Banca de DEFESA: ANDREA KARLA SOARES MONTENEGRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANDREA KARLA SOARES MONTENEGRO
DATE: 29/08/2022
TIME: 10:00
LOCAL: Sala 3
TITLE:

EFFECTS OF PHYSICAL EXERCISE ON THE FUNCTIONAL CAPACITY AND MUSCLE STRENGTH OF PATIENTS WITH GASTRIC AND ESOPHAGEAL CANCER: A SYSTEMATIC REVIEW

KEY WORDS:

Esophageal cancer, gastric cancer, exercise, aerobic training, resistance exercise, functional capacity.

PAGES: 50
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The clinical management of esophageal or gastric cancer involves a combination of treatments, neoadjuvants and surgical resection. The malnutrition inherent to this type of cancer results in a decline in functional capacity (FC) and muscle strength (FM). The objective of this review is to evaluate the evidence on the effects of physical exercise on the functional capacity of patients with esophageal and stomach cancer. This is a systematic review of randomized clinical trials that evaluated the impact of an exercise program on the functional capacity of patients with esophagogastric cancer. The searches involved PubMed, PEDro, Cochrane Library, Embase and CINAHL databases. The primary outcome of the review was FC. FM appeared as a secondary outcome. The risk of bias was assessed using the Cochrane Collaboration tool, using the RevMan software, and the degree of evidence was assessed using the GRADE system. Of 111 articles screened, eight studies involving a total of 673 patients were included in the qualitative synthesis. The studies varied in terms of measures of functional capacity, exercise protocols, and the therapeutic time at which the training program was implemented (during neoadjuvant therapy, pre- or post-surgical). The approach during neoadjuvant therapy had a positive effect on the 6-minute walk test (6MWT) and on handgrip strength (HPF), p<.05. The effect of the exercise performed in the preoperative period presented divergent results for the inspiratory muscle strength (PImax), being inconclusive for this outcome. However, in the assessment of functional capacity by the 6MWT, the result was statistically significant (p<0.001). The implementation of exercise in the postoperative period had an impact on the improvement of the 6MWT, maximum oxygen consumption (VO2max). However, in the assessment of muscle strength by HGS, there was no significant difference between the groups (p=0.758). Although some studies point to positive results in favor of physical exercise in improving functional capacity and muscle strength in patients undergoing treatment for esophagogastric cancer, further research is needed, not only to confirm the existing evidence but also for a better prescription and clinical application of these intervention protocols.

BANKING MEMBERS:
Presidente - 1887470 - DIEGO DE SOUSA DANTAS
Interna - 2581397 - DANIELLA CUNHA BRANDAO
Externo à Instituição - DIEGO NEVES ARAUJO