Effect of different exercise types on quality of life in patients with breast cancer: A network meta-analysis of randomized controlled trials

IF 5.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY Breast Pub Date : 2024-09-04 DOI:10.1016/j.breast.2024.103798

Liang Li, Yutong Wang, Mingzhou Cai, Tonggang Fan

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Abstract

Background

Exercise is a rehabilitation strategy for patients with breast cancer; however, the optimal type of exercise remains uncertain. This study aimed to compare the effects of five exercise types on the quality of life of patients with breast cancer and provide a basis for their exercise rehabilitation.

Methods

As of May 2024, we searched four databases: Embase, PubMed, Web of Science, and Cochrane Library, and included randomized controlled trials that analyzed the effect of exercise on the quality of life of patients with breast cancer. A network meta-analysis was performed using a frequency-based framework.

Results

Forty-five papers involving 4092 participants were included. The five types of exercises included were all significant in the direct comparison with the control group, except yoga and mind–body exercises. Aerobic, resistance, and combination exercises were associated with quality of life. However, in indirect comparisons, only mind–body exercise versus resistance exercise had a significant effect. The effect of exercise on the quality of life(total health status) of patients with breast cancer was ranked based on surface under the cumulative ranking curve (SUCRA) values combined with effect sizes as follows: aerobic exercise (SUCRA = 84.1) > combined exercise (SUCRA = 78.8) > resistance exercise (SUCRA = 66.4) > yoga (SUCRA = 39.3) > mind-body exercise (SUCRA = 27.2) > usual care (SUCRA = 4.1).

Conclusions

Exercise can rehabilitate the quality of life of patients with breast cancer, and aerobic exercise may be the best type of exercise to improve their quality of life(total health status).

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不同运动类型对乳腺癌患者生活质量的影响：随机对照试验的网络荟萃分析。

背景：运动是乳腺癌患者的康复策略之一，但最佳运动类型仍不确定。本研究旨在比较五种运动类型对乳腺癌患者生活质量的影响，并为其运动康复提供依据：截至 2024 年 5 月，我们检索了四个数据库：方法：截至2024年5月，我们检索了四个数据库：Embase、PubMed、Web of Science和Cochrane Library，纳入了分析运动对乳腺癌患者生活质量影响的随机对照试验。采用基于频率的框架进行了网络荟萃分析：结果：共收录了 45 篇论文，涉及 4092 名参与者。除瑜伽和身心锻炼外，所纳入的五种锻炼方式在与对照组的直接比较中均具有显著性。有氧运动、阻力运动和综合运动与生活质量有关。然而，在间接比较中，只有身心锻炼与阻力锻炼的效果显著。运动对乳腺癌患者生活质量（总体健康状况）的影响根据累积排序曲线下表面值（SUCRA）结合效应大小排序如下：有氧运动（SUCRA = 84.1）> 综合运动（SUCRA = 78.8）> 阻力运动（SUCRA = 66.4）> 瑜伽（SUCRA = 39.3）> 心身运动（SUCRA = 27.2）> 常规护理（SUCRA = 4.1）：运动可以恢复乳腺癌患者的生活质量，而有氧运动可能是改善患者生活质量（总体健康状况）的最佳运动方式。

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

Breast 医学-妇产科学

CiteScore

8.70

自引率

2.60%

发文量

165

审稿时长

59 days

期刊介绍： The Breast is an international, multidisciplinary journal for researchers and clinicians, which focuses on translational and clinical research for the advancement of breast cancer prevention, diagnosis and treatment of all stages.