Sonia Ortega-Gómez, Luca Di Bartolo, Joanna Velissari, Beatriz Gomes, Susanna Pusa, Joshua Thaller, Sofia Papakonstantinou, Musa Kirkar, Ennio Iannitto, Nádia Moura, Carmen Nogueira, Jesús Gustavo Ponce-González, Rebecca Baxter, Paula Tavares, Apostolos Vantarakis, Antonino Bianco, Ana Carbonell-Baeza, David Jiménez-Pavón
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引用次数: 0
Abstract
Background: Cancer's rising incidence and growing survivor population underscore the need for strategies to enhance health and quality of life. Outdoor physical activity (PA) settings may provide unique benefits, yet evidence in this context is scarce. This systematic review aims to evaluate the impact of outdoor PA and exercise interventions on the health and well-being of cancer survivors.
Methods: A systematic search was conducted in PubMed, Web of Science, and PsycINFO databases from their inception until April 23, 2024. Studies included randomized controlled trials (RCTs) and non-RCTs involving outdoor PA or exercise interventions for cancer survivors. The search strategy adhered to PRISMA guidelines, and the quality of studies was assessed using the PEDro scale.
Results: Twelve studies involving 712 cancer survivors were included, comprising 7 RCTs and 5 non-RCTs. Four studies compared outdoor exercise to indoor exercise instead of a usual care control group, and one used a crossover design. The interventions varied in frequency, intensity, time, and type, with Nordic walking and walking being the most common. Key findings indicated significant improvements in mental health, PA levels, muscular fitness, body composition, and exercise motivation. However, the impact on vital signs and sleep quality was inconclusive due to the limited number of studies and variability in interventions.
Conclusions: Outdoor PA, including structured exercise interventions, substantially benefits cancer survivors, particularly in enhancing mental health and physical fitness. Despite the promising findings, further research is needed to explore long-term effects, the benefits for different cancer types and age groups, and the underlying mechanisms of these interventions. Health practitioners should consider incorporating outdoor activities into cancer rehabilitation programs.
背景：癌症发病率的上升和幸存者人数的增加强调了加强健康和生活质量战略的必要性。户外体育活动（PA）环境可能提供独特的好处，但在这方面的证据很少。本系统综述旨在评估户外PA和运动干预对癌症幸存者健康和福祉的影响。方法：系统检索PubMed、Web of Science和PsycINFO数据库，从其成立到2024年4月23日。研究包括随机对照试验（rct）和非随机对照试验，涉及癌症幸存者的户外PA或运动干预。检索策略遵循PRISMA指南，使用PEDro量表评估研究质量。结果：纳入12项研究，涉及712名癌症幸存者，包括7项随机对照试验和5项非随机对照试验。四项研究比较了室外运动和室内运动，而不是常规护理对照组，其中一项研究采用交叉设计。干预措施在频率、强度、时间和类型上各不相同，北欧步行和步行是最常见的。主要发现表明心理健康、PA水平、肌肉健康、身体成分和运动动机有显著改善。然而，由于研究数量有限和干预措施的可变性，对生命体征和睡眠质量的影响尚无定论。结论：户外PA，包括有组织的运动干预，对癌症幸存者有很大的好处，特别是在增强心理健康和身体健康方面。尽管有这些令人鼓舞的发现，但需要进一步的研究来探索长期效果、对不同癌症类型和年龄组的益处以及这些干预措施的潜在机制。健康从业者应考虑将户外活动纳入癌症康复计划。系统评价注册：PROSPERO CRD42024545392。
期刊介绍：
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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