Journal article
Exercise Interventions in Cardio-Oncology Populations A Scoping Review of the Literature
The Journal of cardiovascular nursing, Vol.36(4), pp.385-404
07/01/2021
DOI: 10.1097/JCN.0000000000000664
PMID: 32195686
Abstract
Background Cardiac toxicity in patients with cancer results from treatment-related damage to the cardiovascular system by chemotherapy, targeted agents, or thoracic radiation. Cardio-oncology patients with co-occurring cancer and cardiovascular disease frequently experience fatigue. Exercise is recommended in clinical guidelines to manage fatigue during or after cancer treatment. Purpose The purpose of this article is to conduct a scoping review of the exercise randomized clinical trials in cardio-oncology patients, focusing on the components and effects of exercise interventions on patient cardiovascular and fatigue outcomes. Methods A scoping review methodological framework was deemed appropriate and used. Key words for search included "cancer," "oncology," "cardio-oncology," "heart failure," "physical activity," and "exercise." Search involved systematic searches of large databases (PubMed, MEDLINE, Cochrane Review, and CINAHL) and hand searches of reference lists, key journals, webpages, and experts in the field using snowballing techniques. Results There were 12 randomized clinical trials included in this review. Study characteristics, accordance of exercise protocols with recommendations, specific exercise training components, and cardiovascular and fatigue outcomes were mapped. Conclusions Recommendations for addressing the gaps included focusing on non-breast-cancer patients with cardiac toxicity risks, developing precision-based prescriptions based on various medical and physiological characteristics, and adding fatigue symptom experience as an outcome variable.
Details
- Title: Subtitle
- Exercise Interventions in Cardio-Oncology Populations A Scoping Review of the Literature
- Creators
- Hsiao-Lan Wang - University of South FloridaLakeshia Cousin - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC 22, Tampa, FL 33612 USAMichael G. Fradley - Moffitt Cancer CenterKristine A. Donovan - Moffitt Cancer CenterBarbara Smith - Univ S Florida, Acad Programs, Tampa, FL 33612 USALaura Szalacha - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC 22, Tampa, FL 33612 USAEllen M. Lavoie Smith - Univ Michigan, Sch Nursing, PhD Program, Ann Arbor, MI 48109 USAHarleah G. Buck - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC 22, Tampa, FL 33612 USA
- Resource Type
- Journal article
- Publication Details
- The Journal of cardiovascular nursing, Vol.36(4), pp.385-404
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/JCN.0000000000000664
- PMID
- 32195686
- ISSN
- 0889-4655
- eISSN
- 1550-5049
- Number of pages
- 20
- Language
- English
- Date published
- 07/01/2021
- Academic Unit
- Nursing
- Record Identifier
- 9984370644802771
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