College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK.
Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.
BMC Cancer. 2021 Mar 24;21(1):308. doi: 10.1186/s12885-021-07989-0.
The COVID-19 pandemic has forced many cancer services to consider a transition to a remote format of delivery that is largely untested. Accordingly, we sought to perform a systematic review of the effects of remotely delivered interventions to improve exercise behaviour in sedentary adults living with and beyond cancer.
Eligible studies were randomised controlled trials comparing a remotely delivered exercise intervention to a usual care comparison in sedentary people over 18 years old with a primary cancer diagnosis. Nine electronic databases were searched from inception to November 2020.
The review included three trials, totalling 186 participants. Two of the included trials incorporated prescriptions that meet current aerobic exercise recommendations, one of which also meets the guidelines for resistance exercise. No trials reported an intervention adherence of 75% or more for a set prescription that meets current exercise guidelines.
There is little evidence suggesting that remote exercise interventions promote exercise behaviours or improve physical function in sedentary adults living with and beyond cancer. The development and evaluation of novel remote exercise interventions is needed to establish their usefulness for clinical practice. Given the social response to the COVID-19 pandemic, further research in this area is urgently needed.
COVID-19 大流行迫使许多癌症服务机构考虑向远程交付模式转变，而这种模式在很大程度上未经测试。因此，我们试图对改善患有和已治愈癌症的久坐成年人运动行为的远程干预措施的效果进行系统评价。
合格的研究是将远程提供的运动干预与久坐的 18 岁及以上成年人的常规护理对照进行比较的随机对照试验，这些人有原发性癌症诊断。从成立到 2020 年 11 月，我们在九个电子数据库中进行了搜索。
综述包括三项试验，共 186 名参与者。其中两项纳入的试验包含了符合当前有氧运动建议的处方，其中一项还符合阻力运动的指南。没有试验报告说有 75%或更多的符合当前运动指南的规定处方的干预措施得到了遵守。
几乎没有证据表明远程运动干预措施能促进患有和已治愈癌症的久坐成年人的运动行为或改善其身体功能。需要开发和评估新的远程运动干预措施，以确定其在临床实践中的有用性。鉴于对 COVID-19 大流行的社会反应，该领域的进一步研究迫在眉睫。
