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Cited by 127Cancer survivorship and carePhysical Activity and HealthChildhood Cancer Survivors' Quality of Life

Effect of home- and community-based physical activity interventions on physical function among cancer survivors: a systematic review and meta-analysis

Open access
Swartz, Maria C., Lewis, Zakkoyya H., Lyons, Elizabeth J., Jennings, Kristofer, Middleton, Addie, Deer, Rachel R., Arnold, Demi, Dresser, Kaitlin +2 more·2017·Archives of Physical Medicine and Rehabilitation
DOI 10.1016/j.apmr.2017.03.017PMC PMC5534187
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Abstract

Objective To examine the effect of home- and community-based physical activity interventions on physical functioning among cancer survivors based on the most prevalent physical function measures, randomized trials were reviewed.Data sources Five electronic databases-Medline Ovid, PubMed, CINAHL, Web of Science, and PsycINFO-were searched from inception to March 2016 for relevant articles.Study selection Search terms included community-based interventions, physical functioning, and cancer survivors. A reference librarian trained in systematic reviews conducted the final search.Data extraction Four reviewers evaluated eligibility and 2 reviewers evaluated methodological quality. Data were abstracted from studies that used the most prevalent physical function measurement tools-Medical Outcomes Study 36-Item Short-Form Health Survey, Late-Life Function and Disability Instrument, European Organisation for the Research and Treatment of Cancer Quality-of-Life Questionnaire, and 6-minute walk test. Random- or fixed-effects models were conducted to obtain overall effect size per physical function measure.Data synthesis Fourteen studies met inclusion criteria and were used to compute standardized mean differences using the inverse variance statistical method. The median sample size was 83 participants. Most of the studies (n=7) were conducted among breast cancer survivors. The interventions produced short-term positive effects on physical functioning, with overall effect sizes ranging from small (.17; 95% confidence interval [CI], .07-.27) to medium (.45; 95% CI, .23-.67). Community-based interventions that met in groups and used behavioral change strategies produced the largest effect sizes.Conclusions Home and community-based physical activity interventions may be a potential tool to combat functional deterioration among aging cancer survivors. More studies are needed among other cancer types using clinically relevant objective functional measures (eg, gait speed) to accelerate translation into the community and clinical practice.

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  • A supervised progressive resistance training program focused on large muscle groups, performed 2-3 times per week with a "start low, progress slow" principle, is safe for upper extremity breast cancer-related lymphedema.

    “For resistance training, a general progressive program focused on large muscle groups performed 2–3 times per week, with the principle of “start low, progress slow” is safe when supervised by a fitness professional(38–42).”

    From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [42]

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Research works printed but not linked: 2

  1. [48]Flores AM Hodges LC Brewer LH Recovering Shoulder Function and Quality of Life after Breast Cancer Surgery Journal of the Section on Women’s Health 2004 28 7 14
  2. [96]Cohen J Statistical power analysis for the behavioral sciences (revised ed) New York Academic Press 1977

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Authors
Swartz, M. C., Lewis, Z. H., Lyons, E. J., Jennings, K., Middleton, A., Deer, R. R., Arnold, D., Dresser, K., Ottenbacher, K. J., & Goodwin, J. S.
Affiliations
The University of Texas Medical Branch at Galveston (US)
Corresponding author
Swartz, Maria C.
ORCID
Venue
Archives of Physical Medicine and Rehabilitation
Publisher
Elsevier BV
Published
2017-08
Volume
98
Issue
8
Pages
1652-1665
ISSN
0003-9993 (ISSN-L)
DOI
10.1016/j.apmr.2017.03.017
PMC
PMC5534187
OpenAlex
W2552194327
Cited by
127
References
111
Citations by year
2026: 7 · 2025: 13 · 2024: 20 · 2023: 10 · 2022: 14 · 2021: 23 · 2020: 11 · 2019: 13 · 2018: 14 · 2017: 1 · 2015: 1
FWCI
1.12
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Archives of Physical Medicine and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (P30AG024832)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055929)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
cancer survivors, physical activity interventions, home-based exercise, community-based exercise, physical function, functional decline, breast cancer survivors, group intervention, behavioral change strategies, quality of life, 6-minute walk test, SF-36, EORTC QLQ-C30
MeSH terms
Breast Neoplasms, Community Health Services, Disability Evaluation, Health Promotion, Humans, Neoplasms, Quality of Life, Residence Characteristics, Exercise, Randomized Controlled Trials as Topic, Survivors, Mobility Limitation

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