对老年癌症幸存者身体功能的饮食和运动干预措施的范围审查。
A scoping review of diet and exercise interventions for older cancer survivors' physical function.
发表日期:2024 Aug 29
作者:
Sheetal Hardikar, Emily R Dunston, Maci Winn, Candace Winterton, Anish Rana, Marissa LoCastro, Maren Curtis, Pendeza Mulibea, Kelsey E Maslana, Kyle Kershner, Jaime Hurtado-Orozco, Lea Haverbeck Simon, Mary M McFarland, Tallie Casucci, Diane Ehlers, Naomi Dolgoy, Grant Williams, Kah Poh Loh, Adriana M Coletta
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
在年轻癌症幸存者(<60 岁)的整个癌症护理过程中,生活方式(饮食和运动)干预措施在改善身体功能和其他与癌症相关的健康结果方面表现出了效用。然而,生活方式干预对老年(≥60 岁)癌症幸存者身体功能的影响尚不完全清楚。本次范围审查旨在绘制和描述有关饮食和运动干预对老年癌症幸存者身体功能影响的现有文献。根据 JBI 证据合成手册并报告给 PRISMA 指南,截至 2024 年 3 月,在多个数据库中进行了文献检索。共确定了 19,901 篇文章进行筛选,其中 2006 年至 2024 年期间发表的 49 篇文章被选择进行全文审查。其中,36 项研究包括运动干预,两项研究侧重于饮食干预,而 11 项研究包括饮食和运动干预。这 49 项研究涵盖了癌症治疗过程中的各种癌症类型、癌症阶段和时间点。大多数研究将身体功能描述为主要结果,并证明身体功能的维持或改善。我们发现了当前证据中的一些差距,包括缺乏仅针对老年癌症幸存者的(足够有力的)试验,以及针对容易遭受营养不足和身体功能下降的人群的单独饮食干预或饮食干预与运动干预相结合的试验。考虑到老年癌症幸存者数量不断增长,这是进一步研究的一个重要领域。版权所有 © 2024。由 Elsevier Ltd 出版。
Lifestyle (diet and exercise) interventions across the cancer care continuum among younger cancer survivors (<60 years of age) demonstrate utility in improving physical function, and other cancer relevant health outcomes. However, the impact of lifestyle interventions on physical function in older (≥60 years) cancer survivors is not entirely clear. This scoping review aims to map and characterize the existing literature on the effect of diet and exercise interventions on physical function in older cancer survivors. Conducted to the JBI Manual for Evidence Synthesis and reported to the PRISMA guidelines, the literature search was performed on multiple databases through March 2024. A total of 19,901 articles were identified for screening with 49 articles published between 2006 and 2024 selected for full-text review. Of these, 36 studies included an exercise intervention, two focused on diet intervention, while 11 studies included both diet and exercise intervention. These 49 studies included various cancer types, cancer stages, and timepoints across the cancer care continuum. Most studies described physical function as their primary outcome and demonstrated maintenance or improvement in physical function. We identified several gaps in the current evidence including lack of (adequately powered) trials focused only on older cancer survivors, and trials focused on dietary interventions alone or dietary interventions combined with exercise interventions within this population vulnerable for nutritional inadequacies and declining physical function. Considering the growing population of older cancer survivors, this represents an important area for further research.Copyright © 2024. Published by Elsevier Ltd.