身体活动,胰岛素抵抗和癌症:系统性审查
Santiago Navarro-Ledesma1,2, Dina Hamed-Hamed3, Ana González-Muñoz3,4
1Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Campus of Melilla Querol Streel 5, 52004 Melilla, Spain.
Cancers
|February 10, 2024
概括
身体活动可能会改善癌症患者的胰岛素抵抗,但证据有限. 对这一群体的最佳运动类型,剂量和时间进行更多的研究是必要的.
科学领域:
- 在瘤学瘤学.
- 代谢健康 代谢健康
- 运动科学 运动科学
背景情况:
- 胰岛素抵抗 (IR) 与2型糖尿病,肥胖和癌症病理生理学有关.
- 准IR为癌症患者提供了潜在的干预策略.
- 身体活动在癌症中改变IR的作用需要进行系统的研究.
研究的目的:
- 系统地审查有关身体活动对癌症患者胰岛素抵抗的影响的科学证据.
- 评估有关该主题的现有研究质量.
主要方法:
- 在过去13年内发表的随机对照试验的系统综述.
- 在主要数据库 (PubMed,Scopus,Cochrane,EBSCO,Web of Science) 进行的搜索.
- 使用Cochrane手册工具进行偏差风险评估.
主要成果:
- 包括12项研究,8项研究具有偏差风险较低.
- 七项研究显示,身体活动改善了胰岛素敏感性;五项研究显示没有显著变化.
- 对于任何体育活动干预措施,没有报告任何不良影响.
结论:
- 身体活动显示出作为癌症患者胰岛素抵抗干预的潜力.
- 目前的证据有限且薄弱,缺乏定义的最佳运动参数 (剂量,类型,时间).
- 需要进一步进行高质量的研究,并制定具体的体育活动计划.
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