Faculty of Sports Science, Ningbo University, Ningbo 315211, China.
Faculty of Engineering, University of Szeged, 6724 Szeged, Hungary.
Int J Environ Res Public Health. 2020 Jul 12;17(14):5011. doi: 10.3390/ijerph17145011.
Traditional Chinese exercise (TCE) has gradually become one of the widespread complementary therapies for treatment and recovery of cancers. However, evidence based on the systematic evaluation of its efficacy is lacking, and there appears to be no conclusion regarding the setting of TCE interventions. The purpose of this systematic review is to summarize the current randomized controlled trials (RCTs) that outline the effects of TCE on cancer patients. Relevant studies were searched by GOOGLE SCHOLAR, SCIENCEDIRECT, and WEB OF SCIENCE using "traditional Chinese exercise" and "cancer." Only RCTs published in peer-reviewed English journals were included. A total of 27 studies covering 1616 cancer patients satisfied the eligibility criteria for this review. Despite the methodological limitation and relatively high risk of bias possessed by some included studies, positive evidence was still detected on the effects of TCE on these cancer-related health outcomes in physical, psychological, and physiological parameters. The 60-min or 90-min course of TCE intervention for two to three times per week for 10 to 12 weeks was found to be the most common setting in these studies and has effectively benefited cancer patients. These findings add scientific support to encourage cancer patients to practice TCE during or after conventional medical treatment. Nevertheless, future well-designed RCTs with improved methodology and larger sample size on this field are much warranted for further verification.
传统中医运动（TCE）已逐渐成为癌症治疗和康复的广泛应用的补充疗法之一。然而，缺乏基于系统评价其疗效的证据，并且对于 TCE 干预的设置似乎没有结论。本系统评价的目的是总结目前概述 TCE 对癌症患者影响的随机对照试验（RCT）。通过使用“传统中医运动”和“癌症”在 GOOGLE SCHOLAR、SCIENCEDIRECT 和 WEB OF SCIENCE 中搜索相关研究。仅纳入发表在同行评议的英文期刊上的 RCT。共有 27 项研究涵盖了 1616 名癌症患者，符合本综述的纳入标准。尽管一些纳入的研究存在方法学限制和较高的偏倚风险，但仍在 TCE 对这些与癌症相关的健康结果的影响方面检测到了积极证据，包括身体、心理和生理参数。这些研究发现，每周进行两到三次，每次 60 分钟或 90 分钟，持续 10 到 12 周的 TCE 干预是最常见的设置，对癌症患者有效有益。这些发现为鼓励癌症患者在常规医疗治疗期间或之后进行 TCE 提供了科学支持。然而，未来在该领域需要进行设计更好、方法学改进和更大样本量的 RCT，以进一步验证。
