基于运动的干预措施对癌症幸存者的睡眠和昼夜节律的影响 - 一项系统性审查和元分析
Rachita Gururaj1, Stephen Rajan Samuel2,3, K Vijaya Kumar2
1Ramaiah College of Physiotherapy, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.
PeerJ
|March 12, 2024
概括
定期运动显著改善了癌症幸存者的睡眠质量和昼夜节律. 虽然并非所有睡眠指标都得到改善,但运动是管理睡眠障碍的安全和有益的非药物选择.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 运动科学 运动科学
背景情况:
- 癌症幸存者的昼夜节律受到干扰是常见的,影响疲劳,睡眠和生活质量.
- 对非药物干预来管理癌症幸存者的慢性睡眠问题有越来越多的需求.
- 需要进行元分析来评估诸如运动对睡眠和昼夜节律障碍等干预措施的有效性.
研究的目的:
- 系统地审查和元分析运动干预措施对癌症幸存者的睡眠和昼夜节律障碍的影响.
- 确定表现出显著改善的具体练习类型和结果.
主要方法:
- 在2023年7月更新的主要数据库 (PubMed,Scopus,Web of Science,PEDro,CINAHL) 中进行了对随机对照试验 (RCT) 的全面搜索.
- 关键词包括癌症,睡眠,昼夜节律和各种运动干预措施 (有氧,抵抗,,太极拳).
- 包括36项研究进行定性分析,26项研究进行元分析,重点关注睡眠和昼夜节律的结果.
主要成果:
- 分析显示,通过运动,睡眠质量 (匹兹堡睡眠质量指数,PSQI) 显著改善,睡眠开始后觉醒 (WASO) 减少.
- 运动对昼夜节律有显著的积极影响,通过唾液皮质醇水平进行评估.
- 没有观察到对睡眠效率,睡眠开始延迟,总睡眠时间或通过加速度计评估的昼夜节律的显著影响.
结论:
- 运动干预措施对癌症幸存者的特定睡眠和昼夜节律结果显著有好处,包括PSQI,WASO和唾液皮质醇.
- 对不同癌症幸存者群体的最佳运动处方尚未完全阐明.
- 运动是一种安全和有益的非药物策略,用于管理癌症幸存者的睡眠和昼夜节律障碍.
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