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Efficacy of exercise interventions for women during and after gynaecological cancer treatment – a systematic scoping review850.39 kB
Published VersionCC BY V4.0, Open Access
Journal article
Efficacy of exercise interventions for women during and after gynaecological cancer treatment - a systematic scoping review
Supportive Care in Cancer, Vol.31(6), pp.1-13
2023
PMID: 37195433
Appears in UniSC Supported Open Access Outputs
Abstract
Purpose: To systematically synthesise evidence of exercise intervention efficacy for physical/psychosocial outcomes that matter to women during/following treatment for gynaecological cancer.
Methods: Five databases were searched (PubMed, EMBASE, CINAHL, PsychInfo, Scopus). Exercise-only intervention studies that included women during/ following treatment for any gynaecological cancer, with or without control comparison, on any physical or psychosocial outcome(s), were included and qualitatively appraised using the Revised Cochrane Risk of Bias tool and a modified Newcastle-Ottawa Scale.
Results: Seven randomised controlled trials (RCTs), three single-arm pre-post studies, and one prospective cohort study satisfied were included (11 studies). Most studies were completed following treatment (91%), included combined (aerobic and resistance; 36%) and aerobic (36%) training, were fully/mostly (63%) unsupervised, and had a moderate-to-high risk of bias. Overall, 33 outcomes (64% objectively measured) were assessed. Improvements were observed in aerobic capacity (VȮ 2 Peak +1.6 mL/kg/min, 6-minute walk distance +20-27 m), lower- (30-second sit-to-stand +2-4 repetitions) and upper-limb strength (30-second arm curl +5 repetitions; 1RM grip strength/chest press +2.4-3.1 kg), and agility (timed up-and-go -0.6 seconds). However, changes in quality of life, anthropometry/body composition, balance and flexibility were inconsistent. There was no evidence to support worsening of outcomes.
Conclusion: Preliminary research into the role of exercise post-gynaecological cancer suggests an improvement in exercise capacity, muscular strength, and agility which, in the absence of exercise, typically decline following gynaecological cancer. Future exercise trials involving larger and more diverse gynaecological cancer samples will improve understanding of the potential and magnitude of effect of guideline recommended exercise on outcomes that matter to patients.
Details
- Title
- Efficacy of exercise interventions for women during and after gynaecological cancer treatment - a systematic scoping review
- Authors
- Grace Laura Rose (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Sports & Exercise ScienceElizabeth Mary Stewart (Author) - The University of QueenslandBriana Kristine Clifford (Author) - UNSW SydneyTom George Bailey (Author) - The University of QueenslandAlexandra Jane Rush (Author) - The University of QueenslandClaudia Rose Abbott (Author) - The University of QueenslandSandra Christine Hayes (Author) - Griffith UniversityAndreas Obermair (Author) - The University of QueenslandAlexandra Leigh McCarthy (Author) - Mater Research Institute, Brisbane, Australia
- Publication details
- Supportive Care in Cancer, Vol.31(6), pp.1-13
- Publisher
- Springer
- Date published
- 2023
- DOI
- 10.1007/s00520-023-07790-8
- ISSN
- 1433-7339; 0941-4355
- PMID
- 37195433
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- Organisation Unit
- UniSC Clinical Trials Centre; University of the Sunshine Coast, Queensland; Cancer Research Cluster; School of Health - Sports & Exercise Science
- Language
- English
- Record Identifier
- 99725896202621
- Output Type
- Journal article
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