Which exercise prescriptions optimize V̇O2max during cancer treatment?: a systematic review and meta-analysis

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Bjorke, Ann Christin HelgesenUniv Agder, Dept Publ Hlth Sport & Nutr, Kristiansand, Norway (author)

Which exercise prescriptions optimize V̇O2max during cancer treatment? : a systematic review and meta-analysis

Article/chapterEnglish2019

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2019-05-28
John Wiley & Sons,2019
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LIBRIS-ID:oai:DiVA.org:uu-393758
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-393758URI
https://doi.org/10.1111/sms.13442DOI

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Language:English
Summary in:English

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Subject category:for swepub-publicationtype

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The aims of the present systematic review and meta-analysis were to investigate the effect of exercise on maximal oxygen uptake ((V) over dot O(2)max) and to investigate whether exercise frequency, intensity, duration, and volume are associated with changes in (V) over dotO(2)max among adult patients with cancer undergoing treatment. Medline and Embase through OvidSP were searched to identify randomized controlled trials. Two reviewers extracted data and assessed the risk of bias. The overall effect size and differences in effects for different intensities and frequencies were calculated on change scores and post-intervention (V) over dot O(2)max data, and the meta-regression of exercise duration and volumes was analyzed using the Comprehensive Meta-Analysis software. Fourteen randomized controlled trials were included in the systematic review, comprising 1332 patients with various cancer types receiving (neo-) adjuvant chemo-, radio-, and/or hormone therapy. Exercise induced beneficial changes in (V) over dotO(2)max compared to usual care (effect size = 0.46, 95% Confidence Interval = 0.23-0.69). Longer session duration (P = 0.020), and weekly duration (P = 0.010), larger weekly volume (P < 0.001), and shorter intervention duration (P = 0.005) were significantly associated with more beneficial changes in (V) over dot O(2)max. No differences in effects between subgroups with respect to frequency and intensity were found. In conclusion, exercise has beneficial effects on (V) over dotO(2)max in patients with cancer undergoing (neo-) adjuvant treatment. As interventions with larger exercise volumes and longer session durations resulted in larger beneficial changes in (V) over dot O(2)max, exercise frequency, intensity, and duration should be considered carefully for sufficient exercise volume to induce changes in (V) over dot O(2)max for this patient group.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Idrottsvetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Sport and Fitness Sciences hsv//eng
aerobic exercise training
cardiorespiratory fitness
FITT factors
meta-synthesis
RCT

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Sweegers, Maike G.Vrije Univ, Amsterdam Univ, Amsterdam Publ Hlth Inst, Dept Epidemiol & Biostat,Med Ctr, Amsterdam, Netherlands;Vrije Univ, Amsterdam Univ, Canc Ctr Amsterdam, Med Ctr, Amsterdam, Netherlands (author)
Buffart, Laurien M.Vrije Univ, Amsterdam Univ, Amsterdam Publ Hlth Inst, Dept Epidemiol & Biostat,Med Ctr, Amsterdam, Netherlands;Vrije Univ, Amsterdam Univ, Canc Ctr Amsterdam, Med Ctr, Amsterdam, Netherlands;Vrije Univ, Amsterdam Univ, Dept Med Oncol, Med Ctr, Amsterdam, Netherlands (author)
Raastad, TrulsNorwegian Sch Sport Sci, Oslo, Norway (author)
Nygren, PeterUppsala universitet,Experimentell och klinisk onkologi(Swepub:uu)peterng (author)
Berntsen, SveinungUppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom,Univ Agder, Dept Publ Hlth Sport & Nutr, Kristiansand, Norway(Swepub:uu)svebe707 (author)
Univ Agder, Dept Publ Hlth Sport & Nutr, Kristiansand, NorwayVrije Univ, Amsterdam Univ, Amsterdam Publ Hlth Inst, Dept Epidemiol & Biostat,Med Ctr, Amsterdam, Netherlands;Vrije Univ, Amsterdam Univ, Canc Ctr Amsterdam, Med Ctr, Amsterdam, Netherlands (creator_code:org_t)

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In:Scandinavian Journal of Medicine and Science in Sports: John Wiley & Sons29:9, s. 1274-12870905-71881600-0838

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