Chinese Journal of Rehabilitation Theory and Practice ›› 2025, Vol. 31 ›› Issue (2): 184-193.doi: 10.3969/j.issn.1006-9771.2025.02.008
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YANG Yicheng1, WANG Dandan2, SHEN Qunce3, ZHANG Lei1, WU Xueping1()
Received:
2024-10-23
Revised:
2024-12-20
Published:
2025-02-25
Online:
2025-02-25
Contact:
WU Xueping, E-mail: wuxueping@sus.edu.cn
Supported by:
CLC Number:
YANG Yicheng, WANG Dandan, SHEN Qunce, ZHANG Lei, WU Xueping. Effect of exercise on cancer patients with anxiety and depression during chemotherapy: a meta-analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 184-193.
Table 1
PICO framework"
人群(Population) | 干预(Intervention) | 比较(Comparison) | 结局(Outcome) |
---|---|---|---|
癌症患者 | 干预场所 | 化疗过程中的运动干预和常规化疗的比较 | 焦虑和抑郁状态 |
2B51.Y其他特指部位骨和关节软骨骨肉瘤 | 医院 | 6A73混合性抑郁焦虑障碍 | |
2C84其他特指的男性生殖器官恶性肿瘤 | 康复服务中心 | b152情感功能 | |
2D4Z未特指部位的未特指的恶性肿瘤 | 干预人员 | 焦虑状态 | |
QC61.Z未特指的恶性肿瘤家族史 | 医生 | 6E63继发性焦虑综合征 | |
化疗期间 | 康复治疗师 | 6B0Z未特指的焦虑或恐惧相关性障碍 | |
QB97肿瘤的化学治疗疗程 | 干预措施 | 抑郁状态 | |
年龄≥ 18岁 | 运动干预 | 6A7Z未特指的抑郁障碍 | |
干预剂量 | 6A7Y其他特指的抑郁障碍 | ||
运动周期 | MB24.5抑郁心境 | ||
运动频率 | |||
单次运动时长 | |||
运动强度 |
Table 2
Scores of PEDro scale of included literatures"
纳入文献 | 受试者纳入条件 | 随机分配 | 分配隐藏 | 基线相似 | 研究对象施盲 | 治疗师施盲 | 结果评估施盲 | 参与率> 85% | 意向治疗分析 | 组间统计结果分析 | 点测量和差异值 | 总分 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Gokal等[ | √ | √ | √ | √ | √ | √ | 5 | |||||
Loh等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Travier等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 8 | ||
Quist等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Wei等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 8 | ||
Rehman等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 8 | ||
Midtgaard等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Van Vulpen等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Lanctôt等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Salchow等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Mostafaei等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Yang等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
乔晓丽等[ | √ | √ | √ | √ | √ | √ | √ | 6 |
Table 3
Basic characteristics of included literatures"
纳入文献 | 国家 | 样本量/n | 年龄/岁 | 癌症 类型 | 干预人员 | 干预 场所 | 试验组干预方案 | 结局 指标 | 测量 工具 | ||
---|---|---|---|---|---|---|---|---|---|---|---|
T | C | 干预措施 | 干预剂量 | ||||||||
Gokal等[ (2016) | 英国 | 25 | 25 | 18~75 | 乳腺癌 | 医生 | 医院 | 中等强度步行 | 每次10~30 min,每周5次,共12周 | 焦虑和抑郁状态 | HADS |
Loh等[ (2019) | 美国 | 130 | 122 | ≥ 60 | 混合癌症 | 研究员 | 社区癌症中心 | 中高强度有氧和阻力练习 | 每次22 min,每周3次,共6周 | 焦虑状态 | STAI |
Travier等[ | 荷兰 | 87 | 77 | 25~75 | 乳腺癌 | 医生 | 医院 | 有氧和力量练习 | 每次60 min,每周2次,共18周 | 焦虑和抑郁状态 | HADS |
Quist等[ (2020) | 丹麦 | 66 | 67 | > 18 | 肺癌 | 医生 | 医院 | 中高强度有氧和力量练习 | 每次90 min,每周2次,共12周 | 焦虑和抑郁状态 | HADS |
Wei等[ (2022) | 中国 | 32 | 35 | 40~75 | 乳腺癌 | 医生 | 医院 | 八段锦 | 每次30 min,每周5次,共12周 | 焦虑和抑郁状态 | HADS |
Rehman等[ | 巴基斯坦 | 20 | 20 | 20~55 | 肺癌 | 医生 | 医院 | 有氧练习 | 每次30 min,每周5次,共4周 | 焦虑和抑郁状态 | HADS |
Midtgaard等[ | 丹麦 | 106 | 103 | 18~65 | 混合癌症 | 医生 | 医院 | 高强度阻力和放松练习 | 每周9 h,共6周 | 焦虑和抑郁状态 | HADS |
Van Vulpen等[ (2016) | 荷兰 | 15 | 13 | 25~75 | 结肠癌 | 医生 | 医院 | 有氧和力量练习 | 每次60 min,每周2次,共18周 | 焦虑和抑郁状态 | HADS |
Lanctôt等[ | 加拿大 | 54 | 38 | ≥ 18 | 乳腺癌 | 医生 | 医院 | 瑜伽 | 每次90 min,每周8次,共8周 | 焦虑和抑郁状态 | STAI,BDI-II |
Salchow等[ | 德国 | 16 | 14 | ≥ 18 | 乳腺癌 | 研究员 | 运动康复学院 | Kyusho武术 | 每次90 min,每周2次,共24周 | 焦虑和抑郁状态 | HADS |
Mostafaei等[ | 伊朗 | 30 | 30 | 18~54 | 乳腺癌 | 医生 | 医院 | 抗阻和平衡练习 | 每次30 min,每周3次,共6周 | 抑郁状态 | BDI-II |
Yang等[ (2021) | 中国 | 40 | 40 | 18~75 | 胃肠 道癌 | 医生 | 医院 | 五禽戏-猿戏 | 每次15~18 min,每周5次,共4周 | 抑郁状态 | SDS |
乔晓丽等[ | 中国 | 68 | 67 | 18~65 | 妇科 癌症a | 医生 | 医院 | 步行和爬楼梯 | 每次60~80 min,每周2~5次,共24周 | 焦虑状态 | SAS |
Table 5
Subgroup analysis of effect of exercise on anxiety and depressive states in cancer patients during chemotherapy"
亚组 | 焦虑状态 | 抑郁状态 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
纳入研究数/n | SMD(95%CI) | Z值 | P值 | I2值 | 纳入研究数/n | SMD(95%CI) | Z值 | P值 | I2值 | ||
单次运动时长 | 每次≤ 45 min | 3 | -0.26(-0.46~-0.05) | 2.46 | 0.01 | 0% | 4 | -0.69(-1.29~-0.08) | 2.24 | 0.03 | 82% |
每次> 45 min | 5 | -0.35(-1.07~0.37) | 0.96 | 0.34 | 93% | 4 | -0.21(-0.42~-0.00) | 2.00 | 0.05 | 0% | |
运动频次 | < 3次/周 | 4 | -0.03(-0.29~0.24) | 0.19 | 0.85 | 28% | 4 | -0.21(-0.42~-0.00) | 2.00 | 0.05 | 0% |
≥ 3次/周 | 3 | -0.26(-0.46~-0.05) | 2.46 | 0.01 | 0% | 4 | -0.69(-1.29~-0.08) | 2.24 | 0.03 | 82% | |
运动周期 | ≤ 12周 | 5 | -0.21(-0.36~-0.07) | 2.83 | 0.005 | 0% | 6 | -0.52(-0.92~-0.13) | 2.59 | 0.01 | 81% |
> 12周 | 4 | -0.37(-1.39~0.65) | 0.71 | 0.48 | 94% | 3 | -0.11(-0.38~0.15) | 0.84 | 0.40 | 0% | |
运动强度 | 中高强度 | 4 | -0.21(-0.37~-0.06) | 2.69 | 0.007 | 0% | 3 | -0.21(-0.41~-0.01) | 2.07 | 0.04 | 0% |
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