Centro Universitário Cenecista de Osório, Osório, RS, Brazil.
Universidade Federal de Ciências da Saúde de Porto Alegre , Porto Alegre, RS, Brazil.
Rev Paul Pediatr. 2020 Oct 5;39:e2019313. doi: 10.1590/1984-0462/2021/39/2019313. eCollection 2020.
To identify the effects of exercise programs during hospitalization on children and adolescents with cancer.
This is a systematic review, carried out in PubMed/ Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Health Sciences Literature (LILACS), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Center on Health Sciences Information (BIREME), and Physiotherapy Evidence Database (PEDro). We selected studies that included children and adolescents diagnosed with cancer (solid or hematologic) and submitted to exercise protocols during hospitalization. Studies involving patients with other pathologies or with a medical contraindication for exercise were excluded. We used the following search strategy: Neoplasm OR Leukemia OR Cancer OR Tumor OR Medical Oncology AND Hospitalization OR Inpatient Care Units OR Intrahospital AND Exercise. The methodological quality of the studies was analyzed by the PEDro scale.
Among the 626 articles found, only 9 fulfilled the inclusion criteria, obtaining a regular methodological quality. The samples had 172 participants, aged 4 to 18 years. Only 6 studies presented both intervention group and control group. The intervention group received strength, aerobic, and muscle stretching exercises, and games, among others. The control group received the standard treatment. The studies varied regarding time, frequency, intensity, and type of exercise. Most studies showed an increase in muscle strength (4/5), followed by an improvement in physical fitness (2/3) and functional capacity (2/4). No adverse events were reported during the interventions. The methodological quality was considered regular.
The findings suggest that. during hospitalization of children and adolescents with cancer, exercise improves muscle strength, physical fitness, and functionality.
确定住院期间运动方案对癌症患儿和青少年的影响。
这是一项系统评价，在 PubMed/医学文献分析与检索系统在线（MEDLINE）、拉丁美洲和加勒比健康科学文献（LILACS）、科学电子图书馆在线（SciELO）、拉丁美洲和加勒比卫生科学信息中心（BIREME）和物理治疗证据数据库（PEDro）中进行。我们选择了纳入癌症（实体瘤或血液系统）诊断患儿和青少年，并在住院期间接受运动方案的研究。排除了涉及其他病理或运动禁忌的患者的研究。我们使用了以下搜索策略：肿瘤 OR 白血病 OR 癌症 OR 肿瘤 OR 肿瘤内科 AND 住院治疗 OR 住院病房 OR 医院内 AND 运动。研究的方法学质量通过 PEDro 量表进行分析。
在 626 篇文章中，只有 9 篇符合纳入标准，具有常规的方法学质量。样本中有 172 名参与者，年龄 4 至 18 岁。只有 6 项研究同时设立了干预组和对照组。干预组接受力量、有氧运动和肌肉伸展运动以及游戏等运动。对照组接受标准治疗。研究在时间、频率、强度和运动类型方面存在差异。大多数研究显示肌肉力量增加（4/5），随后身体适应性（2/3）和功能能力（2/4）得到改善。干预期间没有报告不良事件。方法学质量被认为是常规的。
研究结果表明，在癌症患儿和青少年住院期间，运动可改善肌肉力量、身体适应性和功能。
