Efficacy of supervised exercise on sleep of women who survived breast cancer: a systematic review with meta-analysis
To analyze the efficacy of supervised exercise (SE) compared with control protocols on sleep parameters of women who survived breast cancer. This systematic review with meta-analysis searched studies using the following electronic databases: PubMed, Scopus, Physiotherapy Evidence Database (PEDro), C...
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| Published in: | Journal of cancer survivorship |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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30-01-2024
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| Abstract | To analyze the efficacy of supervised exercise (SE) compared with control protocols on sleep parameters of women who survived breast cancer.
This systematic review with meta-analysis searched studies using the following electronic databases: PubMed, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Library, and EMBASE. The PEDro scale assessed the bias risk, and the study protocol was registered in the PROSPERO (no. CRD42023420894).
Of 3,566 identified studies, 13 randomized clinical trials involving 847 women diagnosed with breast cancer were included. Interventions consisted of SE in an outpatient setting (62%) or combined protocols with supervised and home exercises. Most interventions (85%) used multicomponent protocols with aerobic and resistance exercises. Usual care and health education were the most reported controls. SE decreased the sleep disturbance score (- 31.61 [95% confidence interval = - 39.40 to - 23.83]) of the European Organisation for Research and Treatment of Cancer quality of life questionnaire and daytime dysfunction score (- 0.41 [95% confidence interval = - 0.73 to - 0.09]) of the Pittsburgh Sleep Quality Index (PSQI). Also, SE presented a tendency to improve the self-reported sleep quality score of the PSQI (p = 0.06).
SE increased the subjective sleep quality and immobility time and decreased sleep disturbance and daytime dysfunction symptoms in women who survived breast cancer. Most SE protocols were multicomponent, with aerobic and resistance exercises ranging from moderate to high intensity.
Supervised exercise may improve sleep quality and reduce symptoms of sleep disorders, contributing to survival outcomes. |
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| AbstractList | PURPOSETo analyze the efficacy of supervised exercise (SE) compared with control protocols on sleep parameters of women who survived breast cancer.METHODSThis systematic review with meta-analysis searched studies using the following electronic databases: PubMed, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Library, and EMBASE. The PEDro scale assessed the bias risk, and the study protocol was registered in the PROSPERO (no. CRD42023420894).RESULTSOf 3,566 identified studies, 13 randomized clinical trials involving 847 women diagnosed with breast cancer were included. Interventions consisted of SE in an outpatient setting (62%) or combined protocols with supervised and home exercises. Most interventions (85%) used multicomponent protocols with aerobic and resistance exercises. Usual care and health education were the most reported controls. SE decreased the sleep disturbance score (- 31.61 [95% confidence interval = - 39.40 to - 23.83]) of the European Organisation for Research and Treatment of Cancer quality of life questionnaire and daytime dysfunction score (- 0.41 [95% confidence interval = - 0.73 to - 0.09]) of the Pittsburgh Sleep Quality Index (PSQI). Also, SE presented a tendency to improve the self-reported sleep quality score of the PSQI (p = 0.06).CONCLUSIONSE increased the subjective sleep quality and immobility time and decreased sleep disturbance and daytime dysfunction symptoms in women who survived breast cancer. Most SE protocols were multicomponent, with aerobic and resistance exercises ranging from moderate to high intensity.IMPLICATIONS FOR CANCER SURVIVORSSupervised exercise may improve sleep quality and reduce symptoms of sleep disorders, contributing to survival outcomes. To analyze the efficacy of supervised exercise (SE) compared with control protocols on sleep parameters of women who survived breast cancer. This systematic review with meta-analysis searched studies using the following electronic databases: PubMed, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Library, and EMBASE. The PEDro scale assessed the bias risk, and the study protocol was registered in the PROSPERO (no. CRD42023420894). Of 3,566 identified studies, 13 randomized clinical trials involving 847 women diagnosed with breast cancer were included. Interventions consisted of SE in an outpatient setting (62%) or combined protocols with supervised and home exercises. Most interventions (85%) used multicomponent protocols with aerobic and resistance exercises. Usual care and health education were the most reported controls. SE decreased the sleep disturbance score (- 31.61 [95% confidence interval = - 39.40 to - 23.83]) of the European Organisation for Research and Treatment of Cancer quality of life questionnaire and daytime dysfunction score (- 0.41 [95% confidence interval = - 0.73 to - 0.09]) of the Pittsburgh Sleep Quality Index (PSQI). Also, SE presented a tendency to improve the self-reported sleep quality score of the PSQI (p = 0.06). SE increased the subjective sleep quality and immobility time and decreased sleep disturbance and daytime dysfunction symptoms in women who survived breast cancer. Most SE protocols were multicomponent, with aerobic and resistance exercises ranging from moderate to high intensity. Supervised exercise may improve sleep quality and reduce symptoms of sleep disorders, contributing to survival outcomes. |
| Author | de Moura Ferraz Barbosa, Mariana Pifano Dantas, Diego de Jesus, Naiany Tenorio da Silva Alves Gomes, Vanessa Maria Bergmann, Anke Sacomori, Cinara |
| Author_xml | – sequence: 1 givenname: Mariana Pifano surname: de Moura Ferraz Barbosa fullname: de Moura Ferraz Barbosa, Mariana Pifano organization: Department of Physical Therapy, Health Sciences Center, Federal University of Pernambuco, Recife-PE, 50740-560, Brazil – sequence: 2 givenname: Naiany Tenorio orcidid: 0000-0001-9579-0153 surname: de Jesus fullname: de Jesus, Naiany Tenorio organization: Department of Physical Therapy, Health Sciences Center, Federal University of Pernambuco, Recife-PE, 50740-560, Brazil – sequence: 3 givenname: Anke orcidid: 0000-0002-1972-8777 surname: Bergmann fullname: Bergmann, Anke organization: Clinical Epidemiology Program, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil – sequence: 4 givenname: Vanessa Maria surname: da Silva Alves Gomes fullname: da Silva Alves Gomes, Vanessa Maria organization: Department of Physical Therapy, Health Sciences Center, Federal University of Pernambuco, Recife-PE, 50740-560, Brazil – sequence: 5 givenname: Cinara orcidid: 0000-0002-7349-7850 surname: Sacomori fullname: Sacomori, Cinara organization: Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago de Chile, Chile – sequence: 6 givenname: Diego orcidid: 0000-0002-1966-3352 surname: Dantas fullname: Dantas, Diego email: diego.sdantas@ufpe.br organization: Department of Physical Therapy, Health Sciences Center, Federal University of Pernambuco, Recife-PE, 50740-560, Brazil. diego.sdantas@ufpe.br |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38289508$$D View this record in MEDLINE/PubMed |
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