Does resistance training ameliorate cancer-related fatigue in cancer survivors? A systematic review with meta-analysis

荟萃分析 癌症相关疲劳 癌症 阻力训练 医学 系统回顾 抗性(生态学) 梅德林 心理学 物理疗法 内科学 生物 生态学 生物化学
作者
Luke Gray,Paul Sindall,Stephen J. Pearson
出处
期刊:Disability and Rehabilitation [Informa]
卷期号:46 (11): 2213-2222 被引量:5
标识
DOI:10.1080/09638288.2023.2226408
摘要

Purpose Cancer-related fatigue (CRF) is unrelenting. As neither rest nor sleep ameliorates cognitive, emotional, and physical symptoms, quality of life is diminished. This study examines resistance training (RT) effectiveness on CRF in cancer survivors. The secondary aims were to identify the dose-response relationship of RT frequency, intensity, and volume on CRF in different cancer survivor populations.Materials and methods Systematic searches via numerous databases for RCTs were performed in June 2022. Patient-reported outcome measures (PROM), were analysed, pre-to-post intervention, using a random-effects model. The Physiotherapy Evidence Database (PEDro) scale informed methodological quality assessment.Results Eight studies were included (cancer survivors: breast (BCS) = 5; endometrial (ECS) = 1; prostate (PCS) = 2). Overall, RT interventions ≥ 6 weeks elicited large significant reductions in CRF for FACIT-F (SMD = 0.932, p = <0.001) and moderate significant reductions in CRF for PFS-R (SMD = −0.622, p = 0.004).Conclusion Main findings indicate that RT ameliorates CRF, especially in BCS; however, individualised approaches should be advocated. Supervised training elicited the greatest positive outcomes, thus should be a pivotal part of the cancer rehabilitation pathway. Future studies should be adequately powered, undertake discrete analyses of different cancer types, and investigate chronic RT effects.
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