The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses
BackgroundExercise has the potential to reduce symptoms for breast cancer patients during adjuvant treatment, and high-quality systematic reviews are essential for guiding clinical practice. The objective of this umbrella review is to examine current research evidence concerning the effectiveness of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-09-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1222947/full |
| _version_ | 1797679192458919936 |
|---|---|
| author | Yuan Zhao Leiwen Tang Jing Shao Dandan Chen Yueying Jiang Panpan Tang Xueqing Wang |
| author_facet | Yuan Zhao Leiwen Tang Jing Shao Dandan Chen Yueying Jiang Panpan Tang Xueqing Wang |
| author_sort | Yuan Zhao |
| collection | DOAJ |
| description | BackgroundExercise has the potential to reduce symptoms for breast cancer patients during adjuvant treatment, and high-quality systematic reviews are essential for guiding clinical practice. The objective of this umbrella review is to examine current research evidence concerning the effectiveness of exercise on symptom management in breast cancer patients undergoing adjuvant treatment.MethodsAn umbrella review was conducted. We searched for eligible systematic reviews through 11 databases until August 13rd, 2023. Two authors independently screened titles and abstracts, assessing the full-text studies based on inclusion criteria. We used AMSTAR-2 to appraise the quality of the meta-analyses. The results would be presented with narrative summaries if the replication rate of the original study for a symptom was higher than 5% (calculated via the Corrected Covered Area, CCA). The protocol was documented in the PROSPERO registry (CRD42023403990).ResultsOf the 807 systematic reviews identified, 15 met the inclusion criteria, and 7 symptoms were the main focus. The main form of exercise mentioned was aerobic combined resistance exercise. The results of the quality assessment were mostly critically low (10/15). The repetition rate calculated by CCA showed moderate to very high repetition rates (10% to 18.6%). The findings of the included reviews indicated that the effects of exercise on relieving symptoms during breast cancer adjuvant treatment were mixed.ConclusionsResearch is still needed to confirm the majority of studies’ recommendations for exercise during adjuvant treatment for breast cancer patients, as it is crucial for managing symptoms in the rehabilitation process. To increase the efficiency of exercise in symptom management, future studies may focus more on the application of bridge symptoms, symptom networks, and ecological instantaneous assessment. |
| first_indexed | 2024-03-11T23:10:57Z |
| format | Article |
| id | doaj.art-db6b41329d184520b1b78fffe6b32e42 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-11T23:10:57Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-db6b41329d184520b1b78fffe6b32e422023-09-21T09:18:36ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12229471222947The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analysesYuan Zhao0Leiwen Tang1Jing Shao2Dandan Chen3Yueying Jiang4Panpan Tang5Xueqing Wang6Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaSchool of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, ChinaBackgroundExercise has the potential to reduce symptoms for breast cancer patients during adjuvant treatment, and high-quality systematic reviews are essential for guiding clinical practice. The objective of this umbrella review is to examine current research evidence concerning the effectiveness of exercise on symptom management in breast cancer patients undergoing adjuvant treatment.MethodsAn umbrella review was conducted. We searched for eligible systematic reviews through 11 databases until August 13rd, 2023. Two authors independently screened titles and abstracts, assessing the full-text studies based on inclusion criteria. We used AMSTAR-2 to appraise the quality of the meta-analyses. The results would be presented with narrative summaries if the replication rate of the original study for a symptom was higher than 5% (calculated via the Corrected Covered Area, CCA). The protocol was documented in the PROSPERO registry (CRD42023403990).ResultsOf the 807 systematic reviews identified, 15 met the inclusion criteria, and 7 symptoms were the main focus. The main form of exercise mentioned was aerobic combined resistance exercise. The results of the quality assessment were mostly critically low (10/15). The repetition rate calculated by CCA showed moderate to very high repetition rates (10% to 18.6%). The findings of the included reviews indicated that the effects of exercise on relieving symptoms during breast cancer adjuvant treatment were mixed.ConclusionsResearch is still needed to confirm the majority of studies’ recommendations for exercise during adjuvant treatment for breast cancer patients, as it is crucial for managing symptoms in the rehabilitation process. To increase the efficiency of exercise in symptom management, future studies may focus more on the application of bridge symptoms, symptom networks, and ecological instantaneous assessment.https://www.frontiersin.org/articles/10.3389/fonc.2023.1222947/fullexercisebreast canceradjuvant treatmentsymptomumbrella review |
| spellingShingle | Yuan Zhao Leiwen Tang Jing Shao Dandan Chen Yueying Jiang Panpan Tang Xueqing Wang The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses Frontiers in Oncology exercise breast cancer adjuvant treatment symptom umbrella review |
| title | The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses |
| title_full | The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses |
| title_fullStr | The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses |
| title_full_unstemmed | The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses |
| title_short | The effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment: an umbrella review of systematic reviews and meta-analyses |
| title_sort | effectiveness of exercise on the symptoms in breast cancer patients undergoing adjuvant treatment an umbrella review of systematic reviews and meta analyses |
| topic | exercise breast cancer adjuvant treatment symptom umbrella review |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1222947/full |
| work_keys_str_mv | AT yuanzhao theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT leiwentang theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT jingshao theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT dandanchen theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT yueyingjiang theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT panpantang theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT xueqingwang theeffectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT yuanzhao effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT leiwentang effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT jingshao effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT dandanchen effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT yueyingjiang effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT panpantang effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses AT xueqingwang effectivenessofexerciseonthesymptomsinbreastcancerpatientsundergoingadjuvanttreatmentanumbrellareviewofsystematicreviewsandmetaanalyses |