Madeira Ricardo, Esteves Dulce, Maia Adriana, Alves Ana R, Marques Diogo L, Neiva Henrique P
Department of Sport Sciences, University of Beira Interior, Convento de Santo António, 6201-001 Covilhã, Portugal.
Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Convento de Santo António, 6201-001 Covilhã, Portugal.
Healthcare (Basel). 2024 Dec 27;13(1):33. doi: 10.3390/healthcare13010033.
Breast cancer treatments often cause serious side effects, but physical exercise has shown the potential to improve both the physical and psychological health outcomes of survivors. This review and meta-analysis aimed to synthesize and analyze the scientific evidence on the effectiveness of concurrent training on physical, psychological, and biomarkers variables on breast cancer survivors.; Methods: A systematic review and meta-analysis was registered in PROSPERO (CRD42024571851). The ISI Web of Science, PubMed, and Scopus databases were searched. The methodological quality of all the included studies was assessed using the Cochrane risk of bias tool. This review included 14 articles that met the inclusion criteria on the effect of concurrent training on breast cancer survivors.
The results of the meta-analysis on body composition revealed a significant overall effect on body mass (effect size [ES] = -2.23; 95% CI: -4.16, -0.29) and body mass index (ES = -0.66; 95% CI: -1.32, 0.01). In contrast, no significant differences were shown in the % fat mass (ES = -2.63; 95% CI: -5.58, 0.33). Strength significantly improved after simultaneous training (ES = 4.93; 95% CI: 1.94, 7.92). In addition, cardiorespiratory fitness (maximum oxygen consumption) showed significant improvements after simultaneous training (ES = 3.03; 95% CI: 1.88, 4.19).
The research shows that concurrent training, including strength and aerobic exercises, promotes significant improvements in body mass, body mass index, muscle strength, and cardiorespiratory fitness. However, the effectiveness of the training depends on the intensity, duration and frequency of the exercise, as well as the individualization of the programs.
乳腺癌治疗常常会引发严重的副作用，但体育锻炼已显示出改善幸存者身心健康状况的潜力。本综述及荟萃分析旨在综合分析关于同步训练对乳腺癌幸存者身体、心理及生物标志物变量有效性的科学证据。
在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42024571851）登记了一项系统综述及荟萃分析。检索了科学网（ISI Web of Science）、PubMed和Scopus数据库。使用Cochrane偏倚风险工具评估所有纳入研究的方法学质量。本综述纳入了14篇符合同步训练对乳腺癌幸存者影响纳入标准的文章。
身体成分的荟萃分析结果显示，对体重有显著的总体影响（效应量[ES]= -2.23；95%置信区间：-4.16，-0.29），对体重指数也有显著影响（ES = -0.66；95%置信区间：-1.32，0.01）。相比之下，体脂百分比未显示出显著差异（ES = -2.63；95%置信区间：-5.58，0.33）。同步训练后力量显著提高（ES = 4.93；95%置信区间：1.94，7.92）。此外，同步训练后心肺适能（最大摄氧量）有显著改善（ES = 3.03；95%置信区间：1.88，4.19）。
研究表明，包括力量训练和有氧运动的同步训练能显著改善体重、体重指数、肌肉力量和心肺适能。然而，训练的有效性取决于运动的强度、持续时间和频率，以及训练计划的个性化程度。
