期刊
MEDICINE & SCIENCE IN SPORTS & EXERCISE
卷 53, 期 12, 页码 2661-2674出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/MSS.0000000000002735
关键词
HOME-BASED; PHYSICAL ACTIVITY; CANCER SURVIVORS; FATIGUE; DEPRESSION; ANXIETY
资金
- DutchCancer Society (KWF Kankerbestrijding) [12375, 2019-1]
Home-based physical activity interventions can reduce fatigue among adult cancer survivors for up to 9 months, with frequent counseling potentially enhancing the benefits of these interventions. Subgroup analyses showed that interventions with frequent counseling were associated with larger improvements in fatigue.
Purpose: Physical activity (PA) affects fatigue and mental health in cancer survivors favorably, but participation in PA interventions tends to be low. More participants may be reached by home-based PA owing to greater accessibility and self-monitoring. This systematic review therefore evaluated the effects of home-based PA of low to moderate intensity on symptoms of fatigue, depression, and anxiety among cancer survivors. Methods: PubMed, CINAHL, PsycINFO, and Web of Science were systematically searched for randomized controlled trials. We included investigations of home-based PA interventions in adults treated curatively for cancer and evaluating fatigue, depression, or anxiety as outcomes. We performed a random-effect meta-analysis for the effects of PA interventions on fatigue in the short and long terms. Subgroup analyses were performed for the frequency of counseling. Standardized mean differences (SMD) and 95% confidence intervals are reported. Results: Eleven articles comprising 1066 participants were included: 77% had a history of breast cancer; 14%, ovarian cancer; 4%, colorectal cancer; 4%, prostate cancer; and 1%, other cancer (not specified). Concerning the outcomes, nine articles reported on fatigue and two reported on depression or anxiety. Meta-analyses showed a significant effect of home-based PA on fatigue immediately after the intervention (SMD= 0.22 [0.06-0.37]), at 3months' follow-up (SMD = 0.27 [0.04-0.51]), and at 6-9 months' follow-up (SMD = 0.31 [0.08-0.55]). PA interventions that used frequent counseling were associated with larger improvements in fatigue than those using no or infrequent counseling. Conclusions: Home-based PA interventions can reduce fatigue among adult cancer survivors for up to 9months, and frequent counselingmay improve the benefits of these interventions.
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