College of Health Sciences, VinUniversity, Hanoi, Vietnam.
Institute of Environmental Medicine (IMM), Karolinska Institute, Stockholm, Sweden.
Health Informatics J. 2024 Apr-Jun;30(2):14604582241263668. doi: 10.1177/14604582241263668.
Although exercise benefits female cancer survivors, clinical decision-making regarding timing, frequency, duration, and intensity is lacking. Optimizing exercise interventions in this population is necessary. This study aimed to describe existing digital home-based exercises and to assess their effectiveness at improving physical health in female cancer survivors upon completion of therapy.
We conducted a systematic review using articles from Web of Science, Embase and Medline (Ovid). We included intervention studies examining the effects of digital home-based exercise programs on post-treatment recovery in female cancer survivors. Rob2 and ROBIN I were used to assess quality of studies. Quality-of-life, fatigue score, and physical performance were assessed using meta-analysis.
This study involved 1578 female cancer survivors in 21 interventions. Following guidelines and supervised exercise with coaches led to better outcomes than interventions without guidelines, programs without coaches, or lower intensity exercise. Exercise led to significant improvement in some physical performance outcomes. Significant improvements were seen in physical performance outcomes, including the 6-min walk test, metabolic equivalent task, and number of steps per day.
Providing cancer survivors with standard guidelines for home-based, coach-supervised, vigorous exercise on digital platforms could improve their physical function, health, and quality-of-life.
尽管运动有益于女性癌症幸存者，但在治疗结束后，关于运动的时间、频率、持续时间和强度的临床决策仍缺乏相关研究。因此，有必要优化这一人群的运动干预措施。本研究旨在描述现有的基于家庭的数字运动，并评估其在改善女性癌症幸存者治疗后身体健康方面的效果。
我们使用 Web of Science、Embase 和 Medline（Ovid）中的文章进行了系统评价。我们纳入了干预性研究，这些研究检查了数字家庭运动方案对女性癌症幸存者治疗后康复的影响。我们使用 Rob2 和 ROBIN I 来评估研究的质量。使用荟萃分析评估生活质量、疲劳评分和身体表现。
本研究涉及 21 项干预措施中的 1578 名女性癌症幸存者。遵循指导方针并由教练进行监督的运动比没有指导方针、没有教练或运动强度较低的干预措施更有效果。运动显著改善了一些身体表现结果。在一些身体表现结果方面，如 6 分钟步行试验、代谢当量任务和每天的步数，都观察到了显著的改善。
为癌症幸存者提供基于数字平台的家庭、教练监督、剧烈运动的标准指南，可以改善他们的身体功能、健康和生活质量。
