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运动干预在接受化疗的血液系统恶性肿瘤患者中的安全性和可行性:系统评价。

Safety and feasibility of exercise interventions in patients with hematological cancer undergoing chemotherapy: a systematic review.

机构信息

Department of Molecular and Cellular Sports Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.

Department of Physiotherapy, Hogeschool Zuyd, Heerlen, the Netherlands.

出版信息

Support Care Cancer. 2023 May 15;31(6):335. doi: 10.1007/s00520-023-07773-9.

Abstract

OBJECTIVE

Exercise during and after cancer treatment has established quality of life and health benefits. However, particularly for patients with hematological cancer clear recommendations regarding the safety and feasibility of exercise are under-investigated. The aim of our systematic review was to summarize the literature regarding the feasibility and safety of exercise interventions in patients diagnosed with hematological cancer undergoing chemotherapy.

METHOD

A systematic literature review was conducted using PubMed, SPORTDiscus, MEDLINE, Science Direct, and Web of Science electronic databases. Eligible studies were scientific publications reporting the feasibility and/or safety of an exercise intervention program carried out in inpatient patients diagnosed with hematological cancer undergoing chemotherapy.

RESULT

Out of 12 studies (six RCTs) included in this review, six investigations reported results with regard to safety and 10 with regard to feasibility. While all studies claim that their exercise interventions were safe and/or feasible, it is noteworthy that this claim often remains unsupported as detailed information on how the feasibility of the intervention was asserted is missing.

CONCLUSION

Exercise appears to be safe and feasible in hematological cancer patients. However, due to a striking lack of information on how the feasibility of the intervention was asserted, contextualizing the results and deducing recommendations for further studies remains challenging. Further research should therefore incorporate information on the execution of the exercise intervention in more detail.

摘要

目的

癌症治疗期间和之后的运动已确立了其对生活质量和健康的益处。然而,对于血液学癌症患者,明确的关于运动的安全性和可行性的建议仍然研究不足。我们的系统评价旨在总结关于接受化疗的血液学癌症患者的运动干预的可行性和安全性的文献。

方法

使用 PubMed、SPORTDiscus、MEDLINE、Science Direct 和 Web of Science 电子数据库进行系统文献综述。合格的研究是报告在接受化疗的诊断为血液学癌症的住院患者中进行的运动干预计划的可行性和/或安全性的科学出版物。

结果

在本综述中纳入的 12 项研究(6 项 RCT)中,有 6 项研究报告了安全性结果,10 项研究报告了可行性结果。虽然所有研究都声称他们的运动干预是安全和/或可行的,但值得注意的是,由于缺乏关于如何确定干预可行性的详细信息,因此这一说法往往没有得到支持。

结论

运动似乎对血液学癌症患者是安全且可行的。然而,由于缺乏关于如何确定干预可行性的信息,对结果进行背景化并推导出进一步研究的建议仍然具有挑战性。因此,进一步的研究应更详细地纳入关于运动干预执行情况的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7403/10183429/0a677b3fcf10/520_2023_7773_Fig1_HTML.jpg

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