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更新的系统综述和元分析:为治疗后乳腺癌幸存者采取体育活动行为干预措施的下一步
Brianna N Leitzelar1,2, Alana R Willis3, Sarah N Price4
1School of Kinesiology, University of Minnesota-Twin Cities, Minneapolis, MN, USA. leitz025@umn.edu.
Breast cancer research and treatment
|January 10, 2026
概括
身体活动干预措施对乳腺癌幸存者 (BCS) 的行为改变产生了小到中等的积极影响. 这份更新的综述强调了研究设计和参与者样本的趋势,用于未来的研究.
科学领域:
- 在瘤学瘤学.
- 运动科学 运动科学
- 行为医学是一种行为医学.
背景情况:
- 乳腺癌幸存者 (BCS) 经常经历身体活动 (PA) 治疗后的挑战.
- 了解PA干预措施的有效性对于幸存者护理至关重要.
- 之前的审查已经建立了一个基础,需要对最近证据进行更新的综合分析.
研究的目的:
- 进行有关体力活动 (PA) 干预研究的最新文献综述.
- 描述这些干预措施,并估计它们对PA行为变化的影响大小.
- 专注于早期治疗后的乳腺癌幸存者 (BCS).
主要方法:
- 2014-2025年发表的准和随机对照试验的系统综述和元分析.
- 在PubMed,APA PsycINFO,Embase和CINAHL数据库中进行的搜索.
- 提取了研究,参与者,干预和结果特征的数据;使用ROB 2评估偏差风险;标准化平均差异 (SMD) 的元分析.
主要成果:
- 包括22个RCT和2390名参与者 (平均年龄57岁,主要是非西班牙裔白人女性).
- 干预措施主要是基于家庭和基于理论的,持续时间从6-104周.
- 总体SMD为0.36 (95%CI:0.22,0.50),表明PA干预措施对PA行为产生了小到中等的积极影响.
结论:
- 在早期治疗后的BCS中,PA干预措施对PA行为变化产生了小到中等的积极影响.
- 与之前的审查相比,观察到参与者人口统计和研究设计的变化.
- 通过既定准则提高报告透明度是建议未来的研究,以提高准确性和理解.
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