{"title":"Effects of Physical Activity on Quality of Life, Anxiety and Depression in Breast Cancer Survivors: A Systematic Review and Meta-analysis.","authors":"Mengying Sun, Chunlei Liu, Yanjuan Lu, Fei Zhu, Huanxi Li, Qian Lu","doi":"10.1016/j.anr.2023.11.001","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Anxiety, depression, and poor quality of life (QOL) were considered important concerns that hindered the rehabilitation of breast cancer survivors. A number of studies have investigated the effects of physical activity, but they have not reached the same conclusions. This review aimed to identify the effects of physical activity on QOL, anxiety, and depression in breast cancer survivors.</p><p><strong>Methods: </strong>PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SinoMed, CNKI, Vip, and WanFang databases were searched for the time period between January 1, 2012, and April 30, 2022. Studies were included if they were randomized controlled trials of the effects of physical activity on QOL, anxiety, or depression in breast cancer survivors. The tools of the Joanna Briggs Institute were used to assess the quality of the included studies. R software version 4.3.1 was used for meta-analysis.</p><p><strong>Results: </strong>A total of 26 studies, involving 2105 participants, were included in the systematic review. Among these, 20 studies involving 1228 participants were included in the meta-analysis. Compared with the control group, the results indicated that physical activity can significantly improve QOL(Hedges' g = 0.67; 95% CI 0.41-0.92) and reduce anxiety (Hedges' g = -0.28; 95% CI -0.46 to -0.10) in breast cancer survivors. However, the effect of physical activity on depression (Hedges' g = -0.46; 95% CI -0.99 to 0.06) was not statistically significant.</p><p><strong>Conclusions: </strong>Physical activity was an effective intervention to improve QOL and reduce anxiety in breast cancer survivors, as well as showed positive trends in depression, although without statistical significance. More well-designed studies are required to clarify the effects of different types of physical activities on the QOL, anxiety, and depression among breast cancer survivors.</p><p><strong>Registered number on prospero: </strong>CRD42022363094. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.anr.2023.11.001","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/7 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Anxiety, depression, and poor quality of life (QOL) were considered important concerns that hindered the rehabilitation of breast cancer survivors. A number of studies have investigated the effects of physical activity, but they have not reached the same conclusions. This review aimed to identify the effects of physical activity on QOL, anxiety, and depression in breast cancer survivors.
Methods: PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SinoMed, CNKI, Vip, and WanFang databases were searched for the time period between January 1, 2012, and April 30, 2022. Studies were included if they were randomized controlled trials of the effects of physical activity on QOL, anxiety, or depression in breast cancer survivors. The tools of the Joanna Briggs Institute were used to assess the quality of the included studies. R software version 4.3.1 was used for meta-analysis.
Results: A total of 26 studies, involving 2105 participants, were included in the systematic review. Among these, 20 studies involving 1228 participants were included in the meta-analysis. Compared with the control group, the results indicated that physical activity can significantly improve QOL(Hedges' g = 0.67; 95% CI 0.41-0.92) and reduce anxiety (Hedges' g = -0.28; 95% CI -0.46 to -0.10) in breast cancer survivors. However, the effect of physical activity on depression (Hedges' g = -0.46; 95% CI -0.99 to 0.06) was not statistically significant.
Conclusions: Physical activity was an effective intervention to improve QOL and reduce anxiety in breast cancer survivors, as well as showed positive trends in depression, although without statistical significance. More well-designed studies are required to clarify the effects of different types of physical activities on the QOL, anxiety, and depression among breast cancer survivors.
Registered number on prospero: CRD42022363094. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.
目的：焦虑、抑郁和生活质量差被认为是阻碍癌症幸存者康复的重要因素。许多研究调查了体育活动的影响，但没有得出相同的结论。这篇综述旨在确定体育活动对癌症幸存者生活质量、焦虑和抑郁的影响。方法：检索PubMed、Embase、Web of Science、CINAHL、PsycINFO、SinoMed、CNKI、Vip和万方数据库中2012年1月1日至2022年4月30日的时间段。如果这些研究是癌症幸存者体力活动对生活质量、焦虑或抑郁影响的随机对照试验，则纳入其中。乔安娜·布里格斯研究所的工具用于评估纳入研究的质量。R软件4.3.1版用于荟萃分析。结果：共有26项研究纳入系统综述，涉及2105名参与者。其中，20项涉及1228名参与者的研究被纳入荟萃分析。与对照组相比，结果表明，体育活动可以显著改善癌症幸存者的生活质量（Hedges’g=0.67；95%CI 0.41至0.92）和减少焦虑（Hedges's g=-0.28；95%CI-0.46至-0.10）。然而，体育活动对抑郁症的影响（Hedges’g=-0.46；95%CI-0.99至0.06）在统计学上并不显著。结论：体育活动是改善癌症幸存者生活质量和减少焦虑的有效干预措施，抑郁症也呈积极趋势，但无统计学意义。需要更精心设计的研究来阐明不同类型的体育活动对癌症幸存者的生活质量、焦虑和抑郁的影响。prospero的注册号：CRD42022363094。https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.
期刊介绍：
Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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