Efficacy of Exercise Interventions in Patients with Acute Leukemia: A Meta-Analysis

Autor: Xiangguang Yin, Jinjie Zhu, Zejuan Gu, Yuan Zhou
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Myeloid
Physical fitness
Emotions
lcsh:Medicine
Social Sciences
Anxiety
Pathology and Laboratory Medicine
0302 clinical medicine
Mathematical and Statistical Techniques
Medicine and Health Sciences
Psychology
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Fatigue
Randomized Controlled Trials as Topic
Acute leukemia
Multidisciplinary
Sports Science
Exercise Therapy
Leukemia
Leukemia
Myeloid
Acute

medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
Meta-analysis
Strength Training
Physical Sciences
medicine.symptom
Statistics (Mathematics)
Research Article
medicine.medical_specialty
Strength training
MEDLINE
Research and Analysis Methods
03 medical and health sciences
Signs and Symptoms
Complementary and Alternative Medicine
Diagnostic Medicine
Internal medicine
medicine
Cancer Detection and Diagnosis
Humans
Sports and Exercise Medicine
Statistical Methods
Exercise
business.industry
lcsh:R
Biology and Life Sciences
Physical Activity
medicine.disease
Physical Fitness
Physical therapy
lcsh:Q
business
Mathematics
Meta-Analysis
Zdroj: PLoS ONE
PLoS ONE, Vol 11, Iss 7, p e0159966 (2016)
ISSN: 1932-6203
Popis: Background Decreased physical performance and impaired physiological and psychological fitness have been reported in patients with acute leukemia (AL). We performed a meta-analysis to assess the efficacy of exercise in patients with AL. Methods In this meta-analysis, the electronic databases MEDLINE, Embase, Cochrane, Web of Science, SPORTDiscus, CINAHL and PEDro were searched through November 2015. Three authors participated in the study selection, data extraction and quality assessment. The instrument used for quality assessment was derived from the Cochrane Handbook for Systematic Reviews of Interventions. Analyses were performed according to the recommendations of The Cochrane Collaboration using Review Manager 5.3. Results Nine trials (8 randomized controlled trials and 1 quasi-experimental design trial) with 314 AL participants were included in this meta-analysis. The pooled standardized mean differences between the exercise and control groups were 0.45 (95% confidence interval (CI): 0.09 to 0.80, P value = 0.01, P for heterogeneity = 0.23, I2 = 28%) for cardiorespiratory fitness and 0.67 (95% CI: 0.28 to 1.06, P value = 0.0007, P for heterogeneity = 0.14, I2 = 43%) for muscle strength. Based on the data for fatigue, anxiety, and depression, there were no significant differences in these parameters between the exercise and control groups. Conclusions Exercise has beneficial effects on cardiorespiratory fitness, muscle strength and functional mobility; however, no significant improvements in fatigue, anxiety, depression or quality of life were observed. Further large-scale randomized trials are needed to assess the safety, feasibility and efficacy of exercise programs for AL patients.
Databáze: OpenAIRE