可穿戴体力活动追踪对乳腺癌幸存者的影响：系统回顾与荟萃分析。

IF 1.4 4区医学 Q3 NURSING

International Journal of Nursing Knowledge Pub Date : 2023-02-26 DOI:10.1111/2047-3095.12418

Mingyue Pan MNSc, Keyang Wu MNSc, Jiaxin Zhao MNSc, Xiaohui Hou MNSc, Piao Chen MNSc, Bing Wang PhD

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引用次数: 0

摘要

目的：乳腺癌是全球最常见的癌症类型，其幸存者通常会遇到身体和心理健康问题。使用可穿戴设备是促进乳腺癌幸存者体育锻炼和改善健康相关结果的一种创新而有效的方法；然而，目前的证据尚不明确。我们旨在确定可穿戴设备对乳腺癌幸存者体育锻炼和健康相关结果的影响：对 PubMed、Embase、Web of Science 和 Cochrane Library 数据库进行了检索，以确定从开始到 2022 年 9 月期间符合条件的研究。从已确定研究的参考文献列表中获取了其他相关研究。两名审稿人独立筛选了符合条件的研究，评估了偏倚风险，并提取了数据。使用 Review Manager 5.3.Findings 版本进行元分析：共纳入 16 项随机对照试验。基于体力活动追踪和计步器的干预改善了中等强度的体力活动（标准化平均差 [SMD] = 0.32，95% 置信区间 [CI]：0.17-0.46，P<0.05）：0.17-0.46，P 结论：体力活动追踪和计步器干预能有效增加乳腺癌幸存者的体力活动并改善其健康相关结果：本综述提供了可靠的证据，支持可穿戴体力活动追踪器对乳腺癌幸存者的体力活动和健康相关结果的潜在作用和有效性。

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Effects of wearable physical activity tracking for breast cancer survivors: A systematic review and meta-analysis

Purpose

Breast cancer is the most common cancer type worldwide, with its survivors often experiencing physical and psychosocial health problems. Wearable device use is an innovative and effective way to promote physical activity and improve health-related outcomes in breast cancer survivors; however, the current evidence is unclear. We aimed to determine the effects of wearable devices on physical activity and health-related outcomes in breast cancer survivors.

Methods

PubMed, Embase, Web of Science, and Cochrane Library databases were searched to identify eligible studies from inception to September 2022. Additional relevant studies were obtained from the reference lists of the identified studies. Two reviewers independently screened the eligible studies, appraised the risk of bias, and extracted the data. Meta-analysis was conducted using Review Manager version 5.3.

Findings

Sixteen randomized controlled trials were included. Physical activity tracking and pedometer-based interventions improved moderate-intensity physical activity (standardized mean difference [SMD] = 0.32, 95% confidence interval [CI]: 0.17–0.46, p < 0.0001), moderate-to-vigorous physical activity (SMD = 0.85, 95%CI: 0.38–1.32, p = 0.0004), total physical activity (SMD = 0.51, 95%CI: 0.12–0.90, p = 0.01), quality of life (SMD = 0.17, 95%CI: 0.03–0.31, p = 0.01), physical function (SMD = 0.21, 95%CI: 0.04–0.38, p = 0.02), and mood state profiles (SMD = −0.58, 95%CI: −1.13 to 0.02, p = 0.04) in breast cancer survivors. However, the effects of low-intensity physical activity, vigorous-intensity physical activity, fatigue, anxiety, depression, and sleep quality could not be ascertained.

Conclusions

Physical activity tracking and pedometer-based interventions were effective in increasing physical activity and improving health-related outcomes in breast cancer survivors.

Implications for nursing practice

This review offers availability of credible evidence supporting the potential usefulness and effectiveness of wearable physical activity trackers on physical activity and health-related outcomes in breast cancer survivors.

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.