Exercise interventions for patients with gynaecological cancer: a systematic review and meta-analysis
Abstract
Background People with gynaecological cancer commonly suffer from physical and psychological symptoms related to their cancer and cancer treatment.Objective To evaluate and synthesise the evidence examining the effect of interventions with an exercise component for females with gynaecological cancer.Data sources Medline, CINAHL, EMBASE, PubMed, PEDro, PsycINFO and Cochrane Library were searched systematically in September 2014.Study selection Randomised controlled trials were included if they investigated the effects of interventions with an exercise component in patients with gynaecological cancer.Study appraisal Two reviewers independently assessed the risk of bias of studies using the PEDro scale.Results Seven randomised controlled trials on five patient groups involving 221 participants were included. The mean PEDro score was 5.3 (standard deviation 1.5) out of 10. Compared with control groups, the intervention groups showed significantly greater improvements in physical activity levels and body mass index. No significant effects were found for fatigue, depression and health-related quality of life. A meta-analysis of functional exercise capacity and muscle strength was not possible due to insufficient data in the included trials.Limitations The majority of studies provided exercise as part of multicomponent intervention programmes.Conclusions Interventions with an exercise component appear to be effective at improving physical activity levels and body mass index among patients with gynaecological cancer. Further research is required to examine the effects of exercise interventions alone in this population.Systematic review registration number PROSPERO CRD42014014019.
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Some studies have applied body-related interventions in cancer patients, such as Tai Chi, acupressure, or Qi-Gong, but within a larger intervention program they were of minor importance, making it difficult to draw conclusions regarding their effects.
“Some studies have applied body-related interventions in cancer patients, such as Tai Chi, acupressure, or Qi-Gong. Within a larger intervention program they were, however, of minor importance, which makes it difficult to draw any conclusions regarding the effects of these bodily interventions [92–94].”
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- Authors
- Lin, K.-Y., Frawley, H. C., Denehy, L., Feil, D., & Granger, C. L.
- Affiliations
- The University of Melbourne (AU)
- La Trobe University (AU)
- Corresponding author
- Lin, K-Y.
- Venue
- Physiotherapy
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 102
- Issue
- 4
- Pages
- 309-319
- ISSN
- 0031-9406 (ISSN-L)
- OpenAlex
- W2339693465
- Cited by
- 38
- References
- 52
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 5 · 2017: 2
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physiotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- exercise intervention, gynecologic cancer, physical activity, body mass index, fatigue, depression, health-related quality of life, cancer survivors, cancer treatment side effects
- MeSH terms
- Exercise Therapy, Fatigue, Female, Genital Neoplasms, Female, Humans, Quality of Life, Body Mass Index, Randomized Controlled Trials as Topic, Muscle Strength
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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