Effects of resistance training on sleep quality and disorders among individuals diagnosed with cancer: A systematic review and meta‐analysis of randomized controlled trials

Author:

Maric Dora1ORCID,Ficarra Salvatore12ORCID,Di Bartolo Luca1ORCID,Rossi Carlo1ORCID,Asimakopoulou Zoi3,Vantarakis Apostolos3ORCID,Carbonell‐Baeza Ana45ORCID,Jiménez‐Pavón David456ORCID,Gomes Beatriz7ORCID,Tavares Paula7ORCID,Baxter Rebecca8ORCID,Pusa Susanna8ORCID,Thaller Petra9,Papakonstantinou Sofia10,Kirkar Musa11,Glorioso Francesca12,Galioto Marina1ORCID,Gentile Ambra1ORCID,Thomas Ewan1ORCID,Bianco Antonino1ORCID

Affiliation:

1. Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement University of Palermo Palermo Italy

2. Division of Population Sciences, Department of Medical Oncology Dana‐Farber Cancer Institute Boston Massachusetts United States

3. University of Patras Patras Greece

4. MOVE‐IT Research Group, Department of Physical Education, Faculty of Education Sciences University of Cadiz Cadiz Spain

5. Biomedical Research and Innovation Institute of Cadiz (INiBICA) Cadiz Spain

6. CIBER of Frailty and Healthy Aging (CIBERFES) Madrid Spain

7. Faculty of Sport Sciences and Physical Education University of Coimbra Coimbra Portugal

8. Department of Nursing Umeå University Umeå Sweden

9. Department of Health Consulting, Research and Science Outdoor Against Cancer München Germany

10. Creative Thinking Development—CRE.THI.DEV Rafina Greece

11. CEIPES ETS Palermo Italy

12. Lega Italiana per la lotta Contro i Tumori (LILT Palermo) Palermo Italy

Abstract

AbstractBackgroundSleep disorders are often complained by cancer patients and can last years after the end of therapies, leading to different negative consequences. Non‐pharmacological strategies such as exercise interventions may be considered to counteract this phenomenon. The literature supports the beneficial effects of aerobic training (AT), while evidence on resistance training (RT) is scarce. Accordingly, our systematic review aims to investigate the potential novel effect of RT on sleep outcomes in cancer survivors.MethodsThe literature search was conducted on MEDLINE (Pubmed), Web of Science, Scopus, and Cochrane Central Register of Controlled Trials databases, including only randomized controlled trials (RCTs). The screening procedure was conducted using the web‐based software COVIDENCE. Sleep outcomes assessed through self‐reported questionnaires or objective sleep measurements were extracted from RCTs recruiting cancer survivors of any age and gender, on or off treatment. The risk of bias (RoB) for each study was assessed using the Cochrane RoB 2 tool for RCTs. Meta‐analytic syntheses were performed on sleep quality and insomnia.ResultsA total of 21 studies were included in the review. Considering the mean percentage differences of all studies combined, promising positive results were found after combined aerobic and resistance exercise program (COMB) for sleep quality (−19%) and sleep disturbance (−17.3%). The meta‐analysis results showed significant improvement for both sleep quality and insomnia (d = 0.28, SE: 0.11, Z = 2.51, p < 0.01, 95% CI: 0.07–0.49 and d = 0.43, SE: 0.20, Z = 2.18, p = 0.029, 95% CI: 0.07–0.49, respectively).ConclusionRT interventions of 60 minutes per session, performed 2–3 times a week for 12 weeks, with exercise intensity ranging from 60% to 80% of one‐repetition maximum can be administered to cancer survivors, aiming to improve sleep outcomes.

Publisher

Wiley

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