在癌症患者中坚持高强度间隔训练的障碍和促成者：系统评价和荟萃分析
Barriers and enablers of adherence to high-intensity interval training among patients with cancer: a systematic review and meta-analysis
影响因子:16.20000
分区:医学1区 Top / 运动科学1区
发表日期:2024 Nov 12
作者:
Behnaz Mahdaviani, Maryam Selk-Ghaffari, Mojdeh Sarzaeim, Jane S Thornton
摘要
体育锻炼赋予癌症患者的身体和社会心理益处，并降低发病率和死亡率，但依从性各不相同。高强度间隔训练（HIIT）是及时的，可以提高依从性。 Our aim was to determine barriers and enablers of adherence to HIIT in patients diagnosed with cancer.Systematic review and meta-analysis.PubMed-MEDLINE, Scopus and Web of Science.Intervention studies including patients diagnosed with any type of cancer, who engaged in HIIT with or without co-intervention in any stage of treatment and have reported outcomes for adherence.Eight hundred articles were screened and 22 were included (n=807);荟萃分析中包括19个（n = 755）。对HIIT的加权依从性为88％（95％CI，81％至94％）。没有一项研究报告严重的不良事件。尽管是女性和患有乳腺癌的女性与较低的依从性有关（p <0.05），但年龄却不是（p = 0.15）。与治疗前和治疗后相比，在治疗阶段的依从性显着降低，分别为83％和94％和96％（p <0.001）。当无监督和与其他干预措施相结合时，会议时间超过60分钟，与依从性降低有关（p <0.05）。癌症患者之间的HIIT计划的戒备会有所不同，并且在监督较短的持续时间的干预措施时会有所改善，较短的持续时间，由HIIT较短的HIIT组成，不与其他运动和其他锻炼和后阶段相结合。可能需要提高特定亚群中的HIIT依从性的策略，以确保为所有癌症患者提供最佳机会，以获得与体育锻炼相关的收益。CRD42023430180。
Abstract
Physical activity confers physical and psychosocial benefits for cancer patients and decreases morbidity and mortality, but adherence varies. High-intensity interval training (HIIT) is time-efficient and may improve adherence. Our aim was to determine barriers and enablers of adherence to HIIT in patients diagnosed with cancer.Systematic review and meta-analysis.PubMed-MEDLINE, Scopus and Web of Science.Intervention studies including patients diagnosed with any type of cancer, who engaged in HIIT with or without co-intervention in any stage of treatment and have reported outcomes for adherence.Eight hundred articles were screened and 22 were included (n=807); 19 were included in the meta-analysis (n=755). Weighted adherence to HIIT was 88% (95% CI, 81% to 94%). None of the studies reported serious adverse events. Although being a woman and having breast cancer were associated with lower adherence (p<0.05), age was not (p=0.15). Adherence was significantly lower during the treatment phase in comparison with pre- and post-treatment phases, 83% versus 94% and 96%, respectively (p<0.001). Session time of more than 60 min, when unsupervised and combined with other interventions, was associated with decreased adherence (p<0.05).Adherence to HIIT programmes among cancer patients varies and is improved when the intervention is supervised, of shorter duration, consists of solely HIIT and not in combination with other exercise and occurs during pre- and post-treatment phases. Strategies to improve adherence to HIIT in specific subpopulations may be needed to ensure all patients with cancer are provided optimal opportunities to reap the benefits associated with physical activity.CRD42023430180.