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The effects of exercise dose on psychological health outcomes in people diagnosed with cancer: a systematic review and meta-analysis
Journal article   Peer reviewed

The effects of exercise dose on psychological health outcomes in people diagnosed with cancer: a systematic review and meta-analysis

Jay Calder, Phillip S Kavanagh, Rachel Bacon, Minh Chau, Dhiaan Sidhu and Kellie Toohey
Disability and rehabilitation, Vol.47(14), pp.3516-3527
2025
PMID: 39629821

Metrics

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

Source: InCites

Abstract

cancer excercise psychological health depression anxiety quality of life frequency, intensity, time and type (FITT)
BACKGROUND Evaluate evidence for the effects of exercise on psychological health in adults diagnosed with cancer. Investigate the effects of different exercise frequencies, intensities, durations, and types on specific psychological health outcomes measuring depression, anxiety, mood, or quality of life. Six electronic databases searched from inception to May 2024. Randomised Control Trials (RCTs) evaluating effects of exercise on psychological health in adults diagnosed with cancer were included. A random-effects meta-analysis was completed to evaluate effect. Separate meta-analyses were conducted, with subgroups, to evalutate effect of exercise frequency, intensity, duration, and type. METHODS Six electronic databases searched from inception to May 2024. Randomised Control Trials (RCTs) evaluating effects of exercise on psychological health in adults diagnosed with cancer were included. A random-effects meta-analysis was completed to evaluate effect. Separate meta-analyses were conducted, with subgroups, to evaluate effect of exercise frequency, intensity, duration, and type. Eighty-one studies were included, yielding 205 individual effect sizes across various psychological health outcomes. Exercise interventions demonstrated small to moderate positive effects on psychological health outcomes (combined effect size: d = 0.32, 95%CI 0.22; 0.42). Subgroup analysis revealed positive effects across specific outcomes (depression, anxiety, mood, quality of life). Notably, effect sizes varied between specific outcome measures and exercise variable subgroups. RESULTS Eighty-one studies were included, yielding 205 individual effect sizes across various psychological health outcomes. Exercise interventions demonstrated small to moderate positive effects on psychological health outcomes (combined effect size: d = 0.32, 95%CI 0.22; 0.42). Subgroup analysis revealed positive effects across specific outcomes (depression, anxiety, mood, quality of life). Notably, effect sizes varied between specific outcome measures and exercise variable subgroups. To achieve optimal positive outcomes for psychological health, exercise dosages should consider psychological symptom profile alongside patient characteristics and physical capacity. This meta-analysis provides robust evidence to support the effectiveness of various exercises dosages targeting specific psychological health conditions and symptoms among individuals diagnosed with cancer. CONCLUSION To achieve optimal positive outcomes for psychological health, exercise dosages should consider psychological symptom profile alongside patient characteristics and physical capacity. This meta-analysis provides robust evidence to support the effectiveness of various exercises dosages targeting specific psychological health conditions and symptoms among individuals diagnosed with cancer.

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