Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, Pennsylvania, USA.
Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Cancer Med. 2023 Dec;12(24):22278-22292. doi: 10.1002/cam4.6753. Epub 2023 Nov 29.
INTRODUCTION: The American College of Sports Medicine provided guidelines for exercise prescriptions in cancer survivors for specific cancer- and treatment-related health outcomes. However, there was insufficient evidence to generate exercise prescriptions for 10 health outcomes of cancer treatment. We sought to update the state of evidence. METHODS: We conducted a systematic review of these 10 understudied health outcomes (bone health, sleep, cardiovascular function, chemotherapy-induced peripheral neuropathy (CIPN), cognitive function, falls and balance, nausea, pain, sexual function, and treatment tolerance) and provided an update of evidence. RESULTS: While the evidence base for each outcome has increased, there remains insufficient evidence to generate exercise prescriptions. Common limitations observed across outcomes included: variability in type and quality of outcome measurement tools, variability in definitions of the health outcomes, a lack of phase III trials, and a majority of trials investigating breast or prostate cancer survivors only. CONCLUSION: We identified progress in the field of exercise oncology for several understudied cancer- and treatment-related health outcomes. However, we were not able to generate exercise prescriptions due to continued insufficient evidence base. More work is needed to prescribe exercise as medicine for these understudied health outcomes, and our review highlights several strategies to aid in research acceleration within these areas of exercise oncology.
简介:美国运动医学学院为癌症幸存者提供了针对特定癌症和治疗相关健康结果的运动处方指南。然而,对于 10 种癌症治疗相关的健康结果,还没有足够的证据来制定运动处方。我们试图更新证据状况。 方法:我们对这 10 种研究不足的健康结果(骨骼健康、睡眠、心血管功能、化疗引起的周围神经病(CIPN)、认知功能、跌倒和平衡、恶心、疼痛、性功能和治疗耐受性)进行了系统回顾,并提供了最新的证据。 结果:虽然每个结果的证据基础都有所增加,但仍然没有足够的证据来制定运动处方。在各个结果中观察到的常见局限性包括:结果测量工具的类型和质量的可变性、健康结果定义的可变性、缺乏 III 期试验以及大多数试验仅调查乳腺癌或前列腺癌幸存者。 结论:我们发现,在针对一些研究不足的癌症和治疗相关健康结果的运动肿瘤学领域取得了进展。然而,由于持续缺乏证据基础,我们无法制定运动处方。需要做更多的工作来为这些研究不足的健康结果规定运动作为医学,我们的审查强调了在这些运动肿瘤学领域加速研究的几种策略。
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