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首页> 外文期刊>Journal of cancer survivorship: research and practice >Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis
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Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis

机译：数字健康行为改变癌症幸存者患者身体活动和饮食的干预措施：系统审查和荟萃分析

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Abstract Purpose The number of cancer survivors has risen substantially due to improvements in early diagnosis and treatment. Health behaviours such as physical activity (PA) and diet can reduce recurrence and mortality, and alleviate negative consequences of cancer and treatments. Digital behaviour change interventions (DBCIs) have the potential to reach large numbers of cancer survivors. Methods We conducted a systematic review and meta-analyses of relevant studies identified by a search of Medline, EMBASE, PubMed and CINAHL. Studies which assessed a DBCI with measures of PA, diet and/or sedentary behaviour were included. Results Fifteen studies were identified. Random effects meta-analyses showed significant improvements in moderate-vigorous PA (seven studies; mean difference (MD)?=?41?min per week; 95% CI 12, 71) and body mass index (BMI)/weight (standardised mean difference (SMD)?=??0.23; 95% CI ?0.41, ?0.05). There was a trend towards significance for reduced fatigue and no significant change in cancer-specific measures of quality of life (QoL). Narrative synthesis revealed mixed evidence for effects on diet, generic QoL measures and self-efficacy and no evidence of an effect on mental health. Two studies suggested improved sleep quality. Conclusions DBCIs may improve PA and BMI among cancer survivors, and there is mixed evidence for diet. The number of included studies is small, and risk of bias and heterogeneity was high. Future research should address these limitations with large, high-quality RCTs, with objective measures of PA and sedentary time. Implications for cancer survivors Digital technologies offer a promising approach to encourage health behaviour change among cancer survivors.
机译：摘要目的由于早期诊断和治疗的改善，癌症幸存者的数量显着提高。体育活动（PA）和饮食等健康行为可以减少复发和死亡率，并减轻癌症和治疗的负面后果。数字行为改变干预措施（DBCIS）有可能达到大量癌症幸存者。方法我们进行了系统审查和通过搜索Medline，Embase，PubMed和Cinahl的相关研究的荟萃分析。包括评估PA，饮食和/或久坐行为的DBCI的研究。结果确定了十五个研究。随机效应Meta-Analys显示中度剧性PA的显着改善（七项研究;平均差异（MD）？=α41Ω·最小; 95％CI 12,71）和体重指数（BMI）/重量（标准化平均值差异（SMD）？= ?? 0.23; 95％CI？0.41，？0.05）。减少疲劳和癌症质量质量的特定措施没有显着变化，有重要意义（QOL）。叙事综合揭示了对饮食影响，通用QOL测量和自我效能的混合证据，并且没有对心理健康产生影响的证据。两项研究表明改善了睡眠质量。结论DBCIS可以改善癌症幸存者中的PA和BMI，饮食有混合证据。包括的研究数量很小，偏倚风险和异质性高。未来的研究应以大型高质量的RCT解决这些限制，具有PA和久坐时间的客观措施。对癌症幸存者的影响数字技术提供了有希望的方法来鼓励癌症幸存者之间的健康行为发生变化。

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