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Poster De Conférence Année : 2021

Effectiveness of physical activity interventions on return to work after a cancer diagnosis: a meta-analysis

Résumé

Purpose: The aim of this study was to assess the effectiveness of physical activity (PA) interventions on return to work (RTW) in cancer patients, compared to usual care, and determine the dose of PA needed to improve this outcome. Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. We included PA intervention studies that aimed to assess RTW in cancer patients (≥18 years). Six electronic databases were searched for relevant studies including PubMed, EMBASE, Web of Science, CENTRAL (Cochrane), PsycINFO, and Scopus from inception to March 8, 2021. We also searched grey literature, and health organization websites, hand-searched reference lists of previous reviews, and consulted additional experts. Two review authors independently screened records based on the eligibility criteria, extracted data from the included studies, and assessed the risk of bias using navigation guide tools. Results are combined as pooled risk ratio (RR) between groups using random-effects meta-analysis, with 95% confidence intervals (CI). Narrative synthesis was also conducted according to results from the included studies. Results: A total of 2405 records were identified, of which 8 intervention studies were included. The sample size of the included studies varied between 41 and 240, for a total of 1087 participants aged between 18 and 75 years, diagnosed with breast cancer (mainly), prostate cancer, colorectal, upper gastrointestinal, Hodgkin lymphoma, and ovarian cancers. Compared with usual care, PA intervention had a significant effect on RTW among cancer patients with a pooled RR of 1.29 (95% CI: 1.17, 1.42). We found that exercise dose between 7.6 METs.h/week and 15 METs.h/week consisting of 50-60 minutes of moderate to high-intensity exercise 2 times per week seems more efficacious in improving RTW. Conclusion: Our results revealed that there is evidence that PA intervention has positive effects in increasing the rate of RTW among cancer survivors. Thus, PA intervention is more effective than usual care in improving RTW in cancer patients.
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Dates et versions

hal-04294827 , version 1 (20-11-2023)

Identifiants

  • HAL Id : hal-04294827 , version 1

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Têtê Norbert Wilson, Aboubakari Nambiema, Bertrand Porro, Alexis Descatha, Agnès Aublet-Cuvelier, et al.. Effectiveness of physical activity interventions on return to work after a cancer diagnosis: a meta-analysis. 25eme Journée Jeunes Chercheurs en Cancérologie., Nov 2021, Paris, France. . ⟨hal-04294827⟩
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