Predictors of adherence to exercise interventions during and after cancer treatment: A systematic review.
Predictors of adherence to exercise interventions during and after cancer treatment: A systematic review.
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DOI：
10.1002/pon.4612
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发表时间：
2018-03
期刊：
影响因子：
3.6
通讯作者：
Walenkamp AME
中科院分区：
文献类型：
--
作者：
Ormel HL;van der Schoot GGF;Sluiter WJ;Jalving M;Gietema JA;Walenkamp AME
运动干预有益于癌症患者。然而，只有少数患者坚持这些干预措施。本综述旨在确定癌症患者在多模式癌症治疗期间和之后坚持运动干预的预测因素。使用电子数据库（PubMed、Embase和科克伦）进行文献检索，以识别2017年2月1日之前发表的相关论文。纳入了报告在多模式癌症治疗期间和/或之后参与运动干预的成年癌症患者中进行的随机对照试验的论文，并提供了预测运动依从性的因素的结果。通过使用物理治疗证据数据库量表评估论文的方法学质量。检索识别出720篇潜在相关论文，其中15篇符合合格标准。在这15项研究中，纳入了2279例患者，其中1383例患者随机接受运动干预。在癌症治疗期间，预测运动坚持性的因素如下：康复中心的位置、广泛的运动史、运动的高动机和较少的运动限制。癌症治疗后，预测依从性的因素如下：不太广泛的手术，低酒精消费，以前的运动坚持性高，家庭的支持，教练的反馈，以及运动的知识和技能。纳入论文的方法学质量被评为“高”。坚持运动干预的最突出的预测因素是康复中心的位置，广泛的运动史，运动的高动机，和较少的运动限制。为了增加受益的癌症患者的数量，这些结果应该被考虑到未来运动干预的发展和实施。
Exercise interventions benefit cancer patients. However, only low numbers of patients adhere to these interventions. This review aimed to identify predictors of exercise intervention adherence in patients with cancer, during and after multimodality cancer treatment. A literature search was performed using electronic databases (PubMed, Embase, and Cochrane) to identify relevant papers published before February 1, 2017. Papers reporting randomized controlled trials, conducted in adult cancer patients who participated in an exercise intervention during and/or after multimodality cancer treatment, and providing outcome of factors predicting exercise adherence were included. Papers were assessed for methodological quality by using the Physiotherapy Evidence Database scale. The search identified 720 potentially relevant papers, of which 15 fulfilled the eligibility criteria. In these 15 studies, 2279 patients were included and 1383 of these patients were randomized to an exercise intervention. During cancer treatment, the factors predicting exercise adherence were as follows: location of the rehabilitation center, extensive exercise history, high motivation for exercise, and fewer exercise limitations. After cancer treatment, factors that predicted adherence were as follows: less extensive surgery, low alcohol consumption, high previous exercise adherence, family support, feedback by trainers, and knowledge and skills of exercise. Methodological quality of the included papers was rated “high”. The most prominent predictors of adherence to exercise interventions were location of the rehabilitation center, extensive exercise history, high motivation for exercise, and fewer exercise limitations. To increase the number of cancer patients who will benefit, these results should be considered into the development and implementation of future exercise interventions.
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DOI：
10.1249/mss.0b013e318168da45
发表时间：
2008-06-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Courneya, Kerry S.;Segal, Roanne J.;Mckenzie, Donald C.
通讯作者：
Mckenzie, Donald C.
影响因子：
7.2
作者：
Courneya, KS;Segal, RJ;Wells, GA
通讯作者：
Wells, GA
影响因子：
50.5
作者：
Boer, H.;Proost, J. H.;Gietema, J. A.
通讯作者：
Gietema, J. A.
影响因子：
3.6
作者：
Courneya, KS;Friedenreich, CM;Fairey, AS
通讯作者：
Fairey, AS
影响因子：
4
作者：
Craike, Melinda;Gaskin, Cadeyrn J.;Livingston, Patricia M.
通讯作者：
Livingston, Patricia M.