Effectiveness of Physical Activity Interventions among Rural Cancer Survivors: A Systematic Review and Meta-Analysis.
Effectiveness of Physical Activity Interventions among Rural Cancer Survivors: A Systematic Review and Meta-Analysis.
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DOI：
10.1158/1055-9965.epi-21-0871
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发表时间：
2021-12
期刊：
影响因子：
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通讯作者：
Leach HJ
中科院分区：
文献类型：
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作者：
Mama SK;Lopez-Olivo MA;Bhuiyan N;Leach HJ
本综述估计了行为改变干预增加农村成年癌症幸存者身体活动（PA）的有效性。系统检索PubMed Medline、CINAHL和PsychINFO至2020年7月。两名独立调查人员筛选了引文，以确定在农村地区接受过任何癌症诊断的成年人中增加PA的研究。进行meta分析以评估达到PA目标的参与者比例，有氧PA和力量训练的成对平均差异，以及从基线到干预后的保留率。7项研究符合纳入标准，共有722名参与者（干预组591名，对照组131名）。证据的总体质量为低至中等。参与者达到PA目标（150-225分钟/周）的总比例为39% （95% CI: 18-62%）。从基线到干预后（范围：6-52周），进行有氧PA的平均时间增加了97.7分钟/周（95% CI: 75.0-120.4），力量训练的平均时间差异为12.2分钟/周（95% CI:−8.3-32.8）。6-78周时，总保留率为82% （95% CI: 69-92%）。由于干预效果一般，证据质量低，研究数量少，需要进一步严格设计行为改变干预措施，包括长期随访的随机对照试验，以确认增加农村癌症幸存者PA的有效性，并测试创新的实施策略，以提高覆盖范围和有效性。
This review estimated the effectiveness of behavior change interventions to increase physical activity (PA) among rural adult cancer survivors. PubMed Medline, CINAHL, and PsychINFO were systematically searched through July 2020. Two independent investigators screened citations to identify studies to increase PA in adults residing in rural areas who had received any cancer diagnosis. Meta-analyses were conducted to assess proportion of participants achieving PA goal, paired mean difference in aerobic PA and strength training, and retention from baseline to post-intervention. Seven studies met inclusion criteria encompassing a total of 722 participants (591 in intervention and 131 controls). Overall quality of evidence was low to medium. The pooled proportion of participants achieving PA goals (150-225 minutes/week) was 39% (95% CI: 18-62%). The mean time spent engaging in aerobic PA increased from baseline to post-intervention (range: 6-52 weeks) was 97.7 minutes/week (95% CI: 75.0-120.4), and the mean difference in time spent on strength training was 12.2 minutes/week (95% CI: −8.3-32.8). The pooled retention rate was 82% (95% CI: 69-92%) at 6-78 weeks. Due to the modest intervention effects, low quality of evidence, and small number of studies, further rigorously designed behavior change interventions, including randomized controlled trials with long-term follow up, are needed to confirm efficacy for increasing PA in rural cancer survivors and to test innovative implementation strategies to enhance reach and effectiveness.