Remote and Unsupervised Exercise Strategies for Improving the Physical Activity of Colorectal Cancer Patients: A Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Eligibility Criteria
2.3. Data Extraction and Quality Assessment
2.4. Meta-Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | 11. | |
---|---|---|---|---|---|---|---|---|---|---|---|
Morey et al., 2009 [34] | Yes | Yes | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Ligibel et al., 2012 [32] | Yes | Yes | No | Yes | No | No | No | Yes | Yes | Yes | Yes |
Demark-Wahnefried et al., 2012 [28] | Yes | Yes | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Hawkes et al., 2013 [30] | Yes | Yes | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Pinto et al., 2013 [38] | Yes | Yes | No | Yes | No | No | Yes | Yes | Yes | Yes | Yes |
Park et al., 2015 [37] | Yes | Yes | Yes | Yes | Yes | No | No | Yes | Yes | Yes | Yes |
Mayer et al., 2018 [33] | Yes | Yes | Yes | Yes | Yes | No | No | Yes | Yes | Yes | Yes |
Lee et al., 2018 [31] | Yes | Yes | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Golsteijn et al., 2018 [29] | Yes | Yes | No | Yes | No | No | No | Yes | Yes | Yes | Yes |
Maxwell-Smith et al., 2018 [40] | Yes | Yes | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Moug et al., 2019 [36] | Yes | Yes | Yes | Yes | Yes | No | No | Yes | Yes | Yes | Yes |
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Study | Sample Size | Age | Only CRC Patients? Stage of Cancer or Condition |
---|---|---|---|
Morey et al., (2009) [34] | Control—n = 322 Female—n = 177 Male—n = 145 Intervention—n = 319 Female—n = 172 Male—n = 147 | Control = 73 ± 5 yrs Intervention = 73 ± 5 yrs | No Control Breast—n = 146 Prostate—n = 130 Colorectal—n = 46 Years since cancer diagnosis = 8 ± 2 Intervention Breast—n = 143 Prostate—n = 131 Colorectal—n = 45 Years since cancer diagnosis = 8 ± 2 |
Ligibel et al., (2012) [32] | Control—n = 60 Female—n = 56 Male—n = 4 Intervention—n = 61 Female—n = 56 Male—n = 5 | Control = 55 ± 10 yrs Intervention = 53 ± 10 yrs | No Control Breast—n = 50 Colorectal—n = 10 Stage 1 = 21; Stage 2 = 23; Stage 3 = 16 Intervention Breast—n = 50 Colorectal—n = 11 Stage 1 = 20; Stage 2 = 19; Stage 3 = 22 |
# Demark-Wahnefried et al., (2012) [28] | Control—n = 245 Female—n = 138 Male—n = 107 Intervention—n = 243 Female—n = 132 Male—n = 111 | Control = 72 ± 5 yrs Intervention = 73 ± 5 yrs | No Control Breast—n = 110 Prostate—n = 94 Colorectal—n = 41 Intervention Breast—n = 111 Prostate—n = 99 Colorectal—n = 33 ≥5 years from diagnosis |
Hawkes et al., (2013) [30] | Control—n = 205 Female—n = 90 Male—n = 115 Intervention—n = 205 Female—n = 99 Male—n = 106 | Control = 67 ± 9 yrs Intervention = 64 ± 10 yrs | Yes Control—Dukes’ staging—A = 39; B = 53; C = 48; Unknown = 65; Intervention—Dukes’ staging—A = 36; B = 65; C = 45; Unknown = 59 |
Pinto et al., (2013) [38] | Control—n = 26 Female—n = 14 Male—n = 12 Intervention—n = 20 Female—n = 12 Male—n = 8 | Control = 55 ± 8 yrs Intervention = 59 ± 11 yrs | Yes Stages 1, 2 or 3 |
Park et al., (2015) [37] | Control—n = 59 Female—n = 50 Male—n = 9 Intervention—n = 50 Female—n = 45 Male—n = 5 | Control = 53 ± 8 yrs Intervention = 50 ± 8 yrs | No Control Breast—n = 41 Colorectal—n = 18 Stage 1 = 22; Stage 2 = 21; Stage 3 = 12 Intervention Breast—n = 39 Colorectal—n = 11 Stage 1 = 19; Stage 2 = 15; Stage 3 = 8 |
Mayer et al., (2018) [33] | Control—n = 140 Female—n = 73 Male—n = 67 Intervention—n = 144 Female—n = 74 Male—n = 70 | Control = 57 ± 14 yrs (n = 104) Intervention = 59 ± 13 yrs (n = 115) | Yes Control—Stage 1 = 27; Stage 2 = 82; Stage 3 = 29 Intervention—Stage 1 = 39; Stage 2 = 63; Stage 3 = 41 |
Lee et al., (2018) [31] | Control—n = 56 Female—n = 26 Male—n = 30 Intervention—n = 56 Female—n = 16 Male—n = 40 | Control = 64 ± 9 yrs Intervention =66 ± 9 yrs | Yes Control—Stage 1 = 12; Stage 2 = 24; Stage 3 or 4= 20 Intervention—Stage 1 = 8; Stage 2 = 27; Stage 3 or 4= 20 |
Golsteijn et al., (2018) [29] | Control—n = 229 Female—n = 25 Male—n = 204 Intervention—n = 249 Female—n = 37 Male—n = 212 | Control = 66 ± 8 yrs Intervention = 66 ± 7 yrs | No Control Prostate—n = 143 Colorectal—n = 86 Intervention Prostate—n = 149 Colorectal—n = 100 At least 6 weeks post-surgery |
Maxwell-Smith et al., (2018) [40] | Control—n = 34 Female—n = 13 Male—n = 21 Intervention—n = 34 Female—n = 21 Male—n = 13 | Control = 62 ± 8 yrs Intervention = 65 ± 7 yrs | No Control Gynaecologic—n = 4 Colorectal—n = 30 Intervention Gynaecologic—n = 11 Colorectal—n = 23 Stages 1 or 2 |
Moug et al., (2019) [36] | Control—n = 24 Female—n = 11 Male—n = 13 Intervention—n = 24 Female—n = 6 Male—n = 18 | Control = 66 ± 9 yrs Intervention = 65 ± 11 yrs | Yes New diagnosis |
Study | -Intervention Strategy -Control -Length | Physical Activity Parameter (Dependent Variable) and Results |
---|---|---|
Morey et al., (2009) [34] |
| Community Health Activities Model Program for Seniors questionnaire § Control Baseline = 28.7 ± 2.3 min/wk 48 wk = 23.4 ± 5.6 min/wk Intervention Baseline = 24.6 ± 2.1 min/wk 48 wk = 36.3 ± 4.9 min/wk |
Ligibel et al., (2012) [32] |
| 7-Day Physical Activity Recall Control Baseline = 65.7 ± 84.1 min/wk 16 wk = 14.6 ± 117.2 min/wk Intervention Baseline = 44.9 ± 58.5 min/wk 16 wk = 54.5 ± 142.0 min/wk |
Demark-Wahnefried et al., (2012) [28] |
| Community Health Activities Model Program for Seniors questionnaire Control Baseline = 37.5 ± 3.2 min/wk 48 wk = 69.0 ± 7.8 min/wk Intervention Baseline = 33.3 ± 2.9 min/wk 48 wk = 101.1 ± 7.3 min/wk |
Hawkes et al., (2013) [30] |
| Godin Leisure-Time Exercise Questionnaire Control Baseline = 52.0 ± 112.5 min/wk 48 wk = 54.3 ± 120.0 min/wk Intervention Baseline = 58.9 ± 132.9 min/wk 48 wk = 85.2 ± 181.0 min/wk |
Pinto et al., (2013) [38] |
| Seven-day Physical Activity Recall Control §§ Baseline = 30 min/wk 12 wk = 146 min/wk Intervention §§ Baseline = 30 min/wk 12 wk = 88 min/wk |
Park et al., (2015) [37] |
| Godin Leisure-Time Exercise Questionnaire Control §§ Baseline = 254.56 min/wk 4 wk = −39.05 min/wk Intervention §§ Baseline = 187.85 min/wk 4 wk = +47.57 min/wk |
Mayer et al., (2018) [33] |
| Godin Leisure-Time Exercise Questionnaire Control Baseline = 15.49 ± 27.6 min/wk 24 wk = 40.27 ± 42.22 min/wk Intervention Baseline = 19.43 ± 27.07 min/wk 24 wk = 49.98 ± 45.28 min/wk |
Lee et al., (2018) [31] |
| Accelerometer §§§ Control Baseline = 473.3 ± 267.3 min/wk 96 wk = 642.4 ± 294.7 min/wk Intervention Baseline = 460.8 ± 239.6 min/wk 96 wk = 680.5 ± 259.8 min/wk |
Golsteijn et al., (2018) [29] |
| Short Questionnaire to Assess Health Enhancing Physical Activity Control Baseline = 873 ± 764 min/wk 24 wk = 943 ± 769 min/wk Intervention Baseline = 780 ± 721 min/wk 24 wk = 1145 ± 883 min/wk |
Maxwell-Smith et al., (2018) [40] |
| Accelerometer Control §§ Baseline = 158 min/wk 12 wk = 138 min/wk Intervention §§ Baseline = 170 min/wk 12 wk = 186 min/wk |
Moug et al., (2019) [36] |
| Accelerometer Control Baseline = 7773 ± 3975 median steps/day 12 wk = 5920 ± 3152 median steps/day Intervention Baseline = 7779 ± 4045 steps/day §§§§ 12 wk = 6675 ± 3100 steps/day §§§§ |
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Share and Cite
Pelosi, A.C.; Rostirola, G.C.; Pereira, J.S.; Silva, K.C.; Fontanari, M.E.R.; Oliveira, M.S.P.; Reis, I.G.M.d.; Messias, L.H.D. Remote and Unsupervised Exercise Strategies for Improving the Physical Activity of Colorectal Cancer Patients: A Meta-Analysis. Healthcare 2023, 11, 723. https://doi.org/10.3390/healthcare11050723
Pelosi AC, Rostirola GC, Pereira JS, Silva KC, Fontanari MER, Oliveira MSP, Reis IGMd, Messias LHD. Remote and Unsupervised Exercise Strategies for Improving the Physical Activity of Colorectal Cancer Patients: A Meta-Analysis. Healthcare. 2023; 11(5):723. https://doi.org/10.3390/healthcare11050723
Chicago/Turabian StylePelosi, Andrea Corazzi, Gabriela Cerávolo Rostirola, Juliana Silva Pereira, Karen Christine Silva, Maria Eduarda Ramos Fontanari, Manoela Stahl Parisotto Oliveira, Ivan Gustavo Masselli dos Reis, and Leonardo Henrique Dalcheco Messias. 2023. "Remote and Unsupervised Exercise Strategies for Improving the Physical Activity of Colorectal Cancer Patients: A Meta-Analysis" Healthcare 11, no. 5: 723. https://doi.org/10.3390/healthcare11050723