Effects of different mind-body exercises on quality of life and cancer-related fatigue in breast cancer survivors: a systematic review and network meta-analysis.

IF 3.1 2区 医学 Q2 ONCOLOGY
Peng Pi, Liqing Zeng, Qinghui Han, Bing Han, Yan Wang
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引用次数: 0

Abstract

Purpose: To compare the efficacy of the different mind-body exercises (MBEs) for quality of life (QOL) and cancer-related fatigue (CRF) in women breast cancer (BC) survivors.

Methods: This review searched published randomized controlled trials (RCTs) in eight electronic databases: PubMed, Web of Science, Embase, Cochrane CENTRAL, EBSCO, CNKI, VIP, and WanFang from inception to October 30, 2023. NMA and comparative effects ranking were performed using STATA 17.0 software.

Results: This study included 121 studies with 11,072 women BC patients and eight different MBEs. Baduanjin showed the largest effect size in significantly improving subjective QOL (SMD = 3.03, 95% CI (2.04, 4.01)) compared with the control group, followed by relaxation training (SMD = 1.44, 95% CI (1.04, 1.85)), yoga (SMD = 0.89, 95% CI (0.36, 1.42)), mindfulness (SMD = 0.83, 95% CI (0.54, 1.12)), and Tai chi (SMD = 0.76, 95% CI (0.04, 1.48)). Furthermore, Tai chi (SMD =  - 1.42, 95% CI (- 2.21, - 0.63)) ranked first in significantly reducing CRF in BC patients compared with the control group, followed by mindfulness (SMD =  - 0.81, 95% CI (- 1.11, - 0.50)), relaxation training (SMD =  - 0.70, 95% CI (- 1.12, - 0.28)), and yoga (SMD =  - 0.53, 95% CI (- 0.88, - 0.18)).

Conclusions: Baduanjin and Tai chi are the most effective MBEs for improving QOL and CRF in female BC survivors, respectively. We recommend that healthcare providers prioritize Baduanjin and Tai chi as complementary therapies for BC survivors.

Implications for cancer survivors: Baduanjin and Tai chi have significant effects on improving the QOL of breast cancer patients and alleviating CRF, which is worthy of promotion and application.

不同身心锻炼对乳腺癌幸存者生活质量和癌症相关疲劳的影响:系统回顾和网络荟萃分析
目的:比较不同身心锻炼(MBEs)对女性乳腺癌(BC)幸存者的生活质量(QOL)和癌症相关疲劳(CRF)的疗效。方法:本综述检索PubMed、Web of Science、Embase、Cochrane CENTRAL、EBSCO、CNKI、VIP、万方等8个电子数据库自成立至2023年10月30日已发表的随机对照试验(RCTs)。采用STATA 17.0软件进行NMA和比较效应排序。结果:本研究包括121项研究,11,072名女性BC患者和8名不同的MBEs。与对照组相比,八段金在显著改善主观生活质量方面的效应量最大(SMD = 3.03, 95% CI(2.04, 4.01)),其次是放松训练(SMD = 1.44, 95% CI(1.04, 1.85))、瑜伽(SMD = 0.89, 95% CI(0.36, 1.42))、正念(SMD = 0.83, 95% CI(0.54, 1.12))和太极(SMD = 0.76, 95% CI(0.04, 1.48))。此外,与对照组相比,太极拳(SMD = - 1.42, 95% CI(- 2.21, - 0.63))在显著降低BC患者CRF方面排名第一,其次是正念(SMD = - 0.81, 95% CI(- 1.11, - 0.50))、放松训练(SMD = - 0.70, 95% CI(- 1.12, - 0.28))和瑜伽(SMD = - 0.53, 95% CI(- 0.88, - 0.18))。结论:八段锦和太极分别是改善女性BC患者生活质量和CRF最有效的MBEs。我们建议医疗保健提供者优先考虑八段锦和太极作为BC幸存者的补充疗法。对癌症幸存者的启示:八段锦、太极拳对改善乳腺癌患者的生活质量、缓解恶性循环有显著作用,值得推广应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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