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化疗期间体育活动对癌症幸存者认知功能的影响:一项系统评价和荟萃分析。

Effect of Physical Activity During Chemotherapy on Cognitive Function in Cancer Survivors: A Systematic Review and Meta-Analysis.

作者信息

Akbari Priyanshi S, Hassan Yusra, Archibald Lisa, Tajik Tania, Dunn Kaitlin, Berris Mara, Smith-Turchyn Jenna

出版信息

Physiother Can. 2023 Feb 8;75(1):12-21. doi: 10.3138/ptc-2021-0032. eCollection 2023 Winter.

Abstract

To determine if cancer survivors who perform physical activity (PA) during chemotherapy have improved levels of cognitive function compared to those who do not. E-databases (Ovid MEDLINE, Embase, CINAHL, PsycINFO, AMED) were searched from inception to February 4, 2020. Quantitative studies that assessed cognitive outcomes for adults with any cancer type who received chemotherapy concurrent with PA were selected. Risk of bias was assessed using Cochrane's RoB 2, ROBINS-I, and Newcastle-Ottawa scales. A meta-analysis was performed using standardized mean difference (SMD). Twenty-two studies (15 randomized controlled trials [RCTs] and 7 non-RCTs) met the inclusion criteria. The meta-analysis demonstrated that combined resistance and aerobic training had a small yet statistically significant effect on social cognition compared to usual care (SMD 0.23 [95% CI: 0.04, 0.42],  = 0.020). Combined resistance and aerobic exercise may benefit social cognition in cancer survivors undergoing chemotherapy. Due to high risk of bias and low quality of evidence of included studies, we recommend further investigation to support these findings and make specific PA recommendations.

摘要

为了确定与未进行体育活动(PA)的癌症幸存者相比,在化疗期间进行体育活动的癌症幸存者的认知功能水平是否有所改善。从数据库建立至2020年2月4日检索电子数据库(Ovid MEDLINE、Embase、CINAHL、PsycINFO、AMED)。选择评估接受化疗同时进行体育活动的任何癌症类型成人的认知结果的定量研究。使用Cochrane的RoB 2、ROBINS - I和纽卡斯尔 - 渥太华量表评估偏倚风险。使用标准化均值差(SMD)进行荟萃分析。22项研究(15项随机对照试验[RCT]和7项非RCT)符合纳入标准。荟萃分析表明,与常规护理相比,联合抗阻训练和有氧运动对社会认知有微小但具有统计学意义的影响(SMD 0.23[95%CI:0.04,0.42],P = 0.020)。联合抗阻训练和有氧运动可能有益于接受化疗的癌症幸存者的社会认知。由于纳入研究的偏倚风险高且证据质量低,我们建议进一步研究以支持这些发现并提出具体的体育活动建议。

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