运动是乳腺癌患者的康复策略；然而，最佳的运动类型仍然不确定。本研究旨在比较五种运动类型对乳腺癌患者生活质量的影响，为其运动康复提供依据。 截至2024年5月，我们检索了四个数据库：Embase、PubMed、Web of Science和Cochrane图书馆，包括随机对照试验，分析运动对乳腺癌患者生活质量的影响。使用基于频率的框架进行网络荟萃分析。纳入了涉及 4092 名参与者的 45 篇论文。除瑜伽和身心运动外，所包括的五种运动与对照组的直接比较均显着。有氧运动、阻力运动和组合运动与生活质量相关。然而，在间接比较中，只有身心锻炼与阻力锻炼相比具有显着效果。运动对乳腺癌患者生活质量（总体健康状况）的影响根据累积排名曲线下表面（SUCRA）值结合效应大小进行排名如下：有氧运动（SUCRA=84.1）>组合运动(SUCRA=78.8)>抗阻运动(SUCRA=66.4)>瑜伽(SUCRA=39.3)>身心锻炼(SUCRA=27.2)>日常护理(SUCRA=4.1)。运动可以恢复乳腺患者的生活质量癌症，有氧运动可能是提高生活质量（总体健康状况）的最佳运动类型。版权所有 © 2024 作者。由爱思唯尔有限公司出版。保留所有权利。

Exercise is a rehabilitation strategy for patients with breast cancer; however, the optimal type of exercise remains uncertain. This study aimed to compare the effects of five exercise types on the quality of life of patients with breast cancer and provide a basis for their exercise rehabilitation.As of May 2024, we searched four databases: Embase, PubMed, Web of Science, and Cochrane Library, and included randomized controlled trials that analyzed the effect of exercise on the quality of life of patients with breast cancer. A network meta-analysis was performed using a frequency-based framework.Forty-five papers involving 4092 participants were included. The five types of exercises included were all significant in the direct comparison with the control group, except yoga and mind-body exercises. Aerobic, resistance, and combination exercises were associated with quality of life. However, in indirect comparisons, only mind-body exercise versus resistance exercise had a significant effect. The effect of exercise on the quality of life(total health status) of patients with breast cancer was ranked based on surface under the cumulative ranking curve (SUCRA) values combined with effect sizes as follows: aerobic exercise (SUCRA = 84.1) > combined exercise (SUCRA = 78.8) > resistance exercise (SUCRA = 66.4) > yoga (SUCRA = 39.3) > mind-body exercise (SUCRA = 27.2) > usual care (SUCRA = 4.1).Exercise can rehabilitate the quality of life of patients with breast cancer, and aerobic exercise may be the best type of exercise to improve their quality of life(total health status).Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.