探索户外运动对癌症幸存者的健康益处：对700多人的系统综述。
Exploring the health benefits of outdoor exercise for cancer survivors: a systematic review of more than 700 individuals.
作者信息
Ortega-Gómez Sonia, Di Bartolo Luca, Velissari Joanna, Gomes Beatriz, Pusa Susanna, Thaller Joshua, Papakonstantinou Sofia, Kirkar Musa, Iannitto Ennio, Moura Nádia, Nogueira Carmen, Ponce-González Jesús Gustavo, Baxter Rebecca, Tavares Paula, Vantarakis Apostolos, Bianco Antonino, Carbonell-Baeza Ana, Jiménez-Pavón David
机构信息
MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, 11519, Puerto Real, Cádiz, Spain.
Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy.
出版信息
Syst Rev. 2025 May 7;14(1):101. doi: 10.1186/s13643-025-02834-y.
BACKGROUND
Cancer's rising incidence and growing survivor population underscore the need for strategies to enhance health and quality of life. Outdoor physical activity (PA) settings may provide unique benefits, yet evidence in this context is scarce. This systematic review aims to evaluate the impact of outdoor PA and exercise interventions on the health and well-being of cancer survivors.
METHODS
A systematic search was conducted in PubMed, Web of Science, and PsycINFO databases from their inception until April 23, 2024. Studies included randomized controlled trials (RCTs) and non-RCTs involving outdoor PA or exercise interventions for cancer survivors. The search strategy adhered to PRISMA guidelines, and the quality of studies was assessed using the PEDro scale.
RESULTS
Twelve studies involving 712 cancer survivors were included, comprising 7 RCTs and 5 non-RCTs. Four studies compared outdoor exercise to indoor exercise instead of a usual care control group, and one used a crossover design. The interventions varied in frequency, intensity, time, and type, with Nordic walking and walking being the most common. Key findings indicated significant improvements in mental health, PA levels, muscular fitness, body composition, and exercise motivation. However, the impact on vital signs and sleep quality was inconclusive due to the limited number of studies and variability in interventions.
CONCLUSIONS
Outdoor PA, including structured exercise interventions, substantially benefits cancer survivors, particularly in enhancing mental health and physical fitness. Despite the promising findings, further research is needed to explore long-term effects, the benefits for different cancer types and age groups, and the underlying mechanisms of these interventions. Health practitioners should consider incorporating outdoor activities into cancer rehabilitation programs.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42024545392.
背景
癌症发病率的上升和幸存者人数的增加凸显了制定提高健康水平和生活质量策略的必要性。户外体育活动（PA）环境可能具有独特的益处，但这方面的证据很少。本系统评价旨在评估户外PA和运动干预对癌症幸存者健康和幸福感的影响。
方法
在PubMed、Web of Science和PsycINFO数据库中进行了从建库至2024年4月23日的系统检索。纳入的研究包括涉及癌症幸存者户外PA或运动干预的随机对照试验（RCT）和非RCT。检索策略遵循PRISMA指南，使用PEDro量表评估研究质量。
结果
纳入了12项涉及712名癌症幸存者的研究，包括7项RCT和5项非RCT。4项研究将户外运动与室内运动进行了比较，而非与常规护理对照组比较，1项研究采用了交叉设计。干预措施在频率、强度、时间和类型上各不相同，北欧健走和步行最为常见。主要研究结果表明，心理健康、PA水平、肌肉健康、身体成分和运动动机有显著改善。然而，由于研究数量有限和干预措施的变异性，对生命体征和睡眠质量的影响尚无定论。
结论
户外PA，包括结构化运动干预，对癌症幸存者有显著益处，特别是在改善心理健康和身体健康方面。尽管有这些有前景的研究结果，但仍需要进一步研究来探索长期影响、对不同癌症类型和年龄组的益处以及这些干预措施的潜在机制。健康从业者应考虑将户外活动纳入癌症康复计划。
系统评价注册
PROSPERO CRD42024545392。
Zotero 插件