Physical exercise and quality of life following cancer diagnosis: A literature review
Physical exercise and quality of life following cancer diagnosis: A literature review
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DOI：
10.1007/bf02908298
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发表时间：
1999-03-01
影响因子：
3.8
通讯作者：
Friedenreich, CM
中科院分区：
文献类型：
--
作者：
Courneya, KS;Friedenreich, CM
如今，有近800万美国人经历过癌症，因此开发干预措施以维持癌症诊断后的生活质量（QOL）非常重要。体育锻炼是一种干预，可以解决癌症诊断后广泛的生活质量问题，包括身体、功能、心理、情感和社会福祉。本文的目的是对该主题进行全面和批判性的回顾，并为未来的研究提供建议。该综述选取了1980年至1997年间发表的24项实证研究。其中18项研究是干预（即准实验或实验），但其中大多数是初步疗效研究，存在此类设计的常见局限性。然而，总体而言，研究一致表明，体育锻炼对癌症诊断后的生活质量有积极影响，包括身体和功能健康（如功能能力、肌肉力量、身体成分、恶心、疲劳）以及心理和情感健康（如人格功能、情绪状态、自尊和生活质量）。除了克服过去研究的局限性外，对未来研究的建议包括：(a)将研究范围扩大到乳腺癌和早期癌症以外；(b)比较及整合体育锻炼与其他生活质素干预措施；(c)检查阻力练习、干预的时机和环境因素；(d)扩大所研究的生活质素指标的范围；(e)调查癌症诊断后招募和坚持锻炼计划的比率和决定因素。
With almost 8 million Americans alive today who have been through the cancer experience, it is important to develop interventions to maintain quality of life (QOL) following cancer diagnosis. Physical exercise is an intervention that may address the broad range of QOL issues following cancer diagnosis including physical, functional, psychological, emotional, and social well-being. The purpose of the present article was to provide a comprehensive and critical review of the topic and to offer suggestions for future research. The review located 24 empirical studies published between 1980 and 1997. Eighteen of the studies were interventions (i.e. quasi-experimental or experimental) but most of these were preliminary efficacy studies that suffered from the common limitations of such designs. Overall, however the studies have consistently demonstrated that physical exercise has a positive effect on QOL following cancer diagnosis, including physical and functional well-being (e.g. functional capacity muscular strength, body composition, nausea, fatigue) and psychological and emotional well-being (e.g. personality functioning, mood states self-esteem, and QOL). Besides overcoming the limitations of past research, recommendations for future research included: (a) extending the research beyond breast and early-stage cancers; (b) comparing and integrating physical exercise with other QOL interventions; (c) examining resistance exercises, the timing of the intervention and contextual factors; (d) expanding the breadth of the QOL indicators examined; and (e) investigating the rates and determinants of recruitment and adherence to an exercise program following cancer diagnosis.