Effect of exercise based on the ACSM recommendations on fatigue in patients with digestive tumors: a meta-analysis of randomized controlled trials.

IF 3.1 2区医学 Q2 ONCOLOGY

Journal of Cancer Survivorship Pub Date : 2025-04-04 DOI:10.1007/s11764-025-01780-x

Meng Liang, Zheng Liu, Rui Zhang, Nan Zhang

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引用次数: 0

Abstract

Objective: Fatigue is the most common side effect in cancer and cancer treatment. This study aimed to investigate the effect of different amounts of exercise on fatigue in patients with digestive tumors.

Methods: We searched articles published to March 2024 in the PubMed, Embase, Web of Science, and Cochrane databases. The amount of exercise was evaluated according to the American College of Sports Medicine (ACSM) and divided into high compliance and low compliance. The effect of compliance on fatigue in patients with digestive tumors was compared using standardized mean difference and 95% confidence intervals (95% CI).

Results: A total of 18 articles were included, and we found that exercise had beneficial effects on cancer-related fatigue (CRF) in patients with digestive tumors. Fifteen studies that met the ACSM recommendations were grouped eventually. Eight studies were classified as high compliance and 7 studies as low compliance. The CRF was improved significantly in the high compliance (- 1.89; 95% [CI], - 2.93 to - 0.86) compared with the low compliance (- 1.43; 95% [CI], - 2.25 to - 0.61).

Conclusion: Exercise intervention with high compliance showed a more significant improvement in fatigue in patients with digestive tumors compared with low compliance. However, these studies have not yet been fully uniform for the scoring tool for CRF, and further studies are needed to validate these findings.

Implications for cancer survivors: Compared with low compliance, exercise intervention with high compliance has shown a more significant improvement in fatigue among patients with digestive tumors. In addition, the beneficial effects of high compliance with exercise intervention on fatigue in patients with digestive tumors also provide important implications for cancer survivors. Regular exercise that conforms to the American College of Sports Medicine (ACSM) recommendations, especially maintaining high compliance, can serve as an effective strategy to alleviate cancer-related fatigue and improve the quality of life of survivors. However, these studies have not yet been fully unified in the scoring tools for cancer-related fatigue (CRF), and further research is needed to validate these findings.

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基于 ACSM 建议的运动对消化系统肿瘤患者疲劳的影响：随机对照试验的荟萃分析。

目的：疲劳是癌症治疗中最常见的副作用。本研究旨在探讨不同运动量对消化肿瘤患者疲劳的影响。方法：检索PubMed、Embase、Web of Science和Cochrane数据库中截至2024年3月发表的文章。运动量根据美国运动医学学院（ACSM）进行评估，分为高依从性和低依从性。采用标准化平均差和95%置信区间（95% CI）比较依从性对消化系统肿瘤患者疲劳的影响。结果：共纳入了18篇文章，我们发现运动对消化肿瘤患者的癌症相关疲劳（CRF）有有益的影响。符合ACSM建议的15项研究最终被分组。8项研究被归类为高依从性，7项研究被归类为低依从性。高依从性组CRF显著提高(- 1.89；95% [CI], - 2.93至- 0.86)，与低依从性(- 1.43；95% [CI], - 2.25 ~ - 0.61)。结论：高依从性运动干预较低依从性运动干预对消化系统肿瘤患者疲劳的改善更为显著。然而，对于CRF的评分工具，这些研究尚未完全统一，需要进一步的研究来验证这些发现。对癌症幸存者的影响：与低依从性相比，高依从性的运动干预对消化肿瘤患者的疲劳有更显著的改善。此外，高依从性运动干预对消化系统肿瘤患者疲劳的有益影响也为癌症幸存者提供了重要启示。符合美国运动医学学院（ACSM）建议的定期锻炼，特别是保持高依从性，可以作为缓解癌症相关疲劳和提高幸存者生活质量的有效策略。然而，这些研究尚未完全统一癌症相关疲劳（CRF）的评分工具，需要进一步的研究来验证这些发现。

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

Journal of Cancer Survivorship ONCOLOGY-

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.