Department of Nursing, 7Th Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Nail-Breast Hernia Surgery, 7Th Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Support Care Cancer. 2023 Apr 25;31(5):301. doi: 10.1007/s00520-023-07760-0.
Exercise is the core element of rehabilitation for cancer patients. However, most of the patients' exercise levels failed to meet the indicators recommended by the guidelines or even decreased. Therefore, this umbrella review aims to provide an overview of review articles addressing the evidence of interventions to promote physical activity behavior change and increase physical activity among cancer patients.
We searched nine databases from inception to 12 May 2022 to obtain systematic reviews and meta-analyses of interventions to promote physical activity among cancer patients. The AMSTAR-2 was used for the quality assessment.
Twenty-six individual systematic reviews including 13 studies performed meta-analyses. A total of 16 studies' designs were all in randomized controlled trial. Most reviews included studies that were mainly delivered in home settings. The most frequent and mean duration of the interventions was 12 weeks. Interventions mainly included electronic, wearable health technology-based, behavior change techniques (BCTs), and theory-based strategies.
Electronic, wearable health technology-based, BCTs, and theory-based interventions were effective and feasible in promoting physical activity in cancer survivors. Clinical practitioners should take corresponding intervention measures according to the characteristics of patients in different groups.
Future research may benefit cancer survivors by more comprehensively applying electronic, wearable health technology-based, BCTs, and theory-based interventions.
运动是癌症患者康复的核心要素。然而，大多数患者的运动水平未能达到指南推荐的指标，甚至有所下降。因此，本伞式综述旨在概述针对促进癌症患者身体活动行为改变和增加身体活动的干预措施的综述文章的证据。
我们从建立到 2022 年 5 月 12 日搜索了九个数据库，以获取针对癌症患者促进身体活动的干预措施的系统评价和荟萃分析。使用 AMSTAR-2 进行质量评估。
26 项单独的系统评价包括 13 项进行荟萃分析的研究。所有设计均为随机对照试验。大多数综述包括主要在家庭环境中进行的研究。干预措施最频繁且平均持续时间为 12 周。干预措施主要包括电子、可穿戴健康技术、行为改变技术（BCT）和基于理论的策略。
电子、可穿戴健康技术、BCT 和基于理论的干预措施在促进癌症幸存者的身体活动方面是有效且可行的。临床医生应根据不同群体患者的特点采取相应的干预措施。
未来的研究可以通过更全面地应用电子、可穿戴健康技术、BCT 和基于理论的干预措施，使癌症幸存者受益。
