癌症患者高强度间歇训练依从性的障碍与促进因素：系统评价与Meta分析
Barriers and enablers of adherence to high-intensity interval training among patients with cancer: a systematic review and meta-analysis
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影响因子:16.2
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
DOI:
10.1136/bjsports-2024-108163
摘要
体育活动为癌症患者带来身心益处，降低发病率和死亡率，但依从性存在差异。高强度间歇训练（HIIT）具有时间效率高的优势，可能改善依从性。本研究旨在探讨癌症患者遵循HIIT的障碍与促进因素。系统评价与Meta分析。检索数据库包括PubMed-MEDLINE、Scopus和Web of Science。纳入的干预研究对象为任何阶段接受任何类型癌症诊断的患者，参与有或无辅助干预的HIIT训练，并报告依从性结果。筛选了800篇文章，最终纳入22篇（n=807）；其中19篇进入Meta分析（n=755）。加权平均依从率为88%（95% CI，81%至94%）。所有研究均未报告严重不良事件。女性身份和乳腺癌诊断与较低的依从性相关（p<0.05），而年龄未显示显著相关（p=0.15）。比较治疗期与治疗前后期，治疗期的依从性显著较低，为83%，而治疗前后期分别为94%和96%（p<0.001）。无监督、持续时间超过60分钟、结合其他干预措施的训练会降低依从性（p<0.05）。癌症患者对HIIT的依从性存在差异，随监督、训练时间缩短、仅进行HIIT且不结合其他运动以及在治疗前后期进行而改善。针对特定亚群制定策略以提高依从性，可能有助于确保所有癌症患者都能充分获益于体育活动的益处。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.