The Efficacy of Exercise in Reducing Depressive Symptoms among Cancer Survivors: A Meta-Analysis
Identifieur interne : 003E34 ( Main/Exploration ); précédent : 003E33; suivant : 003E35The Efficacy of Exercise in Reducing Depressive Symptoms among Cancer Survivors: A Meta-Analysis
Auteurs : Justin C. Brown [États-Unis] ; Tania B. Huedo-Medina [États-Unis] ; Linda S. Pescatello [États-Unis] ; Stacey M. Ryan [États-Unis] ; Shannon M. Pescatello [États-Unis] ; Emily Moker [États-Unis] ; Jessica M. Lacroix [États-Unis] ; Rebecca A. Ferrer [États-Unis] ; Blair T. Johnson [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
The purpose of this meta-analysis was to examine the efficacy of exercise to reduce depressive symptoms among cancer survivors. In addition, we examined the extent to which exercise dose and clinical characteristics of cancer survivors influence the relationship between exercise and reductions in depressive symptoms.
We conducted a systematic search identifying randomized controlled trials of exercise interventions among adult cancer survivors, examining depressive symptoms as an outcome. We calculated effect sizes for each study and performed weighted multiple regression moderator analysis.
We identified 40 exercise interventions including 2,929 cancer survivors. Diverse groups of cancer survivors were examined in seven exercise interventions; breast cancer survivors were examined in 26; prostate cancer, leukemia, and lymphoma were examined in two; and colorectal cancer in one. Cancer survivors who completed an exercise intervention reduced depression more than controls,
Exercise training provides a small overall reduction in depressive symptoms among cancer survivors but one that increased in dose-response fashion with weekly volume of aerobic exercise in high quality trials. Depressive symptoms were reduced to the greatest degree among breast cancer survivors, among cancer survivors aged between 47–62 yr, or when exercise sessions were supervised.
Url:
DOI: 10.1371/journal.pone.0030955
PubMed: 22303474
PubMed Central: 3267760
Affiliations:
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Brown</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Huedo Medina, Tania B" sort="Huedo Medina, Tania B" uniqKey="Huedo Medina T" first="Tania B." last="Huedo-Medina">Tania B. 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Lacroix</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Ferrer, Rebecca A" sort="Ferrer, Rebecca A" uniqKey="Ferrer R" first="Rebecca A." last="Ferrer">Rebecca A. Ferrer</name><affiliation wicri:level="2"><nlm:aff id="aff6"><addr-line>Biobehavioral and Psychological Sciences, National Cancer Institute, Rockville, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Biobehavioral and Psychological Sciences, National Cancer Institute, Rockville, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Johnson, Blair T" sort="Johnson, Blair T" uniqKey="Johnson B" first="Blair T." last="Johnson">Blair T. Johnson</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22303474</idno><idno type="pmc">3267760</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267760</idno><idno type="RBID">PMC:3267760</idno><idno type="doi">10.1371/journal.pone.0030955</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004526</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004526</idno><idno type="wicri:Area/Pmc/Curation">004525</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004525</idno><idno type="wicri:Area/Pmc/Checkpoint">002667</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002667</idno><idno type="wicri:Area/Ncbi/Merge">004A56</idno><idno type="wicri:Area/Ncbi/Curation">004A56</idno><idno type="wicri:Area/Ncbi/Checkpoint">004A56</idno><idno type="wicri:Area/Main/Merge">003E46</idno><idno type="wicri:Area/Main/Curation">003E34</idno><idno type="wicri:Area/Main/Exploration">003E34</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Efficacy of Exercise in Reducing Depressive Symptoms among Cancer Survivors: A Meta-Analysis</title><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Huedo Medina, Tania B" sort="Huedo Medina, Tania B" uniqKey="Huedo Medina T" first="Tania B." last="Huedo-Medina">Tania B. Huedo-Medina</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Pescatello, Linda S" sort="Pescatello, Linda S" uniqKey="Pescatello L" first="Linda S." last="Pescatello">Linda S. Pescatello</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Ryan, Stacey M" sort="Ryan, Stacey M" uniqKey="Ryan S" first="Stacey M." last="Ryan">Stacey M. Ryan</name><affiliation wicri:level="2"><nlm:aff id="aff4"><addr-line>Department of Physical Therapy, M.D. Anderson Cancer Center, Houston, Texas, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Therapy, M.D. Anderson Cancer Center, Houston, Texas</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Pescatello, Shannon M" sort="Pescatello, Shannon M" uniqKey="Pescatello S" first="Shannon M." last="Pescatello">Shannon M. Pescatello</name><affiliation wicri:level="2"><nlm:aff id="aff5"><addr-line>Department of Psychology, Western New England College, Springfield, Massachusetts, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychology, Western New England College, Springfield, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Moker, Emily" sort="Moker, Emily" uniqKey="Moker E" first="Emily" last="Moker">Emily Moker</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Lacroix, Jessica M" sort="Lacroix, Jessica M" uniqKey="Lacroix J" first="Jessica M." last="Lacroix">Jessica M. Lacroix</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Ferrer, Rebecca A" sort="Ferrer, Rebecca A" uniqKey="Ferrer R" first="Rebecca A." last="Ferrer">Rebecca A. Ferrer</name><affiliation wicri:level="2"><nlm:aff id="aff6"><addr-line>Biobehavioral and Psychological Sciences, National Cancer Institute, Rockville, Maryland, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Biobehavioral and Psychological Sciences, National Cancer Institute, Rockville, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Johnson, Blair T" sort="Johnson, Blair T" uniqKey="Johnson B" first="Blair T." last="Johnson">Blair T. Johnson</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health, Intervention and Prevention, University of Connecticut, Storrs, Connecticut</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The purpose of this meta-analysis was to examine the efficacy of exercise to reduce depressive symptoms among cancer survivors. In addition, we examined the extent to which exercise dose and clinical characteristics of cancer survivors influence the relationship between exercise and reductions in depressive symptoms.</p></sec><sec><title>Methods</title><p>We conducted a systematic search identifying randomized controlled trials of exercise interventions among adult cancer survivors, examining depressive symptoms as an outcome. We calculated effect sizes for each study and performed weighted multiple regression moderator analysis.</p></sec><sec><title>Results</title><p>We identified 40 exercise interventions including 2,929 cancer survivors. Diverse groups of cancer survivors were examined in seven exercise interventions; breast cancer survivors were examined in 26; prostate cancer, leukemia, and lymphoma were examined in two; and colorectal cancer in one. Cancer survivors who completed an exercise intervention reduced depression more than controls, <italic>d</italic><sub>+</sub> = −0.13 (95% CI: −0.26, −0.01). Increases in weekly volume of aerobic exercise reduced depressive symptoms in dose-response fashion (β = −0.24, p = 0.03), a pattern evident only in higher quality trials. Exercise reduced depressive symptoms most when exercise sessions were supervised (β = −0.26, p = 0.01) and when cancer survivors were between 47–62 yr (β = 0.27, p = 0.01).</p></sec><sec><title>Conclusion</title><p>Exercise training provides a small overall reduction in depressive symptoms among cancer survivors but one that increased in dose-response fashion with weekly volume of aerobic exercise in high quality trials. Depressive symptoms were reduced to the greatest degree among breast cancer survivors, among cancer survivors aged between 47–62 yr, or when exercise sessions were supervised.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Center, Mm" uniqKey="Center M">MM Center</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmitz, Kh" uniqKey="Schmitz K">KH Schmitz</name></author><author><name sortKey="Courneya, Ks" uniqKey="Courneya K">KS Courneya</name></author><author><name sortKey="Matthews, C" uniqKey="Matthews C">C Matthews</name></author><author><name sortKey="Demark Wahnefried, W" uniqKey="Demark 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Papakostas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kelly, Cm" uniqKey="Kelly C">CM Kelly</name></author><author><name sortKey="Juurlink, Dn" uniqKey="Juurlink D">DN Juurlink</name></author><author><name sortKey="Gomes, T" uniqKey="Gomes T">T Gomes</name></author><author><name sortKey="Duong Hua, M" uniqKey="Duong Hua M">M Duong-Hua</name></author><author><name sortKey="Pritchard, Ki" uniqKey="Pritchard K">KI Pritchard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenwood, Bn" uniqKey="Greenwood B">BN Greenwood</name></author><author><name sortKey="Fleshner, M" uniqKey="Fleshner M">M Fleshner</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Connecticut</li><li>Maryland</li><li>Massachusetts</li><li>Pennsylvanie</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name></region><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><name sortKey="Ferrer, Rebecca A" sort="Ferrer, Rebecca A" uniqKey="Ferrer R" first="Rebecca A." last="Ferrer">Rebecca A. Ferrer</name><name sortKey="Huedo Medina, Tania B" sort="Huedo Medina, Tania B" uniqKey="Huedo Medina T" first="Tania B." last="Huedo-Medina">Tania B. Huedo-Medina</name><name sortKey="Johnson, Blair T" sort="Johnson, Blair T" uniqKey="Johnson B" first="Blair T." last="Johnson">Blair T. Johnson</name><name sortKey="Lacroix, Jessica M" sort="Lacroix, Jessica M" uniqKey="Lacroix J" first="Jessica M." last="Lacroix">Jessica M. Lacroix</name><name sortKey="Moker, Emily" sort="Moker, Emily" uniqKey="Moker E" first="Emily" last="Moker">Emily Moker</name><name sortKey="Pescatello, Linda S" sort="Pescatello, Linda S" uniqKey="Pescatello L" first="Linda S." last="Pescatello">Linda S. Pescatello</name><name sortKey="Pescatello, Shannon M" sort="Pescatello, Shannon M" uniqKey="Pescatello S" first="Shannon M." last="Pescatello">Shannon M. Pescatello</name><name sortKey="Ryan, Stacey M" sort="Ryan, Stacey M" uniqKey="Ryan S" first="Stacey M." last="Ryan">Stacey M. Ryan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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