关键词: Exercise intervention Network Meta-analysis Sarcopenia Tumour

Mesh : Humans Neoplasms / complications Sarcopenia / therapy Network Meta-Analysis Randomized Controlled Trials as Topic Exercise Therapy / methods Exercise / physiology Resistance Training / methods

来  源:   DOI:10.1186/s12889-024-18493-y   PDF(Pubmed)

Abstract:
OBJECTIVE: This study aims to investigate the impact of four exercise modes (aerobic exercise, resistance exercise, aerobic combined with resistance multimodal exercise, and stretching) on the physical performance of cancer patients.
METHODS: Randomized controlled trials (RCTs) were exclusively collected from PubMed, EMBASE, Web of Science, and The Cochrane Library, with a search deadline of April 30, 2023. Different exercise interventions on the physical performance of cancer patients were studied, and the Cochrane risk of bias assessment tool was employed to evaluate the quality of the included literature. Data analysis was conducted using STATA 15.1 software.
RESULTS: This study included ten randomized controlled trials with a combined sample size of 503 participants. Network meta-analysis results revealed that aerobic combined with resistance multimodal exercise could reduce fat mass in cancer patients (SUCRA: 92.3%). Resistance exercise could improve lean mass in cancer patients (SUCRA: 95.7%). Furthermore, resistance exercise could enhance leg extension functionality in cancer patients with sarcopenia (SUCRA: 83.0%).
CONCLUSIONS: This study suggests that resistance exercise may be more beneficial for cancer-related sarcopenia.In clinical practice, exercise interventions should be tailored to the individual patients\' circumstances.
BACKGROUND: This review was registered on INPLASY2023110025; DOI number is https://doi.org/10.37766/inplasy2023.11.0025 .
摘要:
目的:本研究旨在调查四种运动模式(有氧运动,阻力运动,有氧结合阻力多模式锻炼,和拉伸)对癌症患者的身体表现。
方法:随机对照试验(RCT)仅从PubMed收集,EMBASE,WebofScience,和Cochrane图书馆,搜索截止日期为2023年4月30日。研究了不同的运动干预措施对癌症患者身体表现的影响,采用Cochrane偏倚风险评估工具对纳入文献的质量进行评价。使用STATA15.1软件进行数据分析。
结果:本研究包括10项随机对照试验,包含503名参与者。网络荟萃分析结果表明,有氧运动联合阻力多模式运动可以减少癌症患者的脂肪量(SUCRA:92.3%)。抗阻运动可以改善癌症患者的瘦体重(SUCRA:95.7%)。此外,抗阻运动可以增强癌症伴肌肉减少症患者的腿部伸展功能(SUCRA:83.0%)。
结论:这项研究表明,抗阻运动可能对癌症相关的肌肉减少症更有益。在临床实践中,运动干预措施应根据患者的具体情况量身定制。
背景:此评论已在INPLASY2023110025上注册;DOI编号为https://doi.org/10.37766/inplasy2023.11.0025。
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