The Impact of Exercise on Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects.

IF 5.2 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiologic Reviews Pub Date : 2017-01-01 DOI:10.1093/epirev/mxx007
Prue Cormie, Eva M Zopf, Xiaochen Zhang, Kathryn H Schmitz
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引用次数: 431

Abstract

The combination of an increasing number of new cancer cases and improving survival rates has led to a large and rapidly growing population with unique health-care requirements. Exercise has been proposed as a strategy to help address the issues faced by cancer patients. Supported by a growing body of research, major health organizations commonly identify the importance of incorporating exercise in cancer care and advise patients to be physically active. This systematic review comprehensively summarizes the available epidemiologic and randomized controlled trial evidence investigating the role of exercise in the management of cancer. Literature searches focused on determining the potential impact of exercise on 1) cancer mortality and recurrence and 2) adverse effects of cancer and its treatment. A total of 100 studies were reviewed involving thousands of individual patients whose exercise behavior was assessed following the diagnosis of any type of cancer. Compared with patients who performed no/less exercise, patients who exercised following a diagnosis of cancer were observed to have a lower relative risk of cancer mortality and recurrence and experienced fewer/less severe adverse effects. The findings of this review support the view that exercise is an important adjunct therapy in the management of cancer. Implications on cancer care policy and practice are discussed.

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运动对癌症死亡率、复发和治疗相关不良反应的影响。
新的癌症病例数量不断增加,存活率不断提高,导致人口迅速增长,对保健有独特的需求。运动已经被提议作为一种策略来帮助解决癌症患者所面临的问题。在越来越多的研究的支持下,主要的健康组织普遍认识到将运动纳入癌症治疗的重要性,并建议患者进行体育锻炼。本系统综述全面总结了现有的流行病学和随机对照试验证据,调查了运动在癌症管理中的作用。文献检索集中在确定运动对以下方面的潜在影响:1)癌症死亡率和复发率;2)癌症及其治疗的不良影响。总共回顾了100项研究,涉及数千名患者,他们的运动行为在诊断出任何类型的癌症后被评估。与不运动或少运动的患者相比,诊断出癌症后进行运动的患者癌症死亡率和复发的相对风险较低,不良反应较少/较轻。这篇综述的发现支持了运动是癌症治疗中一种重要的辅助疗法的观点。讨论了对癌症护理政策和实践的影响。
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来源期刊
Epidemiologic Reviews
Epidemiologic Reviews 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.10
自引率
0.00%
发文量
10
期刊介绍: Epidemiologic Reviews is a leading review journal in public health. Published once a year, issues collect review articles on a particular subject. Recent issues have focused on The Obesity Epidemic, Epidemiologic Research on Health Disparities, and Epidemiologic Approaches to Global Health.
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