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Title: | Effectiveness of Non-pharmacologic Interventions on Device-measured Physical Activity in Adults With Cancer, and Methodology Used for Assessment: A Systematic Review and Meta-analysis | Authors: | QUADFLIEG, Kirsten Grigoletto, Isis HAESEVOETS, Sarah COPS, Dries Ramos, Ercy Mara Cipulo SPRUIT, Martijn A. Cavalheri, Vinicius BURTIN, Chris |
Issue Date: | 2023 | Publisher: | W B SAUNDERS CO-ELSEVIER INC | Source: | ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 104 (12) , p. 2123 -2146 | Abstract: | Objective: To investigate the effectiveness of different types of interventions aimed at enhancing device-measured physical activity (PA) and summarize the devices and methodologies used to measure PA in adults with cancer. Data Sources: A systematic review was prospectively registered on PROSPERO (CRD42020199466). The search was conducted in PubMed, The Cochrane Library, EMBASE (via Ovid), and PEDro from 2005 onward. Study Selection: Prospective interventional studies (randomized controlled trials [RCTs], non-randomized controlled trials, and single-group trials), that included adults within 12 months from cancer diagnosis, and device-measured PA before and after commencement of an intervention were included. Studies were excluded if PA was measured at a single time point. Two independent reviewers screened 3033 records and 30 articles met the inclusion criteria. Data Extraction: Two reviewers independently extracted the data. PEDro scale and GRADE approach were used to assess methodological quality of RCTs and overall quality of evidence, respectively. A meta-analysis of relevant RCTs was conducted. Data Synthesis: Thirty studies were identified, mainly including adults with multiple cancer types. Interventions were behavior change interventions (n=15), exercise training (n=13), neuromuscular electrostimulation (n=1), or a nutritional program (n=1). The meta-analysis showed improvements on moderate-to-vigorous intensity PA (MVPA) in the experimental group (8 studies; standardized mean difference (SMD)=0.23; 95% CI 0.06-0.39); with subgroup analysis showing that findings were mainly driven by behavior change interventions (5 studies; SMD=0.23, 95% CI 0.05-0.41). An uncertain effect on sedentary behavior, daily steps, and light intensity PA was found. PA was measured with medical devices and commercial wearables, quality of the methodology was variable. | Notes: | Burtin, C (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, Agoralaan Gebouw A, B-3590 Diepenbeek, Belgium. chris.burtin@uhasselt.be |
Keywords: | Exercise;Equipment and Supplies;Neoplasms;Rehabilitation | Document URI: | http://hdl.handle.net/1942/42042 | ISSN: | 0003-9993 | e-ISSN: | 1532-821X | DOI: | 10.1016/j.apmr.2023.04.013 | ISI #: | 001123432800001 | Rights: | 2023 by the American Congress of Rehabilitation Medicine. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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Effectiveness of Non-pharmacologic Interventions on Device-measured Physical Activity in Adults With Cancer.pdf Restricted Access | Published version | 3.57 MB | Adobe PDF | View/Open Request a copy |
tsyWU9i-bLLdhcEYQ.pdf | Peer-reviewed author version | 182 kB | Adobe PDF | View/Open |
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