Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines.
Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines.
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DOI：
10.1002/cam4.4273
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发表时间：
2021-11
期刊：
影响因子：
4
通讯作者：
Schmitz KH
中科院分区：
文献类型：
--
作者：
Yang L;Winters-Stone K;Rana B;Cao C;Carlson LE;Courneya KS;Friedenreich CM;Schmitz KH
为了管理癌症的急性、长期和晚期影响，目前的指南建议进行中等到剧烈的有氧运动和阻力运动。不幸的是，并不是所有的癌症幸存者都能够或愿意在困难的癌症治疗期间或由于其他现有的健康状况而进行更高强度的运动。太极是一种无器械、多成分的轻到中等强度的身心锻炼，可能为一些癌症幸存者提供了一种更可行的传统锻炼计划的替代方案。这项系统回顾评估了太极在整个癌症治疗过程中的疗效。我们检索了MEDLINE/PubMed、Embase、Scope us和CINAHL数据库，检索了从最初到2020年9月18日的介入研究。太极训练对癌症幸存者患者报告和客观测量结果的影响的对照试验包括在内。研究质量由ROB-2工具确定，疗效评估使用最佳证据合成方法进行评估。纳入了在治疗期间(n=5)和治疗后(n=2；其他治疗后：n=7)进行的14项试验(1项非随机对照试验)的26篇报告。低水平的证据支持每周监督太极40-60分钟8-12周的好处，以改善癌症幸存者的疲劳和睡眠质量。这些发现需要在更大规模的试验中得到证实，并测试其扩大潜力。没有足够的证据来评估太极对其他癌症相关结果的影响。未来的研究应该检查太极训练是否可以改善更广泛的癌症结果，包括在治疗前和生命结束阶段。太极训练可能会改善癌症幸存者的疲劳和睡眠质量。未来的研究应该检查更广泛的结果，特别是在困难的癌症治疗期间和那些有严重并发症的人。
To manage acute, long‐term, and late effects of cancer, current guidelines recommend moderate‐to‐vigorous intensity aerobic and resistance exercise. Unfortunately, not all cancer survivors are able or willing to perform higher intensity exercise during difficult cancer treatments or because of other existing health conditions. Tai Chi is an equipment‐free, multicomponent mind–body exercise performed at light‐to‐moderate intensity that may provide a more feasible alternative to traditional exercise programs for some cancer survivors. This systematic review evaluated the therapeutic efficacy of Tai Chi across the cancer care continuum. We searched MEDLINE/PubMed, Embase, SCOPUS, and CINAHL databases for interventional studies from inception to 18 September 2020. Controlled trials of the effects of Tai Chi training on patient‐reported and objectively measured outcomes in cancer survivors were included. Study quality was determined by the RoB 2 tool, and effect estimates were evaluated using the Best Evidence Synthesis approach. Twenty‐six reports from 14 trials (one non‐randomized controlled trial) conducted during (n = 5) and after treatment (after surgery: n = 2; after other treatments: n = 7) were included. Low‐level evidence emerged to support the benefits of 40–60 min of thrice‐weekly supervised Tai Chi for 8–12 weeks to improve fatigue and sleep quality in cancer survivors. These findings need to be confirmed in larger trials and tested for scaling‐up potential. Insufficient evidence was available to evaluate the effects of Tai Chi on other cancer‐related outcomes. Future research should examine whether Tai Chi training can improve a broader range of cancer outcomes including during the pre‐treatment and end of life phases. Tai Chi training may improve fatigue and sleep quality in cancer survivors. Future research should examine a broader range of outcomes, particularly during difficult cancer treatments and for those with significant comorbidities.
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DOI：
10.1155/2014/495274
发表时间：
2014
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Fong SS;Ng SS;Luk WS;Chung LM;Wong JY;Chung JW
通讯作者：
Chung JW
影响因子：
2.9
作者：
Fong, Shirley S. M.;Ng, Shamay S. M.;Masters, Rich S. W.
通讯作者：
Masters, Rich S. W.
影响因子：
2.9
作者：
Fong, Shirley S. M.;Ng, Shamay S. M.;Ma, Ada W. W.
通讯作者：
Ma, Ada W. W.
影响因子：
2.9
作者：
Campo RA;O'Connor K;Light KC;Nakamura Y;Lipschitz DL;LaStayo PC;Pappas L;Boucher K;Irwin MR;Agarwal N;Kinney AY
通讯作者：
Kinney AY
DOI：
10.1080/23809000.2016.1191948
发表时间：
2016-01-01
期刊：
Expert review of quality of life in cancer care
影响因子：
--
作者：
Hsiao, Chao-Pin;Daly, Barbara;Saligan, Leorey N
通讯作者：
Saligan, Leorey N