Effect of Home- and Community-Based Physical Activity Interventions on Physical Function Among Cancer Survivors: A Systematic Review and Meta-Analysis
| Autor: | Maria C. Swartz, Zakkoyya H. Lewis, Demi Arnold, Kenneth J. Ottenbacher, James S. Goodwin, Kaitlin Dresser, Addie Middleton, Kristofer Jennings, Elizabeth J. Lyons, Rachel R Deer |
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| Rok vydání: | 2017 |
| Předmět: |
Gerontology
medicine.medical_specialty SF-36 Psychological intervention Breast Neoplasms Physical Therapy Sports Therapy and Rehabilitation Health Promotion CINAHL Article law.invention Disability Evaluation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Residence Characteristics law Neoplasms Humans Medicine Community Health Services Survivors 030212 general & internal medicine Mobility Limitation Exercise Randomized Controlled Trials as Topic business.industry Rehabilitation Confidence interval Systematic review Sample size determination 030220 oncology & carcinogenesis Meta-analysis Quality of Life Physical therapy business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 98:1652-1665 |
| ISSN: | 0003-9993 |
| Popis: | Objective To examine the effect of home- and community-based physical activity interventions on physical functioning among cancer survivors based on the most prevalent physical function measures, randomized trials were reviewed. Data Sources Five electronic databases—Medline Ovid, PubMed, CINAHL, Web of Science, and PsycINFO—were searched from inception to March 2016 for relevant articles. Study Selection Search terms included community-based interventions, physical functioning, and cancer survivors. A reference librarian trained in systematic reviews conducted the final search. Data Extraction Four reviewers evaluated eligibility and 2 reviewers evaluated methodological quality. Data were abstracted from studies that used the most prevalent physical function measurement tools—Medical Outcomes Study 36-Item Short-Form Health Survey, Late-Life Function and Disability Instrument, European Organisation for the Research and Treatment of Cancer Quality-of-Life Questionnaire, and 6-minute walk test. Random- or fixed-effects models were conducted to obtain overall effect size per physical function measure. Data Synthesis Fourteen studies met inclusion criteria and were used to compute standardized mean differences using the inverse variance statistical method. The median sample size was 83 participants. Most of the studies (n=7) were conducted among breast cancer survivors. The interventions produced short-term positive effects on physical functioning, with overall effect sizes ranging from small (.17; 95% confidence interval [CI], .07–.27) to medium (.45; 95% CI, .23–.67). Community-based interventions that met in groups and used behavioral change strategies produced the largest effect sizes. Conclusions Home and community-based physical activity interventions may be a potential tool to combat functional deterioration among aging cancer survivors. More studies are needed among other cancer types using clinically relevant objective functional measures (eg, gait speed) to accelerate translation into the community and clinical practice. |
| Databáze: | OpenAIRE |
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