The effect of exercise interventions on quality of life in patients with multiple myeloma: a systematic review and meta-analysis of randomised controlled trials
Purpose To determine the effect of exercise interventions on quality of life in adults with multiple myeloma. Methods A literature search of 10 sources was performed in June 2022 to identify eligible studies for synthesis. Inclusion criteria: randomised controlled trials comparing the effect of exercise interventions with usual care in adults with a diagnosis of multiple myeloma. The risk of bias was assessed using the Revised Cochrane risk-of-bias tool for randomized trials. Meta-analysis was performed using a random-effects model with inverse variance and 95% confidence intervals. Forest plots were constructed to present pooled data. Results Five RCTs, which included a total of 519 participants, were selected for inclusion. Four of the five studies were included in the meta-analysis. The mean participant age ranged from 55 to 67 years old. All studies included an aerobic exercise component. Intervention length ranged from 6 to 30 weeks. Meta-analysis of 118 participants showed that exercise interventions had no impact on global quality of life (MD = 2.15, 95% CI: − 4.67, 8.97, p = 0.54, $ I^{2} $ = 0%). Exercise interventions negatively impacted participant grip strength (MD: − 3.69, 95% CI: − 7.12, -0.26, p = 0.03, $ I^{2} $ = 0%) according to pooled data from 186 participants. Conclusion Exercise interventions have no positive impact on the quality of life of patients with multiple myeloma. The analysis is limited by a high risk of bias across included studies and low certainty evidence. Further high-quality trials are needed to assess the role of exercise in patients with multiple myeloma..
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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Enthalten in: |
Clinical and experimental medicine - 23(2023), 7 vom: 08. Apr., Seite 3217-3230 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Goodhew, Rebecca E. [VerfasserIn] |
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Links: |
Volltext [lizenzpflichtig] |
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Themen: |
Exercise |
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Anmerkungen: |
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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doi: |
10.1007/s10238-023-01058-5 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
SPR053584813 |
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520 | |a Purpose To determine the effect of exercise interventions on quality of life in adults with multiple myeloma. Methods A literature search of 10 sources was performed in June 2022 to identify eligible studies for synthesis. Inclusion criteria: randomised controlled trials comparing the effect of exercise interventions with usual care in adults with a diagnosis of multiple myeloma. The risk of bias was assessed using the Revised Cochrane risk-of-bias tool for randomized trials. Meta-analysis was performed using a random-effects model with inverse variance and 95% confidence intervals. Forest plots were constructed to present pooled data. Results Five RCTs, which included a total of 519 participants, were selected for inclusion. Four of the five studies were included in the meta-analysis. The mean participant age ranged from 55 to 67 years old. All studies included an aerobic exercise component. Intervention length ranged from 6 to 30 weeks. Meta-analysis of 118 participants showed that exercise interventions had no impact on global quality of life (MD = 2.15, 95% CI: − 4.67, 8.97, p = 0.54, $ I^{2} $ = 0%). Exercise interventions negatively impacted participant grip strength (MD: − 3.69, 95% CI: − 7.12, -0.26, p = 0.03, $ I^{2} $ = 0%) according to pooled data from 186 participants. Conclusion Exercise interventions have no positive impact on the quality of life of patients with multiple myeloma. The analysis is limited by a high risk of bias across included studies and low certainty evidence. Further high-quality trials are needed to assess the role of exercise in patients with multiple myeloma. | ||
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