Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review.
Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review.
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DOI：
10.1186/s12966-021-01116-9
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发表时间：
2021-04-06
期刊：
影响因子：
--
通讯作者：
Donnelly M
中科院分区：
文献类型：
--
作者：
Elshahat S;Treanor C;Donnelly M
有人认为，体力活动(PA)有可能改善癌症患者或癌症患者的健康状况和与健康相关的生活质量。尽管PA对健康的益处得到了充分的证明，但在癌症患者中，PA的水平很低。为了调查癌症患者参与PA的态度、认知、偏好和障碍与促进者之间的关系，进行了一项系统的范围审查。根据PRISMA指南，对四个自动数据库(PubMed、Embase、SqucINFO和Medline)进行了系统搜索。所有癌症类型都包括在内，任何年龄/性别组都有资格。研究内容包括定性研究和定量研究。健康信念模式为范围审查的开展提供了一个概念框架，并为循证干预提供了指导思想。本综述共收录98篇文献。近一半的研究集中在混合癌症部位；乳腺癌是最常见的癌症类型(19%)。治疗后是最常见的研究阶段(33%)，其次是癌症轨迹的混合阶段研究(27%)，急性治疗阶段(23%)和治疗前阶段(1%)。在16%的研究中没有报告患者的治疗阶段。癌症患者报告了对PA的积极态度，并认识到它对健康和福祉的好处。与癌症相关的副作用(如疲劳)是PA参与的主要生理障碍，而有效的症状管理技术/工具起到了强大的促进作用。心理社会障碍包括动力不足和运动恐惧症，感知到的健康益处和医疗保健提供者的社会支持/指导是重要的促进者。难以接近的健身设施阻碍了癌症患者对PA的参与，尽管量身定做的便利设施似乎是一个强大的促进器。PA偏好在类型、地点、时间、公司和信息来源方面各不相同，并指出需要个性化的PA计划。有必要进行进一步的研究，以确定特定癌症类型患者面临的PA障碍和促进剂。推荐的PA推广策略包括将运动科学专业人员纳入医疗团队，并确保健身设施可用。网上版载有补充材料，可在10.1186/s12966-021-01116-9查阅。
It has been posited that physical activity (PA) has the potential to improve health outcomes and the health-related quality of life of people living with or beyond cancer. Despite the well-documented health benefits of PA, there is a low level of PA among cancer patients. A systematic scoping review was conducted to investigate attitudes, perceptions, preferences and barriers vs. facilitators to cancer patients’ PA participation. A systematic search was performed across four automated databases (PubMed, Embase, PsycINFO and Medline) in keeping with the PRISMA guideline. All cancer types were included, and any age/gender groups were eligible. Both qualitative and quantitative studies were included. The Health Belief Model provided a conceptual framework for the conduct of the scoping review as well as guiding thinking to inform evidence-based interventions. Ninety-eight articles were included in this review. Nearly half of the studies focused on mixed cancer sites; breast cancer was the most commonly examined cancer type (19%). Post-treatment was the most commonly investigated stage (33%), followed by studies of mixed stages of the cancer trajectory (27%), the acute treatment stage (23%) and pre-treatment stage (1%). Patient treatment stage was not reported in 16% of studies. Cancer patients reported positive attitudes to PA and recognized its benefits for health and wellbeing. Cancer-related side effects (e.g. fatigue) were a leading physiological barrier to PA participation, whereas effective symptom management techniques/tools acted as a powerful facilitator. Psychosocial barriers included low motivation and kinesiophobia, and perceived health benefits and social support/guidance by healthcare providers were significant facilitators. Inaccessible fitness facilities hindered cancer patients’ PA engagement though the availability of tailored amenities appeared to be a strong facilitator. PA preferences varied in terms of type, place, time, company and source of information and pointed to the need for individualized PA programs. There is a need for further research to identify barriers and facilitators to PA that are faced by patients with particular cancer types. Recommended PA promoting-strategies involve including exercise science professionals in healthcare teams and ensuring that fitness facilities are accessible. The online version contains supplementary material available at 10.1186/s12966-021-01116-9.
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影响因子：
2.9
作者：
Adamsen L;Andersen C;Lillelund C;Bloomquist K;Møller T
通讯作者：
Møller T
影响因子：
3.2
作者：
Blaney, Janine;Lowe-Strong, Andrea;Gracey, Jackie
通讯作者：
Gracey, Jackie
影响因子：
1.5
作者：
Bluethmann, Shirley M.;Foo, Wayne;Schmitz, Kathryn H.
通讯作者：
Schmitz, Kathryn H.
影响因子：
2.3
作者：
Buentzel, Jens;Kusterer, Irene;Huebner, Jutta
通讯作者：
Huebner, Jutta
DOI：
10.1007/s00520-020-05746-w
发表时间：
2021-05
期刊：
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子：
--
作者：
Below N;Fisher A;Epstone S;Reynolds J;Pugh G
通讯作者：
Pugh G