Agirre-Elordui Saioa, Fernández-Landa Julen, Olasagasti-Ibargoien Jurgi, Castañeda-Babarro Arkaitz
Department of Physical Activity and Sports, Faculty of Education and Sport, University of Deusto, Bilbao, Spain.
Department of Physical Activity and Sports, Faculty of Education and Sport, University of Deusto, Donostia, Spain.
J Cancer Surviv. 2024 Aug 5. doi: 10.1007/s11764-024-01654-8.
The purpose of this systematic review and meta-analysis is to determine the long-term effect of combined physical activity (PA) and behaviour change techniques (BCT) interventions in PA maintenance of colorectal cancer survivors (CRCS) and identify the most frequent BCT implemented in them.
PRISMA recommendations were followed. Databases were searched for randomized controlled trials up to October 2023. Studies in which CRCS completed a PA intervention based on any Theoretical Model of Behaviour Change (TMBC) and a subsequent follow-up period were included. Between-group differences at baseline and after follow-up were pooled for meta-analysis. BCT codification was performed using the BCT taxonomy v1. Methodological quality and evidence certainty were also assessed.
Five studies involving 906 CRCS met the inclusion criteria. PA interventions applying BCT showed a significant change with a small positive effect (pooled SMD = 0.22 (0.09, 0.35)) on the PA after a follow-up period between 3 and 12 months. Twenty-two different BCTs were identified (mean 17.2, range 15-19) of which 12 were common across all interventions.
PA and BCT interventions have been found to be effective in improving the long-term maintenance of PA in CRCS. Further studies with higher methodological quality are needed to confirm these findings.
Aerobic exercise, pedometers, PA diaries and educational materials seem to be important aspects to achieve sustainable adherence to an active lifestyle over time. Supervision, access to fitness areas and applying some BCT appear to be differentiating features to obtain more successful PA maintenance.
本系统评价和荟萃分析的目的是确定联合体育活动（PA）和行为改变技术（BCT）干预对结直肠癌幸存者（CRCS）体育活动维持的长期影响，并确定其中实施最频繁的BCT。
遵循PRISMA建议。检索截至2023年10月的随机对照试验数据库。纳入CRCS基于任何行为改变理论模型（TMBC）完成PA干预并随后进行随访的研究。汇总基线和随访后的组间差异进行荟萃分析。使用BCT分类法v1进行BCT编码。还评估了方法学质量和证据确定性。
五项涉及906名CRCS的研究符合纳入标准。应用BCT的PA干预在3至12个月的随访期后对PA有显著变化，有小的积极效果（合并标准化均数差=0.22（0.09，0.35））。确定了22种不同的BCT（平均17.2种，范围15 - 19种），其中12种在所有干预中都很常见。
已发现PA和BCT干预对改善CRCS的PA长期维持有效。需要更高方法学质量的进一步研究来证实这些发现。
有氧运动、计步器、PA日记和教育材料似乎是随着时间推移实现对积极生活方式可持续坚持的重要方面。监督、进入健身区域和应用一些BCT似乎是获得更成功的PA维持的差异化特征。
