A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation
A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation
OBJECTIVES: Engaging in physical activity following a diagnosis in breast cancer patients improves both survival rates and psychosocial health outcomes. The factors influencing the effectiveness of physical activity interventions for breast cancer patients remain unclear. This systematic review focuses on two questions: are there differences in outcomes depending on; the mode of physical activity undertaken; and whether group-based, or individual, programmes are proposed.
METHODS: Five databases were searched (PsycINFO, CINAHL, MEDLINE, EMBASE, and Central). Randomised control trials were included if they reported an intervention aiming to increase physical activity amongst breast cancer patients. A total of 1561 records were screened with 17 studies identified for final inclusion. Data extraction and risk of bias analysis were undertaken. A meta-analysis was not possible due to methodological differences between studies.
RESULTS: Findings indicate no evident differences in outcomes based on exercise mode adopted. There are some indications that group interventions may have additional beneficial outcomes, in comparison to individual interventions, but this conclusion cannot be drawn definitively due to confounds within study designs, lack of group-based intervention designs, and overall lack of long-term intervention effects.
CONCLUSIONS: Although there are no indications of negative intervention effects, only 6 of 17 trials demonstrated significant intervention effects were maintained. Greater transparency in reporting of interventions, and research enabling a comparison of physical activity delivery and mode is needed to determine optimum physical activity interventions to maintain patient physical activity and outcomes.
Adult, Breast Neoplasms/psychology, Cancer Survivors/psychology, Depression/prevention & control, Exercise/psychology, Female, Health Behavior, Humans, Middle Aged, Physical Fitness, Quality of Life/psychology, Randomized Controlled Trials as Topic
1381-1393
Abdin, Shanara
23bcda00-2df2-4cd0-8909-284bb286c56c
Lavallée, Jacqueline F
230b62ef-f30b-48a9-9ecf-b8950e938f24
Faulkner, James
b2bd38c9-667c-42e8-ad1e-6df58d1e3f7a
Husted, Margaret
21af4875-9939-4653-a5c2-f210f2ccc4c7
30 April 2019
Abdin, Shanara
23bcda00-2df2-4cd0-8909-284bb286c56c
Lavallée, Jacqueline F
230b62ef-f30b-48a9-9ecf-b8950e938f24
Faulkner, James
b2bd38c9-667c-42e8-ad1e-6df58d1e3f7a
Husted, Margaret
21af4875-9939-4653-a5c2-f210f2ccc4c7
Abdin, Shanara, Lavallée, Jacqueline F, Faulkner, James and Husted, Margaret
(2019)
A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation.
Psycho-Oncology, 28 (7), .
(doi:10.1002/pon.5101).
Abstract
OBJECTIVES: Engaging in physical activity following a diagnosis in breast cancer patients improves both survival rates and psychosocial health outcomes. The factors influencing the effectiveness of physical activity interventions for breast cancer patients remain unclear. This systematic review focuses on two questions: are there differences in outcomes depending on; the mode of physical activity undertaken; and whether group-based, or individual, programmes are proposed.
METHODS: Five databases were searched (PsycINFO, CINAHL, MEDLINE, EMBASE, and Central). Randomised control trials were included if they reported an intervention aiming to increase physical activity amongst breast cancer patients. A total of 1561 records were screened with 17 studies identified for final inclusion. Data extraction and risk of bias analysis were undertaken. A meta-analysis was not possible due to methodological differences between studies.
RESULTS: Findings indicate no evident differences in outcomes based on exercise mode adopted. There are some indications that group interventions may have additional beneficial outcomes, in comparison to individual interventions, but this conclusion cannot be drawn definitively due to confounds within study designs, lack of group-based intervention designs, and overall lack of long-term intervention effects.
CONCLUSIONS: Although there are no indications of negative intervention effects, only 6 of 17 trials demonstrated significant intervention effects were maintained. Greater transparency in reporting of interventions, and research enabling a comparison of physical activity delivery and mode is needed to determine optimum physical activity interventions to maintain patient physical activity and outcomes.
This record has no associated files available for download.
More information
Published date: 30 April 2019
Additional Information:
© 2019 John Wiley & Sons, Ltd.
Keywords:
Adult, Breast Neoplasms/psychology, Cancer Survivors/psychology, Depression/prevention & control, Exercise/psychology, Female, Health Behavior, Humans, Middle Aged, Physical Fitness, Quality of Life/psychology, Randomized Controlled Trials as Topic
Identifiers
Local EPrints ID: 497900
URI: http://eprints.soton.ac.uk/id/eprint/497900
ISSN: 1057-9249
PURE UUID: c5afe0e0-1509-4cbd-90e9-d96fdfc5656b
Catalogue record
Date deposited: 04 Feb 2025 17:42
Last modified: 08 Feb 2025 03:21
Export record
Altmetrics
Contributors
Author:
Shanara Abdin
Author:
Jacqueline F Lavallée
Author:
James Faulkner
Author:
Margaret Husted
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics