Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, QC G8Z 4M3, Canada.
Research Center of Institut Universitaire en Santé Mentale de Montréal, Montréal, QC H1N 3V2, Canada.
Int J Environ Res Public Health. 2024 Feb 14;21(2):225. doi: 10.3390/ijerph21020225.
The post-treatment period (after the completion of primary cancer treatment) is a phase during which adults with cancer are particularly vulnerable to the physical and psychological side effects of treatment. Adopting healthy lifestyle habits during this time is essential to mitigate these effects. This scoping review investigated the associations of physical activity (PA) and sedentary time (ST) with two post-treatment psychosocial indicators among adults with cancer: psychological functioning and quality of life (QoL). An exhaustive search was performed in January 2023 across five databases, namely APA PsycInfo, MedLine, SPORTDiscuss, SCOPUS, and CINAHL, adhering to PRISMA guidelines for scoping reviews. Twenty articles met the inclusion criteria; 16 used a cross-sectional design, while 4 used a longitudinal one. PA and ST were assessed mainly with accelerometers ( = 17), and psychosocial indicators with self-reported questionnaires ( = 20). Most studies linked higher PA levels to reduced anxiety ( = 3) and depression ( = 4) symptoms, and elevated ST to higher psychological symptoms ( = 3). Opposite associations were observed for QoL ( = 5). Altogether, PA appeared to be more strongly related to psychological functioning and QoL than ST. This scoping review highlights associations of PA and ST with psychological functioning and QoL among adults with cancer in the post-treatment period. However, future studies must prioritize longitudinal designs to establish directionality.
治疗后时期(原发性癌症治疗完成后)是癌症患者特别容易受到治疗的身体和心理副作用影响的阶段。在这段时间内采用健康的生活方式习惯对于减轻这些影响至关重要。本范围综述调查了身体活动 (PA) 和久坐时间 (ST) 与癌症后成年患者的两个心理社会指标之间的关联:心理功能和生活质量 (QoL)。 2023 年 1 月,根据 PRISMA 范围综述指南,在五个数据库(APA PsycInfo、MedLine、SPORTDiscuss、SCOPUS 和 CINAHL)中进行了详尽的搜索。20 篇文章符合纳入标准;16 项使用了横断面设计,4 项使用了纵向设计。PA 和 ST 主要通过加速度计评估(= 17),而心理社会指标则通过自我报告问卷评估(= 20)。大多数研究将更高的 PA 水平与降低的焦虑(= 3)和抑郁(= 4)症状相关联,而更高的 ST 则与更高的心理症状相关联(= 3)。对于 QoL(= 5),观察到相反的关联。总的来说,PA 似乎与癌症后成年患者的心理功能和 QoL 的相关性强于 ST。本范围综述强调了 PA 和 ST 与癌症后成年患者的心理功能和 QoL 之间的关联。然而,未来的研究必须优先考虑纵向设计以确定方向。