Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials

To determine the effect of post-radiotherapy exercise on quality of life, fatigue, pain, depression, and other outcomes for women with breast cancer. Medline, Embase, Scopus, and Cochrane electronic databases were searched (up to August 2019) for relevant studies. Studies were included if they were...

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Main Authors: Qian Shen, Hongchun Yang
Format: Article
Language:English
Published: Medical Journals Sweden 2020-10-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access: https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2740
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author Qian Shen
Hongchun Yang
author_facet Qian Shen
Hongchun Yang
author_sort Qian Shen
collection DOAJ
description To determine the effect of post-radiotherapy exercise on quality of life, fatigue, pain, depression, and other outcomes for women with breast cancer. Medline, Embase, Scopus, and Cochrane electronic databases were searched (up to August 2019) for relevant studies. Studies were included if they were randomized controlled trials of the effect of post-radiotherapy exercise on the above outcomes in women with breast cancer. Fixed- or random-effects meta-analyses were performed to pool standard mean differences. Data were extracted from 13 randomized controlled trials; a total of 1,306 patients. Overall quality of life and physical functioning scores were increased via post-radiotherapy exercise (0.28 in QoL and 0.27 in physical function). Risks of developing fatigue, pain, and depression were lower in exercise than control groups. There were no differences in the change in emotional function, social function, and sleep disturbance between exercise and control groups. Post-radiotherapy exercise appears to be tolerated and effective for patients with breast cancer. Physicians and other clinicians should encourage patients to exercise after radiotherapy for breast cancer, in order to achieve a better outcome with regards to QoL, physical functioning, fatigue, pain, and depression. Further research is needed to explore which exercise strategies are effective.
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spelling doaj.art-661e437f4be44453a9394d8b33b90c5a2022-12-21T18:40:31ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812020-10-015210jrm0011210.2340/16501977-27402704Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trialsQian Shen0Hongchun Yang Department of Rehabilitation, The second Affiliated hospital of Zhejiang University School of Medicine, Hangzhou, China. To determine the effect of post-radiotherapy exercise on quality of life, fatigue, pain, depression, and other outcomes for women with breast cancer. Medline, Embase, Scopus, and Cochrane electronic databases were searched (up to August 2019) for relevant studies. Studies were included if they were randomized controlled trials of the effect of post-radiotherapy exercise on the above outcomes in women with breast cancer. Fixed- or random-effects meta-analyses were performed to pool standard mean differences. Data were extracted from 13 randomized controlled trials; a total of 1,306 patients. Overall quality of life and physical functioning scores were increased via post-radiotherapy exercise (0.28 in QoL and 0.27 in physical function). Risks of developing fatigue, pain, and depression were lower in exercise than control groups. There were no differences in the change in emotional function, social function, and sleep disturbance between exercise and control groups. Post-radiotherapy exercise appears to be tolerated and effective for patients with breast cancer. Physicians and other clinicians should encourage patients to exercise after radiotherapy for breast cancer, in order to achieve a better outcome with regards to QoL, physical functioning, fatigue, pain, and depression. Further research is needed to explore which exercise strategies are effective. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2740 radiotherapy exercise breast cancer meta-analysis randomized controlled trial
spellingShingle Qian Shen
Hongchun Yang
Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
Journal of Rehabilitation Medicine
radiotherapy
exercise
breast cancer
meta-analysis
randomized controlled trial
title Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
title_full Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
title_fullStr Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
title_full_unstemmed Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
title_short Impact of post-radiotherapy exercise on women with breast cancer: A systematic review and meta-analysis of randomized controlled trials
title_sort impact of post radiotherapy exercise on women with breast cancer a systematic review and meta analysis of randomized controlled trials
topic radiotherapy
exercise
breast cancer
meta-analysis
randomized controlled trial
url https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2740
work_keys_str_mv AT qianshen impactofpostradiotherapyexerciseonwomenwithbreastcancerasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
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