Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33596 |
Resumo: | Esophageal and gastric cancers have a significant prevalence. These patients often face a decline in functional capacity (FC) and muscle strength (MS), as consequence of neoadjuvant treatments and surgical resection; however, this decline can be minimized through appropriate exercise protocols. To assess evidence of the effects of physical exercise on HR and MS in patients with esophageal and stomach cancer. Systematic review of Randomized clinical trials with intervention based on exercises for patients with esophagogastric cancer (EGC). FC and MS were the outcomes. Searches in Medline via Pubmed, PEDro, Cochrane Library, Embase and CINAHL databases were performed. Cochrane Collaboration tool and GRADE system for risk of bias assessment. From 117 articles identified, eight studies were included, involving a total of 673 patients. In general, the approach during neoadjuvant therapy had a positive effect on the 6-minute walk test (6MWT) and on FM. Exercise performed in the preoperative period showed divergent results for inspiratory muscle strength, but improved HR assessed by the 6-minute walk test (6MWT). The postoperative exercise protocol increased the FC in 6MWT, and maximal oxygen consumption (VO2max). However, it does not improve MS. Studies also showed a moderate-to-high risk of bias. Although some studies point to positive results in favor of physical exercise in improving FC and MS in patients being treated for esophagogastric cancer, the degree of clinical recommendation is low. |
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Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic reviewEfectos del ejercicio físico sobre la capacidad funcional y la fuerza muscular de pacientes con cáncer gástrico y de esófago: una revisión sistemáticaEfeitos do exercício físico na capacidade funcional e força muscular de pacientes com câncer gástrico e esofágico: uma revisão sistemáticaExercício físicoDesempenho físico functionalNeoplasias gástricasNeoplasias de esôfago.ExercisePhysical functional performanceStomach neoplasmsEsophageal neoplasms.Ejercicio físicoRendimiento físico funcionalNeoplasias gástricasNeoplasias esofágicas.Esophageal and gastric cancers have a significant prevalence. These patients often face a decline in functional capacity (FC) and muscle strength (MS), as consequence of neoadjuvant treatments and surgical resection; however, this decline can be minimized through appropriate exercise protocols. To assess evidence of the effects of physical exercise on HR and MS in patients with esophageal and stomach cancer. Systematic review of Randomized clinical trials with intervention based on exercises for patients with esophagogastric cancer (EGC). FC and MS were the outcomes. Searches in Medline via Pubmed, PEDro, Cochrane Library, Embase and CINAHL databases were performed. Cochrane Collaboration tool and GRADE system for risk of bias assessment. From 117 articles identified, eight studies were included, involving a total of 673 patients. In general, the approach during neoadjuvant therapy had a positive effect on the 6-minute walk test (6MWT) and on FM. Exercise performed in the preoperative period showed divergent results for inspiratory muscle strength, but improved HR assessed by the 6-minute walk test (6MWT). The postoperative exercise protocol increased the FC in 6MWT, and maximal oxygen consumption (VO2max). However, it does not improve MS. Studies also showed a moderate-to-high risk of bias. Although some studies point to positive results in favor of physical exercise in improving FC and MS in patients being treated for esophagogastric cancer, the degree of clinical recommendation is low.Los cánceres de esófago y gástrico tienen una prevalencia significativa. Estos pacientes a menudo se enfrentan a una disminución de la capacidad funcional (CF) y la fuerza muscular (FM), como consecuencia de los tratamientos neoadyuvantes y la resección quirúrgica; sin embargo, esta disminución se puede minimizar a través de protocolos de ejercicio apropiados. Evaluar la evidencia de los efectos del ejercicio físico sobre la CF y la FM en pacientes con cáncer de esófago y estómago. Revisión sistemática de Ensayos clínicos aleatorizados con intervención basada en ejercicios para pacientes con cáncer esofagogástrico (CEG). CF y FM fueron los resultados. Se realizaron búsquedas en Medline a través de las bases de datos Pubmed, PEDro, Cochrane Library, Embase y CINAHL. Herramienta de la Colaboración Cochrane y sistema GRADE para la evaluación del riesgo de sesgo. De 117 artículos identificados, se incluyeron ocho estudios, involucrando un total de 673 pacientes. En general, el abordaje durante la terapia neoadyuvante tuvo un efecto positivo en la prueba de caminata de 6 minutos (PC6M) y en la FM. El ejercicio realizado en el período preoperatorio mostró resultados divergentes para la fuerza de los músculos inspiratorios, pero mejoró la CF evaluada por la prueba de caminata de 6 minutos (PC6M). El protocolo de ejercicio postoperatorio aumentó la FC en PC6M y el consumo máximo de oxígeno (VO2max). Sin embargo, no mejora la EM. Los estudios también mostraron un riesgo de sesgo de moderado a alto. Aunque algunos estudios apuntan resultados positivos a favor del ejercicio físico en la mejora de la CF y la FM en pacientes en tratamiento por cáncer esofagogástrico, el grado de recomendación clínica es bajo.Os cânceres de esôfago e gástrico têm prevalência significativa. Esses pacientes frequentemente apresentam declínio da capacidade funcional (CF) e da força muscular (FM), como consequência de tratamentos neoadjuvantes e ressecções cirúrgicas; no entanto, esse declínio pode ser minimizado por meio de protocolos de exercícios apropriados. Avaliar evidências dos efeitos do exercício físico na FC e SM em pacientes com câncer de esôfago e estômago. Revisão sistemática de ensaios clínicos randomizados com intervenção baseada em exercícios para pacientes com câncer esofagogástrico (CEG). CF e MS foram os desfechos. Foram realizadas buscas no Medline via Pubmed, PEDro, Cochrane Library, Embase e CINAHL. Ferramenta Cochrane Collaboration e sistema GRADE para avaliação de risco de viés. Dos 117 artigos identificados, oito estudos foram incluídos, envolvendo um total de 673 pacientes. Em geral, a abordagem durante a terapia neoadjuvante teve efeito positivo no teste de caminhada de 6 minutos (TC6) e na FM. O exercício realizado no pré-operatório apresentou resultados divergentes para a força muscular inspiratória, mas melhorou a CF avaliada pelo teste de caminhada de 6 minutos (TC6). O protocolo de exercício pós-operatório aumentou a FC no TC6 e o consumo máximo de oxigênio (VO2max). No entanto, não melhora a FM. Os estudos também mostraram um risco moderado a alto de viés. Embora alguns estudos apontem resultados positivos a favor do exercício físico na melhora da CF e FM em pacientes em tratamento para câncer esofagogástrico, o grau de recomendação clínica é baixo.Research, Society and Development2022-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3359610.33448/rsd-v11i11.33596Research, Society and Development; Vol. 11 No. 11; e256111133596Research, Society and Development; Vol. 11 Núm. 11; e256111133596Research, Society and Development; v. 11 n. 11; e2561111335962525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/33596/28407Copyright (c) 2022 Andréa Karla Soares Montenegro; Donat Braz Júnior; Diego de Sousa Dantashttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMontenegro, Andréa Karla Soares Braz Júnior, Donat Dantas, Diego de Sousa2022-09-05T13:24:46Zoai:ojs.pkp.sfu.ca:article/33596Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:11.959300Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review Efectos del ejercicio físico sobre la capacidad funcional y la fuerza muscular de pacientes con cáncer gástrico y de esófago: una revisión sistemática Efeitos do exercício físico na capacidade funcional e força muscular de pacientes com câncer gástrico e esofágico: uma revisão sistemática |
title |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
spellingShingle |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review Montenegro, Andréa Karla Soares Exercício físico Desempenho físico functional Neoplasias gástricas Neoplasias de esôfago. Exercise Physical functional performance Stomach neoplasms Esophageal neoplasms. Ejercicio físico Rendimiento físico funcional Neoplasias gástricas Neoplasias esofágicas. |
title_short |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
title_full |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
title_fullStr |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
title_full_unstemmed |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
title_sort |
Effects of physical exercise on the functional capacity and muscle strength of patients with gastric and esophageal cancer: a systematic review |
author |
Montenegro, Andréa Karla Soares |
author_facet |
Montenegro, Andréa Karla Soares Braz Júnior, Donat Dantas, Diego de Sousa |
author_role |
author |
author2 |
Braz Júnior, Donat Dantas, Diego de Sousa |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Montenegro, Andréa Karla Soares Braz Júnior, Donat Dantas, Diego de Sousa |
dc.subject.por.fl_str_mv |
Exercício físico Desempenho físico functional Neoplasias gástricas Neoplasias de esôfago. Exercise Physical functional performance Stomach neoplasms Esophageal neoplasms. Ejercicio físico Rendimiento físico funcional Neoplasias gástricas Neoplasias esofágicas. |
topic |
Exercício físico Desempenho físico functional Neoplasias gástricas Neoplasias de esôfago. Exercise Physical functional performance Stomach neoplasms Esophageal neoplasms. Ejercicio físico Rendimiento físico funcional Neoplasias gástricas Neoplasias esofágicas. |
description |
Esophageal and gastric cancers have a significant prevalence. These patients often face a decline in functional capacity (FC) and muscle strength (MS), as consequence of neoadjuvant treatments and surgical resection; however, this decline can be minimized through appropriate exercise protocols. To assess evidence of the effects of physical exercise on HR and MS in patients with esophageal and stomach cancer. Systematic review of Randomized clinical trials with intervention based on exercises for patients with esophagogastric cancer (EGC). FC and MS were the outcomes. Searches in Medline via Pubmed, PEDro, Cochrane Library, Embase and CINAHL databases were performed. Cochrane Collaboration tool and GRADE system for risk of bias assessment. From 117 articles identified, eight studies were included, involving a total of 673 patients. In general, the approach during neoadjuvant therapy had a positive effect on the 6-minute walk test (6MWT) and on FM. Exercise performed in the preoperative period showed divergent results for inspiratory muscle strength, but improved HR assessed by the 6-minute walk test (6MWT). The postoperative exercise protocol increased the FC in 6MWT, and maximal oxygen consumption (VO2max). However, it does not improve MS. Studies also showed a moderate-to-high risk of bias. Although some studies point to positive results in favor of physical exercise in improving FC and MS in patients being treated for esophagogastric cancer, the degree of clinical recommendation is low. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33596 10.33448/rsd-v11i11.33596 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33596 |
identifier_str_mv |
10.33448/rsd-v11i11.33596 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33596/28407 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Andréa Karla Soares Montenegro; Donat Braz Júnior; Diego de Sousa Dantas https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Andréa Karla Soares Montenegro; Donat Braz Júnior; Diego de Sousa Dantas https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 11; e256111133596 Research, Society and Development; Vol. 11 Núm. 11; e256111133596 Research, Society and Development; v. 11 n. 11; e256111133596 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052721353719808 |