Barriers and enablers of adherence to high-intensity interval training among patients with cancer: a systematic review and meta-analysis

IF 11.6 1区医学 Q1 SPORT SCIENCES

British Journal of Sports Medicine Pub Date : 2024-09-27 DOI:10.1136/bjsports-2024-108163

Behnaz Mahdaviani, Maryam Selk-Ghaffari, Mojdeh Sarzaeim, Jane S Thornton

{"title":"Barriers and enablers of adherence to high-intensity interval training among patients with cancer: a systematic review and meta-analysis","authors":"Behnaz Mahdaviani, Maryam Selk-Ghaffari, Mojdeh Sarzaeim, Jane S Thornton","doi":"10.1136/bjsports-2024-108163","DOIUrl":null,"url":null,"abstract":"Objective Physical activity confers physical and psychosocial benefits for cancer patients and decreases morbidity and mortality, but adherence varies. High-intensity interval training (HIIT) is time-efficient and may improve adherence. Our aim was to determine barriers and enablers of adherence to HIIT in patients diagnosed with cancer. Design Systematic review and meta-analysis. Data source PubMed-MEDLINE, Scopus and Web of Science. Eligibility criteria Intervention studies including patients diagnosed with any type of cancer, who engaged in HIIT with or without co-intervention in any stage of treatment and have reported outcomes for adherence. Results Eight hundred articles were screened and 22 were included (n=807); 19 were included in the meta-analysis (n=755). Weighted adherence to HIIT was 88% (95% CI, 81% to 94%). None of the studies reported serious adverse events. Although being a woman and having breast cancer were associated with lower adherence (p<0.05), age was not (p=0.15). Adherence was significantly lower during the treatment phase in comparison with pre- and post-treatment phases, 83% versus 94% and 96%, respectively (p<0.001). Session time of more than 60 min, when unsupervised and combined with other interventions, was associated with decreased adherence (p<0.05). Conclusion Adherence to HIIT programmes among cancer patients varies and is improved when the intervention is supervised, of shorter duration, consists of solely HIIT and not in combination with other exercise and occurs during pre- and post-treatment phases. Strategies to improve adherence to HIIT in specific subpopulations may be needed to ensure all patients with cancer are provided optimal opportunities to reap the benefits associated with physical activity. PROSPERO registration CRD42023430180. All data relevant to the study are included in the article or uploaded as supplementary information.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"18 1","pages":""},"PeriodicalIF":11.6000,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bjsports-2024-108163","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective Physical activity confers physical and psychosocial benefits for cancer patients and decreases morbidity and mortality, but adherence varies. High-intensity interval training (HIIT) is time-efficient and may improve adherence. Our aim was to determine barriers and enablers of adherence to HIIT in patients diagnosed with cancer. Design Systematic review and meta-analysis. Data source PubMed-MEDLINE, Scopus and Web of Science. Eligibility criteria Intervention studies including patients diagnosed with any type of cancer, who engaged in HIIT with or without co-intervention in any stage of treatment and have reported outcomes for adherence. Results Eight hundred articles were screened and 22 were included (n=807); 19 were included in the meta-analysis (n=755). Weighted adherence to HIIT was 88% (95% CI, 81% to 94%). None of the studies reported serious adverse events. Although being a woman and having breast cancer were associated with lower adherence (p<0.05), age was not (p=0.15). Adherence was significantly lower during the treatment phase in comparison with pre- and post-treatment phases, 83% versus 94% and 96%, respectively (p<0.001). Session time of more than 60 min, when unsupervised and combined with other interventions, was associated with decreased adherence (p<0.05). Conclusion Adherence to HIIT programmes among cancer patients varies and is improved when the intervention is supervised, of shorter duration, consists of solely HIIT and not in combination with other exercise and occurs during pre- and post-treatment phases. Strategies to improve adherence to HIIT in specific subpopulations may be needed to ensure all patients with cancer are provided optimal opportunities to reap the benefits associated with physical activity. PROSPERO registration CRD42023430180. All data relevant to the study are included in the article or uploaded as supplementary information.

查看原文本刊更多论文

癌症患者坚持高强度间歇训练的障碍和促进因素：系统综述和荟萃分析

目的体育锻炼可为癌症患者带来身体和心理上的益处，并降低发病率和死亡率，但坚持体育锻炼的程度却不尽相同。高强度间歇训练（HIIT）具有时间效率高的特点，可以提高坚持率。我们的目的是确定癌症患者坚持 HIIT 的障碍和促进因素。设计系统回顾和荟萃分析。数据来源：PubMed-MEDLINE、Scopus 和 Web of Science。资格标准包括确诊为任何类型癌症的患者的干预研究，这些患者在治疗的任何阶段都参与了 HIIT（有或没有联合干预），并报告了坚持的结果。结果筛选出 800 篇文章，其中 22 篇被纳入（n=807）；19 篇被纳入荟萃分析（n=755）。HIIT的加权坚持率为88%（95% CI，81%至94%）。所有研究均未报告严重不良事件。虽然女性和乳腺癌患者的坚持率较低（P<0.05），但年龄与之无关（P=0.15）。与治疗前和治疗后阶段相比，治疗阶段的依从性明显较低，分别为 83% 对 94% 和 96%（p<0.001）。在无人监督的情况下，如果训练时间超过 60 分钟，并与其他干预措施相结合，则坚持率会降低（p<0.05）。结论癌症患者对 HIIT 计划的依从性各不相同，如果干预有监督、持续时间较短、只包括 HIIT 而不与其他运动相结合，并且在治疗前和治疗后阶段进行，则依从性会提高。可能需要制定策略来提高特定亚人群对 HIIT 的依从性，以确保所有癌症患者都有最佳机会获得与体育锻炼相关的益处。PROSPERO 注册号为 CRD42023430180。与该研究相关的所有数据均包含在文章中或作为补充信息上传。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Sports Medicine 医学-运动科学

CiteScore

27.10

自引率

4.90%

发文量

217

审稿时长

3-8 weeks

期刊介绍： The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.