Batalik Ladislav, Winnige Petr, Dosbaba Filip, Vlazna Daniela, Janikova Andrea
Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic.
Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic.
Cancers (Basel). 2021 Apr 15;13(8):1915. doi: 10.3390/cancers13081915.
Cancer is a chronic disease requiring long-term treatment. Exercise interventions are increasingly being recognized as an important part of treatment and supportive cancer care for patients and survivors. Previous reviews have evaluated the benefits of exercise interventions in populations of patients under supervision at a center, but none have explored the possibilities of a home-based (HB) approach in exercise during cancer rehabilitation and the period immediately following the end of cancer treatment. The aim of this descriptive systematic review was to identify the literature focusing on the health effects of HB exercise interventions in cancer survivors and to evaluate the methodological quality of the examined studies. Relevant studies were identified by a systematic search of PubMed and the Web of Science until January 2021. Nine randomized controlled trials were included. Most studies were on aerobic and resistance exercises, and the frequency, duration, intensity, and modality varied across the different interventions. Improvements in cardiorespiratory fitness (CRF), physical activity (PA) levels, fatigue, health-related quality of life (HRQOL), and body composition have been reported. However, all the studies were limited in methodology and the reporting of results. Nevertheless, the evidence in this new area, despite the methodological limitations of the studies, suggests that HB exercise interventions are feasible, and may provide physiological and psychological benefits for cancer survivors during the rehabilitation period. A methodologically rigorous design for future research is essential for making progress in this field of study.
癌症是一种需要长期治疗的慢性疾病。运动干预日益被视为癌症患者及其幸存者治疗和支持性癌症护理的重要组成部分。以往的综述评估了在中心监督下的患者群体中运动干预的益处,但尚无研究探讨在癌症康复期间及癌症治疗结束后的即刻采用居家(HB)运动方式的可能性。本描述性系统综述的目的是识别关注HB运动干预对癌症幸存者健康影响的文献,并评估所审查研究的方法学质量。通过对PubMed和科学网进行系统检索,直至2021年1月,确定了相关研究。纳入了9项随机对照试验。大多数研究涉及有氧运动和抗阻运动,不同干预措施的频率、持续时间、强度和方式各不相同。据报告,心肺适能(CRF)、身体活动(PA)水平、疲劳、健康相关生活质量(HRQOL)和身体成分均有改善。然而,所有研究在方法学和结果报告方面都存在局限性。尽管如此,尽管研究存在方法学上的局限性,但这一新领域的证据表明,HB运动干预是可行的,并且可能在康复期为癌症幸存者带来生理和心理益处。未来研究采用方法学严谨的设计对于在该研究领域取得进展至关重要。