Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis
Identifieur interne : 003718 ( Pmc/Corpus ); précédent : 003717; suivant : 003719Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis
Auteurs : Shiraz I. Mishra ; Roberta W. Scherer ; Claire Snyder ; Paula Geigle ; Carolyn GotaySource :
- Oncology nursing forum [ 0190-535X ] ; 2014.
Abstract
To evaluate the effectiveness of exercise interventions on overall health-related quality of life (HRQOL) and its domains among cancer survivors who have completed primary treatment.
11 electronic databases were searched from inception (dates varied) to October 2011. The authors also identified eligible trials through a search of additional sources.
40 trials with 3,694 participants met the inclusion criteria. At 12 weeks, cancer survivors exposed to exercise interventions had greater positive improvement in overall HRQOL (standardized mean difference [SMD] 0.48; 95% confidence interval [CI] [0.16, 0.81]), emotional well-being (SMD 0.33; 95% CI [0.05, 0.61]), and social functioning (SMD 0.45; 95% CI [0.02, 0.87]); and had a significant reduction in anxiety (SMD −0.26; 95% CI [−0.44, −0.07]) and fatigue (SMD −0.82; 95% CI [−1.5, −0.14]).
Exercise programs have a beneficial effect on HRQOL and most of its domains and can be integrated into the management plans for cancer survivors who have completed treatment. Future research is needed to help understand specific attributes of exercise programs that are beneficial for improving HRQOL within and across cancer types.
Evidence presented in this review supports the inclusion of exercise programs in clinical guidelines for the management of cancer survivors who have completed treatment, such as the Oncology Nursing Society’s Putting Evidence Into Practice resource.
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DOI: 10.1188/14.ONF.E326-E342
PubMed: 25355029
PubMed Central: 4332787
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7809033</journal-id><journal-id journal-id-type="pubmed-jr-id">6497</journal-id><journal-id journal-id-type="nlm-ta">Oncol Nurs Forum</journal-id><journal-id journal-id-type="iso-abbrev">Oncol Nurs Forum</journal-id><journal-title-group><journal-title>Oncology nursing forum</journal-title></journal-title-group><issn pub-type="ppub">0190-535X</issn><issn pub-type="epub">1538-0688</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25355029</article-id><article-id pub-id-type="pmc">4332787</article-id><article-id pub-id-type="doi">10.1188/14.ONF.E326-E342</article-id><article-id pub-id-type="manuscript">NIHMS660120</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mishra</surname><given-names>Shiraz I.</given-names></name><degrees>MBBS, PhD</degrees><aff id="A1">Professor in the Departments of Pediatrics and Family and Community Medicine in the School of Medicine at the University of New Mexico in Albuquerque</aff><email>smishra@unm.edu</email></contrib><contrib contrib-type="author"><name><surname>Scherer</surname><given-names>Roberta W.</given-names></name><degrees>PhD</degrees><aff id="A2">Associate scientist at the Center for Clinical Trials in the Department of Epidemiology at Johns Hopkins Bloomberg School of Public Health</aff></contrib><contrib contrib-type="author"><name><surname>Snyder</surname><given-names>Claire</given-names></name><degrees>PhD</degrees><aff id="A3">Associate professor of medicine in the Division of General Internal Medicine at Johns Hopkins University School of Medicine</aff></contrib><contrib contrib-type="author"><name><surname>Geigle</surname><given-names>Paula</given-names></name><degrees>PT, PhD</degrees><aff id="A4">Research physical therapist in the Department of Neurology at the University of Maryland School of Medicine, all in Baltimore</aff></contrib><contrib contrib-type="author"><name><surname>Gotay</surname><given-names>Carolyn</given-names></name><degrees>PhD</degrees><aff id="A5">Professor in the School of Population and Public Health at the University of British Columbia in Vancouver, Canada</aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>3</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>11</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>2</month><year>2015</year></pub-date><volume>41</volume><issue>6</issue><fpage>E326</fpage><lpage>E342</lpage><pmc-comment>elocation-id from pubmed: 10.1188/14.ONF.E326-E342</pmc-comment>
<permissions><copyright-statement>© 2014 by the Oncology Nursing Society. Unauthorized reproduction is prohibited.</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><sec id="S1"><title>Purpose/Objectives</title><p id="P1">To evaluate the effectiveness of exercise interventions on overall health-related quality of life (HRQOL) and its domains among cancer survivors who have completed primary treatment.</p></sec><sec id="S2"><title>Data Sources</title><p id="P2">11 electronic databases were searched from inception (dates varied) to October 2011. The authors also identified eligible trials through a search of additional sources.</p></sec><sec id="S3"><title>Data Synthesis</title><p id="P3">40 trials with 3,694 participants met the inclusion criteria. At 12 weeks, cancer survivors exposed to exercise interventions had greater positive improvement in overall HRQOL (standardized mean difference [SMD] 0.48; 95% confidence interval [CI] [0.16, 0.81]), emotional well-being (SMD 0.33; 95% CI [0.05, 0.61]), and social functioning (SMD 0.45; 95% CI [0.02, 0.87]); and had a significant reduction in anxiety (SMD −0.26; 95% CI [−0.44, −0.07]) and fatigue (SMD −0.82; 95% CI [−1.5, −0.14]).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Exercise programs have a beneficial effect on HRQOL and most of its domains and can be integrated into the management plans for cancer survivors who have completed treatment. Future research is needed to help understand specific attributes of exercise programs that are beneficial for improving HRQOL within and across cancer types.</p></sec><sec id="S5"><title>Implications for Nursing</title><p id="P5">Evidence presented in this review supports the inclusion of exercise programs in clinical guidelines for the management of cancer survivors who have completed treatment, such as the Oncology Nursing Society’s Putting Evidence Into Practice resource.</p></sec></abstract><kwd-group><kwd>quality of life</kwd><kwd>health status</kwd><kwd>anxiety</kwd><kwd>depression</kwd><kwd>fatigue</kwd><kwd>neoplasm</kwd><kwd>neoplasm therapy</kwd><kwd>exercise</kwd><kwd>survivors</kwd><kwd>walking</kwd><kwd>yoga</kwd><kwd>resistance training</kwd><kwd>breathing exercises</kwd><kwd>bicycling</kwd><kwd>physical activity</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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