Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis

ObjectiveThis study aims to evaluate the intervention effect of concurrent training on children with malignant tumors to provide evidence for prescribing exercise for children with malignant tumors.MethodsTwelve databases were searched from inception to October 15, 2022. Two researchers independentl...

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Main Authors: Wanli Zang, Mingqing Fang, Haohao Chen, Xinmeng Huang, Dong Li, Jin Yan, Heng Shu, Mingyuan Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127255/full
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author Wanli Zang
Mingqing Fang
Haohao Chen
Xinmeng Huang
Dong Li
Jin Yan
Jin Yan
Heng Shu
Mingyuan Zhao
author_facet Wanli Zang
Mingqing Fang
Haohao Chen
Xinmeng Huang
Dong Li
Jin Yan
Jin Yan
Heng Shu
Mingyuan Zhao
author_sort Wanli Zang
collection DOAJ
description ObjectiveThis study aims to evaluate the intervention effect of concurrent training on children with malignant tumors to provide evidence for prescribing exercise for children with malignant tumors.MethodsTwelve databases were searched from inception to October 15, 2022. Two researchers independently screened the literature, evaluated the quality, extracted the data, and performed the meta-analysis using R.ResultA total of nine randomized controlled trials involving 371 children were included in this study. The meta-analysis revealed that muscle strength was significantly greater in the exercise group compared to the usual care group [SMD = 0.26, 95% CI (0.04, 0.48), P = 0.023], with subgroup analysis showing no significant difference in upper limb [SMD = 0.13, 95% CI (−0.17, 0.43), P = 0.318] and a considerable difference in lower limb strength [SMD = 0.41, 95% CI (0.08, 0.74), P = 0.015]. Physical activity [SMD = 0.57, 95% CI (0.03, 1.1), P = 0.038], timed up and down stairs test [SMD = −1.22, 95% CI (−2.04, −0.4), P = 0.004], 6-min walking ability [SMD = 0.75, 95% CI (0.38, 1.11), P < 0.01], quality of life [SMD = 0.28, 95% CI (0.02, 0.53), P = 0.033], and cancer-related fatigue [SMD = −0.53, 95% CI (−0.86, −0.19), P = 0.002] were significantly better than the usual care group. There were no significant differences in peak oxygen uptake [SMD = 0.13, 95% CI (−0.18, 0.44), P = 0.397], depression [SMD = 0.06, 95% CI (−0.38, 0.5), P = 0.791], and withdrawal rates [RR = 0.59, 95% CI (0.21, 1.63), P = 0.308] between the two groups.ConclusionConcurrent training could improve physical performance for children with malignancy but had no significant effect on mental health. Because the quality level of evidence is mostly very low, future high-quality randomized controlled trials are required to confirm these findings.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=364140, identifier CRD42022308176.
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spelling doaj.art-dd0dd5c5ff9a469292723066f29f3e842023-03-17T04:55:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.11272551127255Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysisWanli Zang0Mingqing Fang1Haohao Chen2Xinmeng Huang3Dong Li4Jin Yan5Jin Yan6Heng Shu7Mingyuan Zhao8Postgraduate School, University of Harbin Sport, Harbin, ChinaXiangya Hospital, Central South University, Changsha, ChinaPostgraduate School, University of Harbin Sport, Harbin, ChinaNorman Bethune Health Science Center, Jilin University, Changchun, ChinaDepartment of International Culture Education, Chodang University, Muan-gun, Republic of KoreaCentre for Active Living and Learning, University of Newcastle, Callaghan, NSW, AustraliaCollege of Human and Social Futures, University of Newcastle, Callaghan, NSW, AustraliaPostgraduate School, University of Harbin Sport, Harbin, ChinaWinter Olympic School, Harbin Sport University, Harbin, ChinaObjectiveThis study aims to evaluate the intervention effect of concurrent training on children with malignant tumors to provide evidence for prescribing exercise for children with malignant tumors.MethodsTwelve databases were searched from inception to October 15, 2022. Two researchers independently screened the literature, evaluated the quality, extracted the data, and performed the meta-analysis using R.ResultA total of nine randomized controlled trials involving 371 children were included in this study. The meta-analysis revealed that muscle strength was significantly greater in the exercise group compared to the usual care group [SMD = 0.26, 95% CI (0.04, 0.48), P = 0.023], with subgroup analysis showing no significant difference in upper limb [SMD = 0.13, 95% CI (−0.17, 0.43), P = 0.318] and a considerable difference in lower limb strength [SMD = 0.41, 95% CI (0.08, 0.74), P = 0.015]. Physical activity [SMD = 0.57, 95% CI (0.03, 1.1), P = 0.038], timed up and down stairs test [SMD = −1.22, 95% CI (−2.04, −0.4), P = 0.004], 6-min walking ability [SMD = 0.75, 95% CI (0.38, 1.11), P < 0.01], quality of life [SMD = 0.28, 95% CI (0.02, 0.53), P = 0.033], and cancer-related fatigue [SMD = −0.53, 95% CI (−0.86, −0.19), P = 0.002] were significantly better than the usual care group. There were no significant differences in peak oxygen uptake [SMD = 0.13, 95% CI (−0.18, 0.44), P = 0.397], depression [SMD = 0.06, 95% CI (−0.38, 0.5), P = 0.791], and withdrawal rates [RR = 0.59, 95% CI (0.21, 1.63), P = 0.308] between the two groups.ConclusionConcurrent training could improve physical performance for children with malignancy but had no significant effect on mental health. Because the quality level of evidence is mostly very low, future high-quality randomized controlled trials are required to confirm these findings.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=364140, identifier CRD42022308176.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127255/fullpediatricphysical performancequality of lifeconcurrent trainingexercises (physical-skill)
spellingShingle Wanli Zang
Mingqing Fang
Haohao Chen
Xinmeng Huang
Dong Li
Jin Yan
Jin Yan
Heng Shu
Mingyuan Zhao
Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
Frontiers in Public Health
pediatric
physical performance
quality of life
concurrent training
exercises (physical-skill)
title Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
title_full Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
title_fullStr Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
title_full_unstemmed Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
title_short Effect of concurrent training on physical performance and quality of life in children with malignancy: A systematic review and meta-analysis
title_sort effect of concurrent training on physical performance and quality of life in children with malignancy a systematic review and meta analysis
topic pediatric
physical performance
quality of life
concurrent training
exercises (physical-skill)
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127255/full
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