. However, studies on physical fitness in pancreatic cancer patients are missing. Therefore, we assessed cardiorespiratory fitness and muscle strength of pancreatic cancer patients.We included 65 pancreatic cancer patients, mostly after surgical resection. Cardiorespiratory fitness was assessed using cardiopulmonary exercise testing (CPET) and 6-min walk test (6MWT). Hand-held dynamometry was used to evaluate isometric muscle strength. Physical fitness values were compared to reference values of a healthy population. Associations between sociodemographic and clinical variables with patients' physical fitness were analyzed using multiple regression models.Cardiorespiratory fitness (VO2peak, 20.5 ± 6.9 ml/min/kg) was significantly lower (-24%) compared to healthy reference values. In the 6MWT pancreatic cancer patients nearly reached predicted values (555 vs. 562 m). Maximal voluntary isometric contraction (MVIC) of the upper (-4.3%) and lower extremities (-13.8%) were significantly lower compared to reference values. Overall differences were larger in men than those in women. Participating in regular exercise in the year before diagnosis was associated with greater VO2peak (p < .05) and MVIC of the knee extensors (p < .05).Pancreatic cancer patients had significantly impaired physical fitness with regard to both cardiorespiratory function and isometric muscle strength, already in the early treatment phase (median 95 days after surgical resection). Our findings underline the need to investigate exercise training in pancreatic cancer patients to counteract the loss of physical fitness.
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000125384 7001_ $$aTjaden, Christine$$b1
000125384 7001_ $$aHackert, Thilo$$b2
000125384 7001_ $$aSchneider, Lutz$$b3
000125384 7001_ $$0P:(DE-HGF)0$$aUlrich, Cornelia M$$b4
000125384 7001_ $$0P:(DE-He78)60b584aeef81e4c57fd111fa63779b73$$aWiskemann, Joachim$$b5$$udkfz
000125384 7001_ $$0P:(DE-He78)a0c2037d9054be26907a05ae520d5756$$aSteindorf, Karen$$b6$$eLast author$$udkfz
000125384 773__ $$0PERI:(DE-600)1463166-0$$a10.1007/s00520-017-3694-8$$gVol. 25, no. 9, p. 2797 - 2807$$n9$$p2797 - 2807$$tSupportive care in cancer$$v25$$x1433-7339$$y2017
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