Examinando por Autor "Gil Rey, Erreka"

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    Condición física y calidad de vida de personas con patologías crónicas graves: programa de ejercicio EfiKroniK
    (Federación Española de Asociaciones de Docentes de Educación Física (FEADEF), 2023-09-15) Domínguez Martínez, Silvia; Arietaleanizbeaskoa, María Soledad ; Gil Rey, Erreka; García Álvarez, Arturo ; Mendizabal Gallastegui, Nere; Coca Núñez, Aitor; Grandes Odriozola, Gonzalo
    El objetivo del estudio es describir las características clínicas, de condición física y calidad de vida de una serie de casos compuesta por 162 pacientes crónicos diagnosticados de patologías hematológicas, trastorno mental o cáncer sólido en estadio IV, incluidos en el ensayo clínico EfiKroniK. Se recogieron datos sociodemográficos y clínicos además de realizar diferentes test para medir la condición física (test 400 metros, test de prensión manual y test de sentarse y levantarse cinco veces) y la calidad de vida general (SF-36, Golberg y Duke) y específica (PANSS y EORT QLQ-C30). Al analizar los resultados encontramos que tanto la condición física (262 segundos en el test de los 400 m, Intervalo de Confianza al 95% [IC95%] = 253 – 271; y 34kg en el test de prensión manual, IC95%=13 – 15) como la calidad de vida (41 puntos en el componente resumen de salud física del SF-36; IC95% = 39 – 42) son netamente inferiores a las de la población general, con diferencias significativas (p<0,05) entre grupos de patología. Las personas con enfermedades crónicas presentan un deterioro en su condición física y calidad de vida que deben tenerse en cuenta para prescribirles planes de ejercicio físico (CEIC de Euskadi, PI2014127)
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    Implementing exercise in standard cancer care (bizi orain hybrid exercise program): protocol for a randomized controlled trial
    (JMIR Publications Inc., 2021-08-01) Arietaleanizbeaskoa, María Soledad; Gil Rey, Erreka ; Mendizabal Gallastegui, Nere ; García Álvarez, Arturo ; de la Fuente, Ibon; Domínguez Martínez, Silvia; Pablo, Susana; Coca Núñez, Aitor; Gutiérrez Santamaría, Borja; Grandes Odriozola, Gonzalo
    Background: Despite the established benefits of regular exercise for patients with cancer to counteract the deleterious effects of the disease itself and treatment-related adverse effects, most of them do not engage in sufficient levels of physical activity and there is a paucity of data on the integration of efficacious exercise programs that are accessible and generalizable to a large proportion of patients with cancer into routine cancer care. Objective: We intend to examine the effects attributable to the implementation of a community-based exercise program on cardiorespiratory functional capacity and quality of life for patients with cancer. Methods: This will be a hybrid study. In the first experimental phase, patients diagnosed with any type of cancer will be randomized into two parallel groups. One group immediately performs Bizi Orain, a 3-month supervised exercise program (3 times a week), in addition to behavioral counseling in a primary health care setting; the other is a reference group that starts the exercise program 3 months later (delayed treatment). In the second observational phase, the entire cohort of participants will be followed-up for 5 years. Any person diagnosed with cancer in the previous 2 years is eligible for the program. The program evaluation involves the uptake, safety, adherence, and effectiveness assessed after completion of the program and with follow-ups at 3, 6, 12, 24, 36, 48, and 60 months. The primary outcomes of the experimental study, to be compared between groups, are improved physical function and quality of life, whereas overall survival is the main objective of the prospective study. To analyze the association between changes in physical activity levels and overall survival, longitudinal mixed-effects models will be used for repeated follow-up measures. Results: A total of 265 patients have been enrolled into the study since January 2019, with 42 patients from the hematology service and 223 from the oncology service. Conclusions: Bizi Orain is the first population-based exercise program in Spain that will offer more insight into the implementation of feasible, generalizable, and sustainable supportive care services involving structured exercise to extend survival of patients with cancer, improve their physical function and quality of life, and reverse the adverse effects of their disease and related treatments, thereby reducing the clinical burden.
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    Protocol for the SEHNeCa randomised clinical trial assesing supervised exercise for head and neck Cancer patients
    (BioMed Central Ltd, 2023-03-24) Rodriguez Arietaleanizbeaskoa, Mario; Mojas Ereño, Egoitz ; Arietaleanizbeaskoa, María Soledad; Grandes Odriozola, Gonzalo ; Rodríguez Sánchez, A.; Urquijo, V.; Hernando Alday, I.; Dublang Irazabal, Maddalen; Angulo Garay, Garazi ; Cacicedo, Jon ; Gil Rey, Erreka ; Gutiérrez Santamaría, Borja
    Objectives: To evaluate the effectiveness of an innovative supervised exercise programme to mitigate the loss of lean body mass, functional capacity and quality of life in people with head and neck cancer, as well as to identify the optimal moment to apply it, before or after radiotherapy treatment, compared with the prescription of a physical activity plan carried out autonomously. Methods: Patients with squamous cell carcinoma of the head and neck (n = 144), treated with radiotherapy, will be randomly assigned to one of 3 comparison groups: pre-radiotherapy supervised exercise, post-radiotherapy supervised exercise and autonomous exercise, stratifying by human papillomavirus infection and previous surgery. The exercise programme will be carried out in 36 sessions over 12 weeks, combining moderate and high intensity strength and aerobic exercises. The main outcome variable is the change in lean body mass at 6 months measured by bioimpedance, while secondary variables are functional capacity, symptoms, quality of life and adverse effects. Longitudinal generalised mixed models will be used for the analyses of the repeated measurements at 3, 6, and 12 months after baseline. Conclusions: The pilot study supports the feasibility and safety of the project. However, as the programme progressed, attendance at the sessions decreased. Strategies will be necessary for increasing attendance, as well as involving the patient in their recovery and other incentives. Follow-up after treatment to assess acute/late toxicity will enable us to know the response to both the exercise programme and its adherence. Trial registration: NCT04658706 Date and version identifier: March 1, 2023. Version 1.1.