Physical Activity Levels in People with Cancer Undergoing Chemotherapy: A Systematic Review

被引:3
作者
Cesnik, Rebecca [1 ,2 ,3 ]
Toohey, Kellie [2 ,3 ]
Freene, Nicole [4 ,5 ]
Kunstler, Brea [6 ]
Semple, Stuart [2 ,3 ,5 ,7 ]
机构
[1] ACTHealth, Phillip, ACT, Australia
[2] Univ Canberra, Fac Hlth, Sport & Exercise Sci, Bruce, ACT, Australia
[3] Univ Canberra, Prehabilitat Act Canc Exercise & Survivorship PAC, Bruce, ACT, Australia
[4] Univ Canberra, Fac Hlth, Physiotherapy, Bruce, ACT, Australia
[5] Univ Canberra, Hlth Res Inst, Bruce, ACT, Australia
[6] Monash Univ, BehaviourWorks, Clayton, Vic, Australia
[7] Univ Canberra, Res Inst Sport & Exercise, Bruce, ACT, Australia
关键词
Behavior change; Cancer; Chemotherapy; Exercise; Physical activity; QUALITY-OF-LIFE; BREAST-CANCER; ADJUVANT CHEMOTHERAPY; EXERCISE INTERVENTION; HEALTH; BEHAVIOR; CONSENSUS; FITNESS; STYLE; WOMEN;
D O I
10.1016/j.soncn.2023.151435
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives: Physical activity (PA) has been shown to improve chemotherapy side effects, survival rates and treatment adherence in people with cancer. This review aimed to identify whether people undergoing chemotherapy in different exercise interventions meet PA guidelines during chemotherapy. Data Sources: Databases searched were CINAHL complete, PubMed, Cochrane Library, EMBASE, AMED, Joanna Briggs Institute, OVID MEDLINE, and Google Scholar. Eligibility and risk-of-bias were reviewed by two authors. PROSPERO registration: CRD42018093839. Conclusion: Thirty-three studies were eligible (14 randomized controlled trials, six pre-post, and 13 cross-sectional studies), which included 2,722 people with cancer undergoing chemotherapy. Studies (n = 11/13) found PA interventions successfully increased or maintained PA participation levels, whereas PA declined without intervention. This review has identified that due to limited evidence it is not possible to determine the most appropriate intervention to improve PA for people undergoing chemotherapy. Despite the welldocumented benefits of PA, most people undergoing chemotherapy do not achieve the PA guidelines. Clinicians should be aware that during treatment, participants may not meet PA guidelines even if they participate in an intervention. However, interventions may prevent PA levels from declining. Further research is required to determine the most effective approaches to increase PA levels while undergoing chemotherapy. Implications for Nursing Practice: Nurses are well placed to have conversations with patients undergoing chemotherapy regarding PA levels. PA should be considered as part of a treatment regimen. Tailored advice must be provided aiming to improve health outcomes. Referral to an exercise professional is best practice to improve the uptake of PA. (C) 2023 Elsevier Inc. All rights reserved.
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页数:10
相关论文
共 94 条
  • [1] Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy
    Adamsen, L
    Midtgaard, J
    Rorth, M
    Borregaard, N
    Andersen, C
    Quist, M
    Moller, T
    Zacho, M
    Madsen, JK
    Knutsen, L
    [J]. SUPPORTIVE CARE IN CANCER, 2003, 11 (11) : 707 - 716
  • [2] AhmedS WallisD, SupportCareCancer
  • [3] Health Care Professionals' Knowledge and Attitudes Toward Physical Activity in Cancer Patients: A Systematic Review
    Alderman, Georgina
    Semple, Stuart
    Cesnik, Rebecca
    Toohey, Kellie
    [J]. SEMINARS IN ONCOLOGY NURSING, 2020, 36 (05)
  • [4] Validation of the Godin-Shephard Leisure-Time Physical Activity Questionnaire classification coding system using accelerometer assessment among breast cancer survivors
    Amireault, Steve
    Godin, Gaston
    Lacombe, Jason
    Sabiston, Catherine M.
    [J]. JOURNAL OF CANCER SURVIVORSHIP, 2015, 9 (03) : 532 - 540
  • [5] Effects of exercise dose and type during breast cancer chemotherapy on longer-term patient-reported outcomes and health-related fitness: A randomized controlled trial
    An, Ki-Yong
    Morielli, Andria R.
    Kang, Dong-Woo
    Friedenreich, Christine M.
    McKenzie, Donald C.
    Gelmon, Karen
    Mackey, John R.
    Reid, Robert D.
    Courneya, Kerry S.
    [J]. INTERNATIONAL JOURNAL OF CANCER, 2020, 146 (01) : 150 - 160
  • [6] [Anonymous], 2023, BMJ, V339, pb3410, DOI [10.1136/bmj.b3410, DOI 10.1136/BMJ.B3410]
  • [7] [Anonymous], 2021, JPsychosocOncolResPract, V3, P043, DOI [10.1097/OR9.0000000000000043, DOI 10.1097/OR9.0000000000000043]
  • [8] [Anonymous], 2018, Quality assessment tool for observational cohort and cross-sectional studies
  • [9] [Anonymous], 2020, WienKlinWochenschr, V132
  • [10] [Anonymous], Physical activity