Despite advances in the treatment of acute lymphoblastic leukemia, the prognosis in adults is still poor, largely due to the resistance of treatment at diagnosis or early relapse. Among the strategies associated with the treatment of Acute Lymphoblastic Leukemia is rehabilitation and physical medicine in order to improve the quality of life, body composition, fitness, strength and improve the attachment and acceptance of their treatment
Previous evidence had shown that among the beneficial effects of an exercise intervention in cancer is the reduction of adverse events associated with treatment, such as nausea and fatigue. Also, the overexpression of Interleukin-15 in cancer is related to a poor prognosis, biologically the implementation of a cross-training exercise routine can function as a regulatory pathway for its expression due to its consumption at muscular level. Finally, the time to consider a relapse with a very poor prognosis is during first three months of treatment, so implementation of an exercise strategy during this period could reduce the proportion of early relapses mediated by Interleukin-15 expression
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
114
Training routine assigned by randomized chart
Hospital General de México "Dr. Eduardo Liceaga"
Mexico City, Mexico
RECRUITINGInterleukin 15
Pro-inflammatory cytokine concentration, measured through peripheral blood
Time frame: 3 months
Neutrophils count
Number of neutrophils found in peripheral blood at the end of each chemotherapy cycle
Time frame: 3 months
Luekocytes count
Number of leukocytes found in peripheral blood at the end of each chemotherapy cycle
Time frame: 3 months
Platelets count
Number of platelets found in peripheral blood at the end of each chemotherapy cycle
Time frame: 3 months
Hemoglobin count
Number of hemoglobin found in peripheral blood at the end of each chemotherapy cycle
Time frame: 3 months
Functional Assessment of Cancer Therapy- Leukemia
Psychological test that evaluates quality of life from four different areas: functional, emotional, social and physical wellness.
Time frame: 3 months
Blasts in marrow
Presence of more than 20% of blasts in bone marrow after each chemotherapy cycle.
Time frame: 3 months
Complications during hospital stay
Presence or absence of complications during the hospital stay, for example: neutropenic fever, infections, severe mucositis and/or cardiotoxicity.
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Time frame: 1 month
Admission to ICU
Admission to ICU during the protocol
Time frame: 3 months
Hospital Stay
Measurement of days of hospital stay
Time frame: 1 month
Hospital Discharge
The event in which patient is dishcarge from Hopital stay,
Time frame: 3 months