Landscape and impact of mind-body, cognitive-behavioral, and physical activity interventions in adolescent and adult brain tumor patients: A systematic review.

IF 3.7 Q1 CLINICAL NEUROLOGY Neuro-oncology advances Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI:10.1093/noajnl/vdae134
Alex R Wollet, James L Rogers, Sefanit Berhanu, Ciara Locke, Madhura Managoli, Emily Wu, I Diane Cooper, Terri S Armstrong, Amanda L King
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Abstract

Background: The use of mind-body, cognitive-behavioral, and physical activity interventions have shown efficacy for improving symptom burden and functional limitations in other cancers; however, these strategies have not been widely implemented within neuro-oncology. This systematic review describes the current landscape and the impact of these interventions on adolescent and adult patients with brain tumors, which may guide the development of future interventions.

Methods: A systematic search of PubMed, Embase, and Web of Science was performed using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines with predefined eligibility criteria. Twenty-nine studies met the inclusion criteria and were selected for review.

Results: There was promising evidence for the feasibility and efficacy of mind-body and physical activity interventions for improving mood and quality of life, as well as enhanced physical functioning following aerobic and strength-based interventions. Results were mixed for cognitive-behavioral interventions, likely due to underpowered analyses. Interventions tested in pediatric patients also showed improvements in fatigue, mood, and quality of life, though these individuals represented a small proportion of the pooled sample.

Conclusions: Findings suggest that mind-body and physical activity interventions can improve both physical and psychological health for patients with brain tumors, though additional well-designed clinical trials are needed to better establish efficacy.

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对青少年和成年脑肿瘤患者进行身心、认知行为和体育活动干预的效果和影响:系统综述。
背景:使用身心、认知行为和体育锻炼等干预方法对改善其他癌症患者的症状负担和功能限制具有疗效;然而,这些策略尚未在神经肿瘤学领域广泛实施。本系统性综述描述了这些干预措施的现状及其对青少年和成年脑肿瘤患者的影响,从而为未来干预措施的开发提供指导:方法:采用系统综述和荟萃分析首选报告项目(PRISMA)指南和预定义的资格标准,对 PubMed、Embase 和 Web of Science 进行了系统检索。29 项研究符合纳入标准,并被选中进行审查:有证据表明,身心和体育锻炼干预对改善情绪和生活质量,以及在有氧和力量型干预后增强身体机能的可行性和有效性很有希望。认知行为干预的结果参差不齐,这可能是由于分析效力不足造成的。在儿科患者中测试的干预措施也显示疲劳、情绪和生活质量有所改善,尽管这些人在汇总样本中所占比例很小:研究结果表明,身心和体育锻炼干预可以改善脑肿瘤患者的身体和心理健康,但还需要更多设计良好的临床试验来更好地确定疗效。
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来源期刊
CiteScore
6.20
自引率
0.00%
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0
审稿时长
12 weeks
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