Blount Daphne S, McDonough Daniel J, Gao Zan
College of Biological Science, University of Minnesota-Twin Cities, 1445 Gortner Ave, Saint Paul, MN 55108, USA.
School of Kinesiology, University of Minnesota-Twin Cities, 208 Cooke Hall, 1900 University Ave SE, Minneapolis, MN 55455, USA.
J Clin Med. 2021 May 8;10(9):2015. doi: 10.3390/jcm10092015.
This systematic review synthesized all randomized controlled trials (RCTs) and controlled trials examining the effects of wearable health technology-based physical activity interventions on physiological, cognitive, and emotional outcomes in breast cancer survivors (BCS). We searched NCBI, Academic Search Premier, EMBASE, Web of Science, PubMed, and Medline from inception to March 2021. We included studies which: (1) were RCTs or controlled trials ≥8 weeks in duration; (2) were peer-reviewed and published in English; (3) sampled BCS in full remission and had not received treatment for at least six months; (4) utilized wearable health technology (e.g., Fitbit, Garmin xGC30); and (5) examined physiological, emotional, and/or cognitive outcomes. Sixty-six studies were identified and 14 were included in the review. Most of the observed effects were statistically significant and those which employed multi-component interventions generally yielded greater effects. Overall, the use of wearable health technology reduced sedentary behavior and increased moderate-to-vigorous intensity physical activity. Further, increased moderate-to-vigorous intensity physical activity was observed to be associated with increased perceived cognition and higher cognitive performance. Multiple studies also observed significant improvements in attitude, worry, and anxiety. Overall, findings suggested wearable health technology-based physical activity interventions to be effective for improving physical activity, attitude, and cognitive functions and for reducing sedentary behavior, anxiety, and worry in BCS.
本系统评价综合了所有随机对照试验（RCT）和对照试验，这些试验考察了基于可穿戴健康技术的体育活动干预对乳腺癌幸存者（BCS）生理、认知和情绪结局的影响。我们检索了从数据库建立至2021年3月的NCBI、学术搜索高级版、EMBASE、科学网、PubMed和Medline。我们纳入的研究需满足以下条件：（1）为持续时间≥8周的随机对照试验或对照试验；（2）经过同行评审并以英文发表；（3）样本为完全缓解的乳腺癌幸存者且至少六个月未接受治疗；（4）使用可穿戴健康技术（如Fitbit、佳明xGC30）；（5）考察生理、情绪和/或认知结局。共识别出66项研究，其中14项纳入本评价。大多数观察到的效应具有统计学意义，采用多成分干预的研究通常产生更大的效应。总体而言，使用可穿戴健康技术减少了久坐行为，增加了中度至剧烈强度的体育活动。此外，观察到中度至剧烈强度的体育活动增加与认知感知增强和更高的认知表现相关。多项研究还观察到在态度、担忧和焦虑方面有显著改善。总体而言，研究结果表明，基于可穿戴健康技术的体育活动干预对于改善乳腺癌幸存者的体育活动、态度和认知功能以及减少久坐行为、焦虑和担忧是有效的。
