督导运动对乳腺癌术后妇女睡眠的影响:系统回顾与荟萃分析。

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2025-06-01 Epub Date: 2024-01-30 DOI:10.1007/s11764-024-01532-3
Mariana Pifano de Moura Ferraz Barbosa, Naiany Tenorio de Jesus, Anke Bergmann, Vanessa Maria da Silva Alves Gomes, Cinara Sacomori, Diego Dantas
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引用次数: 0

摘要

目的:分析监督锻炼(SE)与对照方案相比对乳腺癌术后妇女睡眠参数的影响:本系统性综述和荟萃分析使用以下电子数据库检索研究:PubMed、Scopus、物理治疗证据数据库 (PEDro)、Cochrane 图书馆和 EMBASE。PEDro量表对偏倚风险进行了评估,研究方案在PROSPERO(编号:CRD42023420894)中进行了注册:结果:在已确定的 3,566 项研究中,纳入了 13 项随机临床试验,涉及 847 名确诊为乳腺癌的女性。干预措施包括在门诊环境中进行 SE(62%),或结合指导和家庭锻炼方案。大多数干预措施(85%)采用多成分方案,包括有氧运动和阻力运动。报告最多的对照组是常规护理和健康教育。SE 降低了欧洲癌症研究和治疗组织生活质量问卷的睡眠障碍得分(- 31.61 [95% 置信区间 = - 39.40 至 - 23.83])和匹兹堡睡眠质量指数(PSQI)的日间功能障碍得分(- 0.41 [95% 置信区间 = - 0.73 至 - 0.09])。此外,SE还有改善匹兹堡睡眠质量指数(PSQI)自我报告睡眠质量得分的趋势(p = 0.06):SE提高了乳腺癌术后妇女的主观睡眠质量和活动时间,减少了睡眠障碍和日间功能障碍症状。大多数 SE 方案都是多成分的,包括中等强度到高强度的有氧运动和阻力运动:对癌症幸存者的启示:有指导的运动可改善睡眠质量,减轻睡眠障碍症状,从而提高生存率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of supervised exercise on sleep of women who survived breast cancer: a systematic review with meta-analysis.

Purpose: To analyze the efficacy of supervised exercise (SE) compared with control protocols on sleep parameters of women who survived breast cancer.

Methods: This systematic review with meta-analysis searched studies using the following electronic databases: PubMed, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Library, and EMBASE. The PEDro scale assessed the bias risk, and the study protocol was registered in the PROSPERO (no. CRD42023420894).

Results: Of 3,566 identified studies, 13 randomized clinical trials involving 847 women diagnosed with breast cancer were included. Interventions consisted of SE in an outpatient setting (62%) or combined protocols with supervised and home exercises. Most interventions (85%) used multicomponent protocols with aerobic and resistance exercises. Usual care and health education were the most reported controls. SE decreased the sleep disturbance score (- 31.61 [95% confidence interval =  - 39.40 to - 23.83]) of the European Organisation for Research and Treatment of Cancer quality of life questionnaire and daytime dysfunction score (- 0.41 [95% confidence interval =  - 0.73 to - 0.09]) of the Pittsburgh Sleep Quality Index (PSQI). Also, SE presented a tendency to improve the self-reported sleep quality score of the PSQI (p = 0.06).

Conclusion: SE increased the subjective sleep quality and immobility time and decreased sleep disturbance and daytime dysfunction symptoms in women who survived breast cancer. Most SE protocols were multicomponent, with aerobic and resistance exercises ranging from moderate to high intensity.

Implications for cancer survivors: Supervised exercise may improve sleep quality and reduce symptoms of sleep disorders, contributing to survival outcomes.

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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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