A systematic review of the impact of postoperative aerobic exercise training in patients undergoing surgery for intra-abdominal cancers.
A systematic review of the impact of postoperative aerobic exercise training in patients undergoing surgery for intra-abdominal cancers.
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DOI：
10.1007/s10151-023-02844-9
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发表时间：
2023-12
影响因子：
3.3
通讯作者：
中科院分区：
文献类型：
--
作者：
促进术后恢复（ERAS）计划提倡术后早期活动，改善了以治愈为目的接受腹部癌症切除术的患者的即时临床结果。然而，持续体育活动对患者相关结果和功能恢复的影响尚不明确。本综述的目的是评估术后有氧运动训练对腹内癌手术患者的影响，无论是单独进行还是与另一种运动方式联合进行。对电子期刊数据库进行文献检索。符合条件的论文需要报道年龄大于18岁的患者的有氧能力结果，这些患者接受了有治愈意图的癌症手术，并参加了一个运动计划（不仅仅是ERAS），该计划包括从术后途径的任何点开始直到12周的有氧运动成分。11项研究被认为符合纳入条件，包括2项住院研究、1项住院/门诊混合研究和8项门诊研究。四项门诊研究的荟萃分析均报告了6分钟步行试验（6MWT）的变化，结果显示运动显著改善6MWT （MD 74.92 m, 95% CI 48.52-101.31 m）。对健康相关生活质量的影响在不同的研究中是不同的。术后运动有助于改善术后的有氧功能，并且可以安全地以各种形式进行（家庭或团体/监督）。在线版本包含补充材料，可在10.1007/s10151-023-02844-9获得。
Enhanced recovery after surgery (ERAS) programmes which advocate early mobility after surgery have improved immediate clinical outcomes for patients undergoing abdominal cancer resections with curative intent. However, the impact of continued physical activity on patient-related outcomes and functional recovery is not well defined. The aim of this review was to assess the impact of postoperative aerobic exercise training, either alone or in conjunction with another exercise modality, on patients who have had surgery for intra-abdominal cancer. A literature search was performed of electronic journal databases. Eligible papers needed to report an outcome of aerobic capacity in patients older than 18 years of age, who underwent cancer surgery with curative intent and participated in an exercise programme (not solely ERAS) that included an aerobic exercise component starting at any point in the postoperative pathway up to 12 weeks. Eleven studies were deemed eligible for inclusion consisting of two inpatient, one mixed inpatient/outpatient and eight outpatient studies. Meta-analysis of four outpatient studies, each reporting change in 6-min walk test (6MWT), showed a significant improvement in 6MWT with exercise (MD 74.92 m, 95% CI 48.52–101.31 m). The impact on health-related quality of life was variable across studies. Postoperative exercise confers benefits in improving aerobic function post surgery and can be safely delivered in various formats (home-based or group/supervised). The online version contains supplementary material available at 10.1007/s10151-023-02844-9.
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影响因子：
2.1
作者：
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通讯作者：
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通讯作者：
Playford, E. Diane
影响因子：
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作者：
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通讯作者：
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