2024
Effect of exercise-based cancer rehabilitation via telehealth: a systematic review and meta-analysis
BAŤALÍK, Ladislav, Katerina CHAMRADOVA, Petr WINNIGE, Filip DOSBABA, Katerina BATALIKOVA et. al.Základní údaje
Originální název
Effect of exercise-based cancer rehabilitation via telehealth: a systematic review and meta-analysis
Autoři
BAŤALÍK, Ladislav (203 Česká republika), Katerina CHAMRADOVA, Petr WINNIGE (203 Česká republika), Filip DOSBABA (203 Česká republika, domácí), Katerina BATALIKOVA, Daniela VLAŽNÁ (703 Slovensko, domácí), Andrea JANÍKOVÁ (203 Česká republika), Garyfallia PEPERA, Abu-Odah HAMMODA a Jing Jing SU
Vydání
BMC Cancer, LONDON, BMC, 2024, 1471-2407
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.800 v roce 2022
Organizační jednotka
Lékařská fakulta
UT WoS
001227253300003
Klíčová slova anglicky
Exercise-based rehabilitation; Telehealth; Cancer rehabilitation; Home-based exercise
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 24. 6. 2024 12:39, Mgr. Tereza Miškechová
Anotace
V originále
Purpose Exercise-based cancer rehabilitation via digital technologies can provide a promising alternative to centre-based exercise training, but data for cancer patients and survivors are limited. We conducted a meta-analysis examining the effect of telehealth exercise-based cancer rehabilitation in cancer survivors on cardiorespiratory fitness, physical activity, muscle strength, health-related quality of life, and self-reported symptoms. Methods PubMed, Web of Science, and reference lists of articles related to the aim were searched up to March 2023. Randomized controlled clinical trials were included comparing the effect of telehealth exercise-based cancer rehabilitation with guideline-based usual care in adult cancer survivors. The primary result was cardiorespiratory fitness expressed by peak oxygen consumption. Results A total of 1510 participants were identified, and ten randomized controlled trials (n = 855) were included in the meta-analysis. The study sample was 85% female, and the mean age was 52.7 years. Meta-analysis indicated that telehealth exercise-based cancer rehabilitation significantly improved cardiorespiratory fitness (SMD = 0.34, 95% CI 0.20, 0.49, I2 = 42%, p < 0.001) and physical activity (SMD = 0.34, 95% CI, 0.17, 0.51, I2 = 71%, p < 0.001). It was uncertain whether telehealth exercise-based cancer rehabilitation, compared with guideline-based usual care, improved the quality of life (SMD = 0.23, 95%CI, -0.07, 0.52, I2 = 67%, p = 0.14) body mass index (MD = 0.46, 95% CI, -1.19, 2.12, I2 = 60%, p = 0.58) and muscle strength (SMD = 0.07, 95% CI, -0.14, 0.28, I2 = 37%, p = 0.51). Conclusion This meta-analysis showed that telehealth exercise cancer rehabilitation could significantly increase cardiorespiratory fitness and physical activity levels and decrease fatigue. It is uncertain whether these interventions improve quality of life and muscle strength. High-quality and robust studies are needed to investigate specific home-based exercise regimens in different cancer subgroups to increase the certainty of the evidence.