Effects and moderators of exercise on sleep in adults with cancer: Individual patient data and aggregated meta-analyses

被引：23

作者：

Bernard, P. A. ^{[1
,2
,3
,4
,5
]}

Savard, J. ^{[1
,2
,3
]}

Steindorf, K. ^{[6
,7
]}

Sweegers, M. G. ^{[8
]}

Courneya, K. S. ^{[9
]}

Newton, R. U. ^{[10
]}

Aaronson, N. K. ^{[11
]}

Jacobsen, P. B. ^{[12
]}

May, A. M. ^{[13
]}

Galvao, D. A. ^{[10
]}

Chinapaw, M. J. ^{[14
]}

Stuiver, M. M. ^{[15
]}

Griffith, K. A. ^{[16
]}

Mesters, I ^{[17
]}

Knoop, H. ^{[18
]}

Goedendorp, M. M. ^{[19
,20
]}

Bohus, M. ^{[20
,21
]}

Thorsen, L. ^{[22
]}

Schmidt, M. E. ^{[6
,7
]}

Ulrich, C. M. ^{[23
,24
]}

Sonke, G. S. ^{[11
,12
]}

van Harten, W. ^{[11
,23
,24
]}

Winters-Stone, K. M. ^{[25
]}

Velthuis, M. J. ^{[26
]}

Taaffe, D. R. ^{[10
]}

van Mechelen, W. ^{[14
]}

Kersten, M. J. ^{[27
]}

Nollet, F. ^{[28
]}

Wenzel, J. ^{[29
]}

Wiskemann, J. ^{[30
,31
]}

Verdonck-de Leeuw, I. M. ^{[32
,33
]}

Brug, J. ^{[8
,34
]}

Buffart, L. M. ^{[8
,35
]}

机构：

[1] Univ Laval, Canc Res Ctr, Quebec City, PQ, Canada

[2] Univ Laval, Sch Psychol, Quebec City, PQ, Canada

[3] Univ Laval, CHU Quebec, Res Ctr, Quebec City, PQ, Canada

[4] Univ Quebec Montreal, Phys Act Sci Dept, Montreal, PQ, Canada

[5] Univ Inst Mental Hlth Montreal, Res Ctr, Montreal, PQ, Canada

[6] German Canc Res Ctr, Div Phys Act Prevent & Canc, Heidelberg, Germany

[7] Natl Ctr Tumor Dis NCT, Heidelberg, Germany

[8] Vrije Univ Amsterdam, Amsterdam UMC, Dept Epidemiol & Biostat, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[9] Univ Alberta, Fac Phys Educ & Recreat, Edmonton, AB, Canada

[10] Edith Cowan Univ, Exercise Med Res Inst, Joondalup, WA, Australia

[11] Netherlands Canc Inst, Div Psychosocial Res & Epidemiol, Amsterdam, Netherlands

[12] H Lee Moffitt Canc Ctr & Res Inst, Div Populat Sci, Tampa, FL USA

[13] Univ Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Clin Epidemiol, Univ Med Ctr Utrecht, Utrecht, Netherlands

[14] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Publ & Occupat Hlth, Amsterdam UMC, Amsterdam, Netherlands

[15] Netherlands Canc Inst, Dept Physiotherapy, Amsterdam, Netherlands

[16] Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA

[17] Maastricht Univ, Dept Epidemiol, Maastricht, Netherlands

[18] Univ Amsterdam, Dept Med Psychol, Amsterdam UMC, Amsterdam, Netherlands

[19] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Psychol, Groningen, Netherlands

[20] Heidelberg T Univ, Inst Psychiat & Psychosomat Psychotherapy, Cent Inst Mental Hlth, Mannheim, Germany

[21] Univ Antwerp, Fac Hlth, Antwerp, Belgium

[22] Oslo Univ Hosp, Dept Oncol, Natl Advisory Unit Late Effects Canc, Oslo, Norway

[23] Huntsman Canc Inst, Salt Lake City, UT USA

[24] Univ Utah, Dept Populat Hlth Sci, Salt Lake City, UT USA

[25] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[26] Netherlands Comprehens Canc Org IKNL, Utrecht, Netherlands

[27] Univ Amsterdam, Dept Hematol, Amsterdam UMC, Amsterdam, Netherlands

[28] Univ Amsterdam, Dept Rehabil Med, Amsterdam Movement Sci, Amsterdam UMC, Amsterdam, Netherlands

[29] Sidney Kimmel Comprehens Canc Ctr, Johns Hopkins Sch Nursing, Johns Hopkins Sch Med, Baltimore, MD USA

[30] Natl Ctr Tumor Dis NCT, Div Med Oncol, Heidelberg, Germany

[31] Heidelberg Univ Hosp, Heidelberg, Germany

[32] Vrije Univ Amsterdam, Dept Otolaryngol Head & Neck Surg, Amsterdam UMC, Amsterdam, Netherlands

[33] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands

[34] Natl Inst Publ Hlth & Environm, Bilthoven, Netherlands

[35] Vrije Univ Amsterdam, Canc Ctr Amsterdam, Dept Med Oncol, Amsterdam UMC, Amsterdam, Netherlands

来源：

JOURNAL OF PSYCHOSOMATIC RESEARCH | 2019年 / 124卷

关键词：

Cancer; Physical activity; Treatment; sleep; QUALITY-OF-LIFE; PATIENTS RECEIVING CHEMOTHERAPY; LONG-TERM SURVIVORS; BREAST-CANCER; PHYSICAL-ACTIVITY; ADJUVANT CHEMOTHERAPY; PARTICIPANT DATA; RESISTANCE EXERCISE; AEROBIC EXERCISE; RANDOMIZED-TRIAL;

D O I：

10.1016/j.jpsychores.2019.109746

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objectives: To evaluate the effects of exercise interventions on sleep disturbances and sleep quality in patients with mixed cancer diagnoses, and identify demographic, clinical, and intervention-related moderators of these effects. Methods: Individual patient data (IPD) and aggregated meta-analyses of randomized controlled trials (RCTs). Using data from the Predicting OptimaL cAncer Rehabilitation and Supportive care project, IPD of 2173 adults (mean age = 54.8) with cancer from 17 RCTs were analyzed. A complementary systematic search was conducted (until November 2018) to study the overall effects and test the representativeness of analyzed IPD. Effect sizes of exercise effects on self-reported sleep outcomes were calculated for all included RCTs. Linear mixed-effect models were used to evaluate the effects of exercise on post-intervention outcome values, adjusting for baseline values. Moderator effects were studied by testing interactions for demographic, clinical and intervention-related characteristics. Results: For all 27 eligible RCTs from the updated search, exercise interventions significantly decreased sleep disturbances in adults with cancer (g = -0.09, 95% CI [-0.16; -0.02]). No significant effect was obtained for sleep quality. RCTs included in IPD analyses constituted a representative sample of the published literature. The intervention effects on sleep disturbances were not significantly moderated by any demographic, clinical, or intervention-related factor, nor by sleep disturbances. Conclusions: This meta-analysis provides some evidence that, compared to control conditions, exercise interventions may improve sleep disturbances, but not sleep quality, in cancer patients, although this effect is of a small magnitude. Among the investigated variables, none was found to significantly moderate the effect of exercise interventions on sleep disturbances.

引用

页数：9

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