Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis

Detalhes bibliográficos
Autor(a) principal: Siiss, Letícia Antoniolli
Data de Publicação: 2022
Outros Autores: Guarda, Amanda, Graeff , Daniela Bertol, Cecagno-Zanini , Sheila Cristina
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2520
Resumo: Introduction: The life expectancy of individuals with metastatic cancer is increasing, but this group of patients is at considerable risk of having psychological and physical health problems. In this sense, physical exercise has been an ally in the treatment of patients with bone metastases. Objective: Systematic review and meta-analysis on the safety and benefits of physical exercise in patients with bone metastases. Method: Meta-analysis with bibliographic investigation carried out in the electronic databases PubMed, LILACS, PEDro and Embase. Results: Of the 396 studies, only 10 were included, with a total of 531 subjects. No adverse musculoskeletal effects were observed during the intervention, with exercise being significantly safe in individuals with bone metastases. There was no significant improvement in aerobic capacity, disease progression, quality of life, lean mass and body fat. Three of the studies included assessed pain during and after the intervention, showing an improvement in the pain score, as well as a decrease in use of analgesics in the intervention group. Conclusion: Therapy with aerobic and isometric exercises is safe in patients with bone metastases, in addition, it improves pain, but without significant increase of aerobic capacity, disease progression, body mass and quality of life.
id INCA-1_ee63c0e0b4e91166e0b0b05991067f96
oai_identifier_str oai:rbc.inca.gov.br:article/2520
network_acronym_str INCA-1
network_name_str Revista Brasileira de Cancerologia (Online)
repository_id_str
spelling Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-AnalysisBeneficios y Seguridad de los Ejercicios Físicos en Pacientes con Metástasis Óseas: Revisión Sistemática de la Literatura y MetanálisisBenefícios e Segurança dos Exercícios Físicos em Pacientes com Metástases Ósseas: Revisão Sistemática da Literatura e Metanálisemodalidades de fisioterapiaexercício físiconeoplasias ósseasmetástase neoplásicaensaio clínico controlado aleatóriophysical therapy modalitiesexercisebone neoplasmsneoplasm metastasisrandomized controlled trialmodalidades de fisioterapiaejercicio físiconeoplasias óseasmetástasis de la neoplasiaensayo clínico controlado aleatorioIntroduction: The life expectancy of individuals with metastatic cancer is increasing, but this group of patients is at considerable risk of having psychological and physical health problems. In this sense, physical exercise has been an ally in the treatment of patients with bone metastases. Objective: Systematic review and meta-analysis on the safety and benefits of physical exercise in patients with bone metastases. Method: Meta-analysis with bibliographic investigation carried out in the electronic databases PubMed, LILACS, PEDro and Embase. Results: Of the 396 studies, only 10 were included, with a total of 531 subjects. No adverse musculoskeletal effects were observed during the intervention, with exercise being significantly safe in individuals with bone metastases. There was no significant improvement in aerobic capacity, disease progression, quality of life, lean mass and body fat. Three of the studies included assessed pain during and after the intervention, showing an improvement in the pain score, as well as a decrease in use of analgesics in the intervention group. Conclusion: Therapy with aerobic and isometric exercises is safe in patients with bone metastases, in addition, it improves pain, but without significant increase of aerobic capacity, disease progression, body mass and quality of life.Introducción: La esperanza de vida de las personas con cáncer metastásico está aumentando, pero este grupo de pacientes tiene un riesgo considerable de tener problemas de salud física y psicológica. En este sentido, el ejercicio físico ha sido un aliado en el tratamiento de pacientes con metástasis óseas. Objetivo: Realizar una revisión sistemática y un metanálisis sobre la seguridad y los beneficios del ejercicio físico en pacientes con metástasis óseas. Método: Metanálisis con búsqueda bibliográfica realizada en bases de datos electrónicas: PubMed, LILACS, PEDro y Embase. Resultados: De los 396 estudios, solo se incluyeron 10, con un total de 531 sujetos. No se observaron efectos musculoesqueléticos adversos durante la intervención, siendo el ejercicio significativamente seguro en individuos con metástasis óseas. No hubo una mejora significativa en la capacidad aeróbica, la progresión de la enfermedad, la calidad de vida, la masa magra y la grasa corporal. Tres de los estudios incluidos evaluaron el dolor durante y después de la intervención, mostrando una mejoría en la puntuación del dolor, asi como una disminución en el uso de analgésicos en el grupo de intervención. Conclusión: La terapia con ejercicios aeróbicos e isométricos es segura para los pacientes con metástasis óseas, además presenta mejoría del dolor, pero sin mejoría significativa en la capacidad aeróbica, progresión de la enfermedad, masa corporal y calidad de vida.Introdução: A expectativa de vida de pessoas com câncer metastático está aumentando, mas esse grupo de pacientes corre um risco considerável de apresentar problemas psicológicos e de saúde física. Nesse sentido, o exercício físico tem sido um aliado no tratamento de pacientes com metástases ósseas. Objetivo: Realizar uma revisão sistemática e metanálise sobre a segurança e os benefícios do exercício físico em pacientes com metástases ósseas. Método: Metanálise com pesquisa bibliográfica realizada nas bases eletrônicas: PubMed, LILACS, PEDro e Embase. Resultados: Dos 396 estudos, somente dez foram incluídos, com um total de 531 indivíduos. Não foi observado nenhum efeito adverso musculoesquelético durante a intervenção, sendo significativamente seguro o exercício em indivíduos com metástases ósseas. Não houve melhora considerável na capacidade aeróbica, progressão da doença, qualidade de vida, massa magra e gordura corporal. Três dos estudos incluídos avaliaram a dor durante e após a intervenção, demonstrando melhora no escore de dor, assim como a diminuição do uso do analgésico no grupo intervenção. Conclusão: A terapia com exercícios aeróbicos e isométricos e segura para pacientes com metástases ósseas, além de apresentar melhora da dor, mas sem evolução relevante na capacidade aeróbica, na progressão da doença, na massa corporal e na qualidade de vida.INCA2022-10-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/252010.32635/2176-9745.RBC.2022v68n4.2520Revista Brasileira de Cancerologia; Vol. 68 No. 4 (2022): Oct./Nov./Dec.; e-062520Revista Brasileira de Cancerologia; Vol. 68 Núm. 4 (2022): oct./nov./dic.; e-062520Revista Brasileira de Cancerologia; v. 68 n. 4 (2022): out./nov./dez.; e-0625202176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/2520/2288https://rbc.inca.gov.br/index.php/revista/article/view/2520/2889https://rbc.inca.gov.br/index.php/revista/article/view/2520/2450Copyright (c) 2022 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSiiss, Letícia AntoniolliGuarda, AmandaGraeff , Daniela BertolCecagno-Zanini , Sheila Cristina2023-05-26T17:19:27Zoai:rbc.inca.gov.br:article/2520Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-05-26T17:19:27Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
Beneficios y Seguridad de los Ejercicios Físicos en Pacientes con Metástasis Óseas: Revisión Sistemática de la Literatura y Metanálisis
Benefícios e Segurança dos Exercícios Físicos em Pacientes com Metástases Ósseas: Revisão Sistemática da Literatura e Metanálise
title Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
spellingShingle Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
Siiss, Letícia Antoniolli
modalidades de fisioterapia
exercício físico
neoplasias ósseas
metástase neoplásica
ensaio clínico controlado aleatório
physical therapy modalities
exercise
bone neoplasms
neoplasm metastasis
randomized controlled trial
modalidades de fisioterapia
ejercicio físico
neoplasias óseas
metástasis de la neoplasia
ensayo clínico controlado aleatorio
title_short Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
title_full Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
title_fullStr Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
title_full_unstemmed Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
title_sort Benefits and Safety of Physical Exercises in Patients with Bone Metastases: Systematic Literature Review and Meta-Analysis
author Siiss, Letícia Antoniolli
author_facet Siiss, Letícia Antoniolli
Guarda, Amanda
Graeff , Daniela Bertol
Cecagno-Zanini , Sheila Cristina
author_role author
author2 Guarda, Amanda
Graeff , Daniela Bertol
Cecagno-Zanini , Sheila Cristina
author2_role author
author
author
dc.contributor.author.fl_str_mv Siiss, Letícia Antoniolli
Guarda, Amanda
Graeff , Daniela Bertol
Cecagno-Zanini , Sheila Cristina
dc.subject.por.fl_str_mv modalidades de fisioterapia
exercício físico
neoplasias ósseas
metástase neoplásica
ensaio clínico controlado aleatório
physical therapy modalities
exercise
bone neoplasms
neoplasm metastasis
randomized controlled trial
modalidades de fisioterapia
ejercicio físico
neoplasias óseas
metástasis de la neoplasia
ensayo clínico controlado aleatorio
topic modalidades de fisioterapia
exercício físico
neoplasias ósseas
metástase neoplásica
ensaio clínico controlado aleatório
physical therapy modalities
exercise
bone neoplasms
neoplasm metastasis
randomized controlled trial
modalidades de fisioterapia
ejercicio físico
neoplasias óseas
metástasis de la neoplasia
ensayo clínico controlado aleatorio
description Introduction: The life expectancy of individuals with metastatic cancer is increasing, but this group of patients is at considerable risk of having psychological and physical health problems. In this sense, physical exercise has been an ally in the treatment of patients with bone metastases. Objective: Systematic review and meta-analysis on the safety and benefits of physical exercise in patients with bone metastases. Method: Meta-analysis with bibliographic investigation carried out in the electronic databases PubMed, LILACS, PEDro and Embase. Results: Of the 396 studies, only 10 were included, with a total of 531 subjects. No adverse musculoskeletal effects were observed during the intervention, with exercise being significantly safe in individuals with bone metastases. There was no significant improvement in aerobic capacity, disease progression, quality of life, lean mass and body fat. Three of the studies included assessed pain during and after the intervention, showing an improvement in the pain score, as well as a decrease in use of analgesics in the intervention group. Conclusion: Therapy with aerobic and isometric exercises is safe in patients with bone metastases, in addition, it improves pain, but without significant increase of aerobic capacity, disease progression, body mass and quality of life.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Revisão de literatura
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2520
10.32635/2176-9745.RBC.2022v68n4.2520
url https://rbc.inca.gov.br/index.php/revista/article/view/2520
identifier_str_mv 10.32635/2176-9745.RBC.2022v68n4.2520
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2520/2288
https://rbc.inca.gov.br/index.php/revista/article/view/2520/2889
https://rbc.inca.gov.br/index.php/revista/article/view/2520/2450
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 68 No. 4 (2022): Oct./Nov./Dec.; e-062520
Revista Brasileira de Cancerologia; Vol. 68 Núm. 4 (2022): oct./nov./dic.; e-062520
Revista Brasileira de Cancerologia; v. 68 n. 4 (2022): out./nov./dez.; e-062520
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
_version_ 1797042232746835968

Registros relacionados