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The Effect of Exerc...
The Effect of Exercise for the Prevention and Treatment of Cancer-Related Lymphedema : A Systematic Review with Meta-analysis
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- Hayes, Sandra Christine (författare)
- Griffith University
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- Singh, Ben (författare)
- University of South Australia
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- Reul-Hirche, Hildegard (författare)
- Griffith University,Royal Brisbane and Women's Hospital
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- Bloomquist, Kira (författare)
- Copenhagen University Hospital
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- Johansson, Karin (författare)
- Lund University,Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Rehabilitation and Sustainable Health,Lund University Research Groups
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- Jönsson, Charlotta (författare)
- Lund University,Lunds universitet,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,Rehabilitation and Sustainable Health,Lund University Research Groups
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- Plinsinga, Melanie Louise (författare)
- Griffith University
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(creator_code:org_t)
- 2022
- 2022
- Engelska 11 s.
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Ingår i: Medicine and Science in Sports and Exercise. - 0195-9131. ; 54:8, s. 1389-1399
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction The purpose of this systematic review and meta-analysis was to evaluate the effects of exercise on (i) the prevention of cancer-related lymphedema (CRL) and (ii) the treatment of CRL, lymphedema-associated symptoms, and other health outcomes among individuals with CRL. Methods An electronic search was undertaken for exercise studies measuring lymphedema and involving individuals at risk of developing or with CRL. The Effective Public Health Practice Project Quality scale was used to assess study quality, and overall quality of evidence was assessed using the Grading of Recommendation, Assessment, Development and Evaluation approach. Meta-analyses were performed to evaluate effects of exercise on CRL incidence, existing CRL status, lymphedema-associated symptoms, and health outcomes. Results Twelve studies (n = 1955; 75% moderate-high quality) and 36 studies (n = 1741; 58% moderate-high quality) were included in the prevention and treatment aim, respectively. Relative risk of developing CRL for those in the exercise group compared with the nonexercise group was 0.90 (95% confidence interval (CI), 0.72 to 1.13) overall and 0.49 (95% CI, 0.28 to 0.85) for those with five or more lymph nodes removed. For those with CRL in the exercise group, the standardized mean difference (SMD) before to after exercise of CRL was-0.11 (95% CI,-0.22 to 0.01), and compared with usual care postintervention, the SMD was-0.10 (95% CI,-0.24 to 0.04). Improvements after intervention were observed for pain, upper-body function and strength, lower-body strength, fatigue, and quality of life for those in the exercise group (SMD, 0.3-0.8; P < 0.05). Conclusions Findings support the application of exercise guidelines for the wider cancer population to those with or at risk of CRL. This includes promotion of aerobic and resistance exercise, and not just resistance exercise alone, as well as unsupervised exercise guided by symptom response.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- AEROBIC EXERCISE
- CANCER
- EXERCISE ONCOLOGY
- LYMPHEDEMA
- RESISTANCE EXERCISE
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