Conn Vicki S, Hafdahl Adam R, Porock Davina C, McDaniel Roxanne, Nielsen Paul J
S317 School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA.
Support Care Cancer. 2006 Jul;14(7):699-712. doi: 10.1007/s00520-005-0905-5. Epub 2006 Jan 31.
This review applied meta-analytic procedures to integrate primary research findings that tested exercise interventions among people treated for cancer.
Extensive literature searching strategies located published and unpublished intervention studies that tested exercise interventions with at least five participants (k = 30). Primary study results were coded. Meta-analytic procedures were conducted.
The overall weighted mean effect size (ES) for two-group comparisons was 0.52 (higher mean for treatment than control) for physical function, 0.35 for symptoms other than fatigue, and 0.27 for body composition. More modest positive ESs were documented for mood (0.19), quality of life (0.14), fatigue (0.11), and exercise behavior (0.04). ESs were larger among single-group pre-post design studies. ESs among control group participants were typically negative and not (statistically) significantly different from 0.
Exercise interventions resulted in small positive effects on health and well-being outcomes among existing studies. Future research should examine intervention-specific characteristics that result in optimal results, such as dose.
本综述采用荟萃分析程序,整合针对癌症患者进行运动干预的主要研究结果。
广泛的文献检索策略找到了已发表和未发表的干预研究,这些研究对至少五名参与者进行了运动干预测试(k = 30)。对主要研究结果进行编码,并进行荟萃分析程序。
两组比较的总体加权平均效应量(ES)在身体功能方面为0.52(治疗组均值高于对照组),非疲劳症状方面为0.35,身体成分方面为0.27。在情绪(0.19)、生活质量(0.14)、疲劳(0.11)和运动行为(0.04)方面记录到的积极效应量较为适度。单组前后设计研究中的效应量更大。对照组参与者的效应量通常为负,且与0无(统计学)显著差异。
在现有研究中,运动干预对健康和幸福结局产生了小的积极影响。未来的研究应考察导致最佳结果的特定干预特征,如剂量。