Abstract
Background
Colorectal cancer decrease quality of life, due to treatment and disease, and physical exercise can improve the quality of life of patients with cancer, but it is still uncertain whether physical exercise can improve quality of life in these patients.
Aim
To determine if there is an improvement in the quality of life in patients diagnosed with colorectal cancer undergoing physical exercise.
Methods
A systematic literature review was carried out; non-randomized clinical trials of any year were included from PubMed, Embase, Cochrane, and VHL platforms, without specific language delimitation, and analyzed the influence of physical exercise on the quality of life of patients diagnosed with colorectal cancer, and for analysis of bias, the Cochrane Manual for the Development of Systematic Intervention Reviews was used.
Results
Four studies were analyzed in full to produce the results; of these, three intervened with unsupervised aerobic exercises and one with semi-supervised aerobic exercises, all used the FACT-C as a questionnaire to assess quality of life, some even used FACT-G and/or SF-12, and only one author found significance values in the variables of physical well-being, emotional well-being, and functional well-being of the questionnaire, compared with the control group.
Conclusion
There were no significant increases in the quality of life of patients diagnosed with colorectal cancer compared with the control group.
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Data Availability
All data and material was available.
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. https://doi.org/10.3322/caac.21492.
Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, et al. Cancer statistics in China, 2015. CA Cancer J Clin. 2016;66(2):115–32. https://doi.org/10.3322/caac.21338.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7–30. https://doi.org/10.3322/caac.21590.
Siegel RL, Miller KD, Goding Sauer A, Fedewa SA, Butterly LF, Anderson JC, et al. Colorectal cancer statistics, 2020. CA Cancer J Clin. 2020;70(3):145–64. https://doi.org/10.3322/caac.21601.
Dennett AM, Peiris CL, Shields N, Taylor NF (2020) From cancer rehabilitation to recreation: a coordinated approach to increasing physical activity. Phys Ther pzaa135. https://doi.org/10.1093/ptj/pzaa135.
Piringer G, Holzner B, Mayrbaeurl B, Heibl S, Sztankay M, Frantal S, et al. Influence of a structured exercise training on patients reported quality of life in colorectal cancer patients after adjuvant chemotherapy: a pilot study. Integr Cancer Ther. 2020;19:1534735420938458. https://doi.org/10.1177/1534735420938458.
Hsu HT, Wu LM, Lin PC, Juan CH, Huang YY, Chou PL, et al. Emotional distress and quality of life during folinic acid, fluorouracil, and oxaliplatin in colorectal cancer patients with and without chemotherapy-induced peripheral neuropathy: a cross-sectional study. Medicine (Baltimore). 2020;99(6):e19029. https://doi.org/10.1097/MD.0000000000019029.
Mina DS, Sabiston CM, Au D, et al. Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement. Curr Oncol. 2018;25(2):149–62. https://doi.org/10.3747/co.25.3977.
Song M, Chan AT. The potential role of exercise and nutrition in harnessing the immune system to improve colorectal cancer survival. Gastroenterology. 2018;155(3):596–600. https://doi.org/10.1053/j.gastro.2018.07.038.
Otto SJ, Korfage IJ, Polinder S, van der Heide A, de Vries E, Rietjens JAC, et al. Association of change in physical activity and body weight with quality of life and mortality in colorectal cancer: a systematic review and meta-analysis. Support Care Cancer. 2015;23(5):1237–50. https://doi.org/10.1007/s00520-014-2480-0.
Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions: John Wiley & Sons; 2019.
Courneya KS, Friedenreich CM, Quinney HA, Fields AL, Jones LW, Fairey AS. A randomized trial of exercise and quality of life in colorectal cancer survivors. Eur J Cancer Care (Engl). 2003;12(4):347–57. https://doi.org/10.1046/j.1365-2354.2003.00437.x.
Ho M, Ho JWC, Fong DYT, Lee CF, Macfarlane DJ, Cerin E, et al. Effects of dietary and physical activity interventions on generic and cancer-specific health-related quality of life, anxiety, and depression in colorectal cancer survivors: a randomized controlled trial. J Cancer Surviv. 2020;14(4):424–33. https://doi.org/10.1007/s11764-020-00864-0.
Brown JC, Damjanov N, Courneya KS, Troxel AB, Zemel BS, Rickels MR, et al. A randomized dose-response trial of aerobic exercise and health-related quality of life in colon cancer survivors. Psychooncology. 2019;27(4):1221–8. https://doi.org/10.1002/pon.4655.
Kim JY, Lee MK, Lee DH, Kang DW, Min JH, Lee JW, et al. Effects of a 12-week home-based exercise program on quality of life, psychological health, and the level of physical activity in colorectal cancer survivors: a randomized controlled trial. Support Care Cancer. 2019;27(8):2933–40. https://doi.org/10.1007/s00520-018-4588-0.
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da Silva Bezerra, K.H., de Oliveira, M.V.L., do Nascimento, I.J.B. et al. Physical Exercise and Quality of Life of Patients Diagnosed with Colorectal Cancer: Systematic Literature Review. J Gastrointest Canc 52, 17–22 (2021). https://doi.org/10.1007/s12029-020-00506-9
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DOI: https://doi.org/10.1007/s12029-020-00506-9