关键词: childhood cancer exercise group intervention physical parameter quality of life systematic review

Mesh : Child Humans Young Adult Exercise Therapy Neoplasms / therapy Quality of Life Adolescent

来  源:   DOI:10.3390/curroncol31020077   PDF(Pubmed)

Abstract:
Although the survival rates of childhood cancer are increasing, children diagnosed as having cancer experience psychological and physical problems and a declining quality of life (QOL).
A systematic review of PubMed databases was conducted up to September 2023 to identify studies reporting the effects of group exercise intervention in children with cancer. The inclusion criteria were pre-specified, including children aged ≤19 years old who received group exercise intervention and interventional studies written in English. Studies involving non-exercise intervention or non-group intervention were excluded.
Five studies were included in the present review. In three studies, QOL and physical parameters were improved after group exercise intervention, and in two studies, only physical parameters were improved. Improvements in QOL were achieved through psychosocial variables, improved scores of subscales of pain and hurt, nausea, and procedure-related anxiety, and reduced cancer-related fatigue. All studies had high numbers of participants who completed the intervention. However, all studies showed a high risk of bias regarding the selection of the reported results, and most studies showed a high risk of bias regarding deviations from the intended intervention and outcome measurement.
The reviewed studies showed that group exercise intervention for children with cancer could improve their QOL and/or physical parameters.
摘要:
背景:尽管儿童癌症的生存率在不断提高,被诊断患有癌症的儿童会出现心理和生理问题,生活质量(QOL)下降.
方法:截至2023年9月,对PubMed数据库进行了系统评价,以确定报告团体运动干预对癌症儿童影响的研究。纳入标准是预先指定的,包括年龄≤19岁接受团体运动干预和以英语撰写的干预研究的儿童。不包括非运动干预或非团体干预的研究。
结果:本综述包括5项研究。在三项研究中,团体运动干预后QOL和身体参数均有改善,在两项研究中,只有物理参数得到了改善。生活质量的改善是通过心理社会变量实现的,改善疼痛和伤害的分量表,恶心,和程序相关的焦虑,和减少癌症相关的疲劳。所有研究都有大量参与者完成干预。然而,所有研究都显示出在选择报告结果方面存在很高的偏倚风险,大多数研究表明,在与预期干预和结局测量的偏差方面存在较高的偏倚风险.
结论:综述的研究表明,癌症儿童的团体运动干预可以改善他们的生活质量和/或身体参数。
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