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Effects of exercise rehabilitation on physical function in adults with haematological cancer receiving active treatment: A Systematic Review and Meta-Analysis
Journal article   Open access   Peer reviewed

Effects of exercise rehabilitation on physical function in adults with haematological cancer receiving active treatment: A Systematic Review and Meta-Analysis

Melanie Moore, Joseph M Northey, Philip Crispin, Stuart Semple and Kellie Toohey
Seminars in oncology nursing, Vol.39(6), 151504
12/2023
DOI: https://doi.org/10.1016/j.soncn.2023.151504
PMID: 3774311
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Effects of Exercise Rehabilitation on Physical Function in Adults With Hematological Cancer Receiving Active Treatment: A Systematic Review and Meta-AnalysisView
Published (Version of record)CC BY-NC-ND V4.0,  Open

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Abstract

chemotherapy exercise haematological cancer rehabilitation systematic review
Objective Evaluate the efficacy of exercise rehabilitation at improving physical function during active treatment for adults diagnosed with a hematological malignancy. Data Source Systematic review with a multilevel meta-analysis of randomized trails was conducted. Four electronic databases, MEDLINE (EBSCOhost), CINAHL, Scopus, and CENTRAL, were searched using key words and medical subject headings. Articles were screened and assessed against the predetermined eligibility criteria. Data extracted were appraised using the Cochrane risk of bias tool for randomized trials and the GRADE guidelines. A meta-analysis examined four key clinical objectives. Conclusion Twelve studies representing a total of 812 participants were included. Analysis of 36 dependent effect sizes from nine studies revealed structured and prescribed exercise interventions improved physical function (SMD = 0.39; 95% CI 0.21–0.57) compared to usual care or an active control. Exercise interventions with a multimodal design consisting of both aerobic and resistance exercise had a statistically significant effect on physical function (P < .001). Exercise intensity also had a statistically significant effect on physical function when prescribed at a moderate (P = .003) and vigorous (P < .001) intensity during active treatment in patients with leukemia or lymphoma. Implications for Nursing Practice This review suggests individuals diagnosed with leukemia or lymphoma can optimize physical function during and immediately post-treatment by attending exercise rehabilitation 3–5 times per weeks performing moderate-vigorous aerobic and resistance exercise. While further research is needed to identify optimal prescription guidelines throughout the treatment continuum, this review underscores the importance for hematology nurses to support patient referrals to exercise oncology professionals to gain positive improvements in physical function.

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