Exercise interventions and physical activity in adults living with and beyond blood cancer: a scoping review.

IF 3.1 2区医学 Q2 ONCOLOGY

Journal of Cancer Survivorship Pub Date : 2025-05-07 DOI:10.1007/s11764-025-01822-4

Ojbindra Kc, Moataz Ellithi, Emily Herdman, Danielle Westmark, Tanya M Wildes, Edward S Peters, Sara E Bills, Windy Alonso, Vijaya R Bhatt

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引用次数: 0

Abstract

Purpose: Adults living with and beyond cancer (survivors) often face physical and psychological challenges, including pain, fatigue, sleep disturbances, and depression, which impair quality of life (QOL). While exercise interventions are demonstrated to benefit survivors of solid tumors, their impact on survivors of blood cancer remains underexplored. This review evaluates the evidence regarding exercise interventions in survivors of blood cancer, focusing on intervention types, study participant characteristics, and reported outcomes.

Methods: A literature search was conducted using Embase (Elsevier), Medline (EBSCO), CINAHL (EBSCO), and Scopus (Elsevier) to identify studies on exercise interventions in survivors of blood cancer published through March 15, 2024. Articles were screened based on inclusion criteria, including adults aged 18 or older who completed cancer treatment and underwent exercise interventions. Exclusion criteria included pediatric populations, active cancer treatment, study protocols, incomplete results, or non-English publications.

Results: Seventeen studies were identified, including nine feasibility studies and eight randomized controlled trials. Participants, predominantly white, had a median age range of 31.5-63.5 years. Interventions, often combining aerobic and resistance exercises, were delivered three times weekly over 8-12 weeks. Feasibility studies reported adherence rates of 66-87% and retention rates of 70-95%, with improvements in QOL and physical function. Randomized controlled trials similarly demonstrated benefits in fatigue, QOL, and physical function. CONCLUSIONS: Exercise interventions improve QOL for survivors of blood cancer, though long-term effectiveness and adherence require further study.

Implications for cancer survivors: Future research should focus on diverse populations and long-term outcomes to develop tailored, accessible exercise interventions for survivors of blood cancer.

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血癌患者及非血癌患者的运动干预和身体活动：范围综述

目的：患有癌症的成年人（幸存者）经常面临身体和心理上的挑战，包括疼痛、疲劳、睡眠障碍和抑郁，这些都会影响生活质量（QOL）。虽然运动干预已被证明对实体瘤幸存者有益，但其对血癌幸存者的影响仍未得到充分探讨。本综述评估了血癌幸存者运动干预的证据，重点关注干预类型、研究参与者特征和报告的结果。方法：通过Embase（爱思唯尔）、Medline （EBSCO）、CINAHL （EBSCO）和Scopus（爱思唯尔）进行文献检索，确定截至2024年3月15日发表的关于血癌幸存者运动干预的研究。文章根据纳入标准进行筛选，包括完成癌症治疗并进行运动干预的18岁或以上的成年人。排除标准包括儿科人群、积极的癌症治疗、研究方案、不完整的结果或非英文出版物。结果：共纳入17项研究，其中可行性研究9项，随机对照试验8项。参与者主要是白人，平均年龄在31.5-63.5岁之间。干预措施通常结合有氧运动和阻力运动，每周进行三次，持续8-12周。可行性研究报告依从率为66-87%，保留率为70-95%，生活质量和身体功能均有改善。随机对照试验同样证明了在疲劳、生活质量和身体功能方面的益处。结论：运动干预可改善血癌幸存者的生活质量，但长期有效性和依从性有待进一步研究。对癌症幸存者的影响：未来的研究应关注不同的人群和长期结果，为血癌幸存者开发量身定制的、可获得的运动干预措施。

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.