Effects and moderators of exercise on sleep in adults with cancer: Individual patient data and aggregated meta-analyses.

Adult Exercise Humans Neoplasms / physiopathology Quality of Life Sleep / physiology Sleep Wake Disorders
Cancer Physical activity Treatment, sleep

Journal

Journal of psychosomatic research
ISSN: 1879-1360
Titre abrégé: J Psychosom Res
Pays: England
ID NLM: 0376333

Informations de publication

Date de publication:
09 2019
Historique:
received: 04 03 2019
revised: 14 06 2019
accepted: 16 06 2019
entrez: 25 8 2019
pubmed: 25 8 2019
medline: 23 4 2020
Statut: ppublish

Résumé

To evaluate the effects of exercise interventions on sleep disturbances and sleep quality in patients with mixed cancer diagnoses, and identify demographic, clinical, and intervention-related moderators of these effects. Individual patient data (IPD) and aggregated meta-analyses of randomized controlled trials (RCTs). Using data from the Predicting OptimaL cAncer RehabIlitation and Supportive care project, IPD of 2173 adults (mean age = 54.8) with cancer from 17 RCTs were analyzed. A complementary systematic search was conducted (until November 2018) to study the overall effects and test the representativeness of analyzed IPD. Effect sizes of exercise effects on self-reported sleep outcomes were calculated for all included RCTs. Linear mixed-effect models were used to evaluate the effects of exercise on post-intervention outcome values, adjusting for baseline values. Moderator effects were studied by testing interactions for demographic, clinical and intervention-related characteristics. For all 27 eligible RCTs from the updated search, exercise interventions significantly decreased sleep disturbances in adults with cancer (g = -0.09, 95% CI [-0.16; -0.02]). No significant effect was obtained for sleep quality. RCTs included in IPD analyses constituted a representative sample of the published literature. The intervention effects on sleep disturbances were not significantly moderated by any demographic, clinical, or intervention-related factor, nor by sleep disturbances. This meta-analysis provides some evidence that, compared to control conditions, exercise interventions may improve sleep disturbances, but not sleep quality, in cancer patients, although this effect is of a small magnitude. Among the investigated variables, none was found to significantly moderate the effect of exercise interventions on sleep disturbances.

Identifiants

DOI: 10.1016/j.jpsychores.2019.109746 PMID: 31443811
pubmed: 31443811
pii: S0022-3999(19)30193-X
doi: 10.1016/j.jpsychores.2019.109746
pii:
doi:

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

109746

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

P Bernard (P)

Université Laval Cancer Research Center, Québec, Québec, Canada; School of Psychology, Université Laval, Québec, Québec, Canada; CHU de Québec - Université Laval Research Center, Québec, Québec, Canada; Physical Activity Sciences Department, Université du Québec à Montréal, Montréal, Quebec, Canada; Research centre, University Institute of Mental Health at Montreal, Montréal, Quebec, Canada. Electronic address: bernard.paquito@uqam.ca.

J Savard (J)

Université Laval Cancer Research Center, Québec, Québec, Canada; School of Psychology, Université Laval, Québec, Québec, Canada; CHU de Québec - Université Laval Research Center, Québec, Québec, Canada.

K Steindorf (K)

Division of Physical Activity, Prevention and Cancer, German Cancer Research Center (DKFZ) and National Center for Tumor Disease (NCT), Heidelberg, Germany.

M G Sweegers (MG)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam, The Netherlands.

K S Courneya (KS)

Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada.

R U Newton (RU)

Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.

N K Aaronson (NK)

Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.

P B Jacobsen (PB)

Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

A M May (AM)

Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

D A Galvao (DA)

Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.

M J Chinapaw (MJ)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam, The Netherlands.

M M Stuiver (MM)

Department of Physiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands.

K A Griffith (KA)

School of Nursing, University of Maryland, Baltimore, USA.

I Mesters (I)

Department of Epidemiology, Maastricht University, The Netherlands.

H Knoop (H)

Amsterdam UMC, University of Amsterdam, Department of Medical Psychology, Amsterdam, The Netherlands.

M M Goedendorp (MM)

Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Heidelberg t University, Mannheim, Germany.

M Bohus (M)

Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Heidelberg t University, Mannheim, Germany; Faculty of Health, University of Antwerp, Belgium.

L Thorsen (L)

National Advisory Unit on Late Effects after Cancer, Department of Oncology, Oslo University Hospital, Oslo, Norway.

M E Schmidt (ME)

Division of Physical Activity, Prevention and Cancer, German Cancer Research Center (DKFZ) and National Center for Tumor Disease (NCT), Heidelberg, Germany.

C M Ulrich (CM)

Huntsman Cancer Institute and University of Utah, Department of Population Health Sciences, Salt Lake City, USA.

G S Sonke (GS)

Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

W van Harten (W)

Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Huntsman Cancer Institute and University of Utah, Department of Population Health Sciences, Salt Lake City, USA.

K M Winters-Stone (KM)

Oregon Health & Science University, Portland, USA.

M J Velthuis (MJ)

Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.

D R Taaffe (DR)

Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.

W van Mechelen (W)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam, The Netherlands.

M J Kersten (MJ)

Amsterdam UMC, University of Amsterdam, Department of Hematology, Amsterdam, The Netherlands.

F Nollet (F)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

J Wenzel (J)

Johns Hopkins School of Nursing, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, USA.

J Wiskemann (J)

Division of Medical Oncology, National Center for Tumor Diseases (NCT) and Heidelberg University Hospital, Heidelberg, Germany.

I M Verdonck-de Leeuw (IM)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Otolaryngology-Head and Neck Surgery, The Netherlands; Department of Clinical Psychology, Vrije Universiteit Amsterdam, The Netherlands.

J Brug (J)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam, The Netherlands; National Institute for Public Health and the Environment, Bilthoven, The Netherlands.

L M Buffart (LM)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam, The Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam, The Netherlands.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Activités humaines › Exercice physique › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Tumeurs › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sommeil › Effects and moderators of exercise on sleep in...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Effects and moderators of exercise on sleep in...