Effects of resistance exercise in prostate cancer patients: a meta-analysis
Identifieur interne : 000602 ( Main/Exploration ); précédent : 000601; suivant : 000603Effects of resistance exercise in prostate cancer patients: a meta-analysis
Auteurs : M. Keilani [Autriche] ; T. Hasenoehrl [Autriche] ; L. Baumann [Autriche] ; R. Ristl [Autriche] ; M. Schwarz [Autriche] ; M. Marhold [Autriche] ; T. Sedghi Komandj [Autriche] ; R. Crevenna [Autriche]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2017.
Abstract
The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.
Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.
Pooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg;
RE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.
Url:
DOI: 10.1007/s00520-017-3771-z
PubMed: 28600706
PubMed Central: 5527087
Affiliations:
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Keilani</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Hasenoehrl, T" sort="Hasenoehrl, T" uniqKey="Hasenoehrl T" first="T." last="Hasenoehrl">T. Hasenoehrl</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Baumann, L" sort="Baumann, L" uniqKey="Baumann L" first="L." last="Baumann">L. 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Marhold</name><affiliation wicri:level="3"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Internal Medicine I/Oncology,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Sedghi Komandj, T" sort="Sedghi Komandj, T" uniqKey="Sedghi Komandj T" first="T." last="Sedghi Komandj">T. Sedghi Komandj</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Crevenna, R" sort="Crevenna, R" uniqKey="Crevenna R" first="R." last="Crevenna">R. Crevenna</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p id="Par1">The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.</p></sec><sec><title>Methods</title><p id="Par2">Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.</p></sec><sec><title>Results</title><p id="Par3">Pooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg; <italic>p</italic> < 0.001 and 95% CI [10.51, 45.88] kg; <italic>p</italic> = 0.008, respectively) after RE. Furthermore, significant improvements were seen for body composition (body fat percentage 95% CI [−0.79, −0.53] %; <italic>p</italic> < 0.001; lean body mass 95% CI [0.15, 1.84] %; <italic>p</italic> = 0.028; trunk fat mass 95% CI [−0.73, −0.08] kg; <italic>p</italic> = 0.024). Additionally, the improvement of the 400-m walk time was significant (95% CI [−21.55, −14.65] s; <italic>p</italic> < 0.001). Concerning fatigue and HRQoL, there were not sufficient data for analysis.</p></sec><sec><title>Conclusions</title><p id="Par4">RE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author><author><name sortKey="Eser, S" uniqKey="Eser S">S Eser</name></author><author><name sortKey="Mathers, C" uniqKey="Mathers C">C Mathers</name></author><author><name sortKey="Rebelo, M" uniqKey="Rebelo M">M Rebelo</name></author><author><name sortKey="Parkin, Dm" uniqKey="Parkin D">DM Parkin</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F 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Rowland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Silver, J" uniqKey="Silver J">J Silver</name></author><author><name sortKey="Baima, J" uniqKey="Baima J">J Baima</name></author><author><name sortKey="Mayer, R" uniqKey="Mayer R">R Mayer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ahmadi, H" uniqKey="Ahmadi H">H Ahmadi</name></author><author><name sortKey="Daneshmand, S" uniqKey="Daneshmand S">S Daneshmand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alibhai, Smh" uniqKey="Alibhai S">SMH Alibhai</name></author><author><name sortKey="Breunis, H" uniqKey="Breunis H">H Breunis</name></author><author><name sortKey="Timilshina, N" uniqKey="Timilshina N">N Timilshina</name></author><author><name sortKey="Johnston, C" uniqKey="Johnston C">C Johnston</name></author><author><name sortKey="Tomlinson, G" uniqKey="Tomlinson G">G Tomlinson</name></author><author><name sortKey="Tannock, I" uniqKey="Tannock I">I Tannock</name></author><author><name sortKey="Krahn, M" uniqKey="Krahn M">M Krahn</name></author><author><name sortKey="Fleshner, Ne" uniqKey="Fleshner N">NE Fleshner</name></author><author><name sortKey="Warde, P" uniqKey="Warde P">P Warde</name></author><author><name sortKey="Canning, Sd" uniqKey="Canning S">SD Canning</name></author><author><name sortKey="Klotz, L" uniqKey="Klotz L">L Klotz</name></author><author><name sortKey="Naglie, G" uniqKey="Naglie G">G Naglie</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Keilani, M" sort="Keilani, M" uniqKey="Keilani M" first="M." last="Keilani">M. Keilani</name></region><name sortKey="Baumann, L" sort="Baumann, L" uniqKey="Baumann L" first="L." last="Baumann">L. Baumann</name><name sortKey="Crevenna, R" sort="Crevenna, R" uniqKey="Crevenna R" first="R." last="Crevenna">R. Crevenna</name><name sortKey="Hasenoehrl, T" sort="Hasenoehrl, T" uniqKey="Hasenoehrl T" first="T." last="Hasenoehrl">T. Hasenoehrl</name><name sortKey="Marhold, M" sort="Marhold, M" uniqKey="Marhold M" first="M." last="Marhold">M. Marhold</name><name sortKey="Ristl, R" sort="Ristl, R" uniqKey="Ristl R" first="R." last="Ristl">R. Ristl</name><name sortKey="Schwarz, M" sort="Schwarz, M" uniqKey="Schwarz M" first="M." last="Schwarz">M. Schwarz</name><name sortKey="Sedghi Komandj, T" sort="Sedghi Komandj, T" uniqKey="Sedghi Komandj T" first="T." last="Sedghi Komandj">T. Sedghi Komandj</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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