不同运动类型对乳腺癌患者生活质量的影响：随机对照试验的网络Meta分析
Effect of different exercise types on quality of life in patients with breast cancer: A network meta-analysis of randomized controlled trials
DOI 原文链接
用sci-hub下载
如无法下载，请从 Sci-Hub 选择可用站点尝试。
影响因子:7.9
分区:医学2区 / 妇产科学2区 肿瘤学2区
发表日期:2024 Dec
作者:
Liang Li, Yutong Wang, Mingzhou Cai, Tonggang Fan
DOI:
10.1016/j.breast.2024.103798
摘要
运动是乳腺癌患者的康复策略，但最优的运动类型尚不明确。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，并为其运动康复提供依据。截至2024年5月，我们检索了Embase、PubMed、Web of Science和Cochrane图书馆共四个数据库，纳入分析运动对乳腺癌患者生活质量影响的随机对照试验。采用频率框架进行网络Meta分析。共纳入45篇论文，涉及4092名参与者。五种运动类型均在与对照组的直接比较中显示出显著效果，除瑜伽和身心运动外。有氧运动、抗阻运动及组合运动均改善生活质量。然而，在间接比较中，仅身心运动与抗阻运动的差异具有统计学意义。基于表面累积排名曲线（SUCRA）值和效应量对运动对乳腺癌患者生活质量（总体健康状态）的影响进行排名如下：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） > 身心运动（SUCRA=27.2） > 常规护理（SUCRA=4.1）。运动能够改善乳腺癌患者的生活质量，有氧运动可能是改善其生活质量的最佳运动类型。
Abstract
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).