Effects of exercise interventions on quality of life in patients with breast cancer: A systematic review and network meta-analysis.

IF 3.3 2区医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-07-01 DOI:10.1002/pon.6370

Bing Han, Peizhen Zhang, Haojie Zhao, Xiaojie Zhang, Hongyue Gao, Jiating Dong, Liqing Zeng, Peng Pi, Jiayi Pei

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Abstract

Objective: To compare and rank the effectiveness of four primary categories of exercise modalities (aerobic, resistance, mind-body, and combined exercise [CE]) in improving the Quality of life (QoL) of women with breast cancer in a network meta-analysis (NMA).

Methods: Articles published in English and indexed in the PubMed (MEDLINE), EBSCO, Web of Science, SPORTDiscus, The Cochrane Library, Google Scholar, PsycINFO, EMBASE, and CINAHL Plus databases were identified from inception to 12 October 2023. Studies that met the eligibility criteria were assessed for risk of bias. A frequentist NMA was conducted to appraise the efficacy of different exercise types.

Results: This study included 56 studies with 3904 participants. Aerobic, mind-body, and combined exercises effectively improved QoL compared to controls. The surface under the cumulative ranking curve (SUCRA) indicated that CE best improved patients' QoL (SUCRA = 96.7%). Analysis of the secondary outcomes suggests that exercise reduced patients' depression (standardized mean difference [SMD] = -0.38, 95% confidence interval [CI] = -0.70 to -0.06, p < 0.001; I² = 79%) and anxiety (SMD = -0.50, 95% CI = -0.69 to -0.31, p < 0.001; I² = 27.4%) but did not affect self-esteem.

Conclusion: All exercise types but resistance were effective in improving the QoL of women with breast cancer, CE (the combination of aerobic and resistance exercise) had the highest likelihood of being optimal for improving QoL.

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运动干预对乳腺癌患者生活质量的影响：系统综述和网络荟萃分析。

目的在一项网络荟萃分析（NMA）中，对四种主要运动方式（有氧运动、阻力运动、身心运动和综合运动[CE]）在改善乳腺癌女性患者生活质量（QoL）方面的有效性进行比较和排序：方法：对从开始到 2023 年 10 月 12 日期间发表在 PubMed (MEDLINE)、EBSCO、Web of Science、SPORTDiscus、The Cochrane Library、Google Scholar、PsycINFO、EMBASE 和 CINAHL Plus 数据库中的英文文章进行检索。对符合资格标准的研究进行了偏倚风险评估。对不同运动类型的疗效进行了频数主义 NMA 评估：本研究共纳入 56 项研究，共有 3904 人参与。与对照组相比，有氧运动、心身运动和综合运动能有效改善 QoL。累积排名曲线下表面（SUCRA）显示，有氧运动最能改善患者的 QoL（SUCRA = 96.7%）。对次要结果的分析表明，运动可减少患者的抑郁（标准化平均差 [SMD] = -0.38，95% 置信区间 [CI] = -0.70 至 -0.06，P 2 = 79%）和焦虑（SMD = -0.50，95% CI = -0.69 至 -0.31，P 2 = 27.4%），但不会影响自尊：结论：除阻力运动外，所有运动类型都能有效改善乳腺癌妇女的生活质量，CE（有氧运动和阻力运动的结合）最有可能成为改善生活质量的最佳方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.