Nero Dario da Silva Monte, de Lira Carlos Rodrigo Nascimento, da Silva Lima Paz Claudio Luiz, de Farias Costa Priscila Ribas, de Magalhães Cunha Carla, Amador Bueno Allain, de Jesus Rosângela Passos, de Oliveira Lucivalda Pereira Magalhães
Universidade Federal da Bahia, Brasil.
University of Worcester, UK.
J Health Psychol. 2024 Dec 10:13591053241298752. doi: 10.1177/13591053241298752.
Breast cancer treatment can lead to psychological distress, including depression, anxiety, and stress. We systematically investigated the effect of physical exercise on these factors in women surviving breast cancer (WSBC). Eight databases were searched to identify eligible randomized controlled trials (RCTs). Data extraction and bias risk analysis were conducted using standardized tools, with meta-analysis performed using RevMan software. Out of 3529 documents initially identified, 15 RCTs were included, comprising 2756 WSBC (1284 in intervention groups and 1472 in control groups), with 2082 participants in depression analyses, 513 in anxiety analyses, and 161 in stress analyses. Meta-analyses showed that physical exercise promoted significant reduction in depression and anxiety. Subgroup analyses showed greater reduction in anxiety when aerobic and resistance exercise were combined. Only two studies investigated stress, with less robust data suggesting improvement when combining aerobic and resistance interventions. Future RCTs with standardized intervention protocols are needed to confirm these findings.
乳腺癌治疗可能导致心理困扰，包括抑郁、焦虑和压力。我们系统地研究了体育锻炼对乳腺癌幸存者（WSBC）这些因素的影响。检索了八个数据库以识别符合条件的随机对照试验（RCT）。使用标准化工具进行数据提取和偏倚风险分析，并使用RevMan软件进行荟萃分析。在最初识别的3529篇文献中，纳入了15项RCT，包括2756名乳腺癌幸存者（干预组1284名，对照组1472名），其中2082名参与者进行了抑郁分析，513名进行了焦虑分析，161名进行了压力分析。荟萃分析表明，体育锻炼可显著减轻抑郁和焦虑。亚组分析表明，有氧运动和抗阻运动相结合时，焦虑减轻更为明显。只有两项研究调查了压力，数据不太可靠，表明有氧运动和抗阻干预相结合时情况有所改善。需要未来采用标准化干预方案的RCT来证实这些发现。
