Clarifying the benefits of physical exercise on physical and psychological health in patients with cervical cancer: an integrative review
Abstract
Objective: To identify and describe the scientific evidence on the interventions of physical exercises in the physical and psychological health of individuals with Cervical Cancer. Materials and Methods: An integrative review was carried out blindly and independently, in June 2023, according to the PRISMA guidelines and a guiding question formulated according to the PICOS strategy. The results were obtained by direct online access through the databases: PubMed, Science Direct and Capes, using the combination of the following descriptors in English: Cervical Cancer, Physical activity, and Physical exercise. Results and Discussion: A total of 5 studies were selected, with a sample of 462 participants with a mean age of 48.5 years. The studies included aerobic, resistance, stretching, and strengthening exercises. Although combined exercises result in better overall quality of life, anxiety, depression and muscle strength indices, specific protocols are still needed to better establish a time, frequency and best moment of intervention for this population. Conclusion: Patients with cervical cancer can benefit from the practice of physical exercises, improving aspects related to general physical and psychological health. It is recommended that more studies, such as randomized clinical trials, be carried out to obtain more concise results.
References
-ACS. American Cancer Society. Cancer Facts & Figures 2023. Atlanta, Ga: American Cancer Society. 2023. Acesso em 06/2023. Disponível em: https://www.cancer.org/cancer/types/cervical-cancer/about/key-statistics.html
-Campbell, K.L.; Winters-Stone, K.M.; Wiskemann, J.; May, A.M.; Schwartz. A.L.; Courneya, K.S.; Zucker, D.S.; Matthews, C.E.; Ligibel, J.A.; Gerber, L.H.; Morris, G.S.; Patel, A.V.; Hue, T.F.; Perna, F.M. Schmitz, K.H. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Medicine and science in sports and exercise. Vol. 51. Núm. 11. p. 2375. 2019.
-Campos, M.S.B.; Feitosa, R.H.F.; Mizzaci, C.C.; Flach, M.R.T.V.; Siqueira, B.J.M.; Mastrocola, L.E. Os Benefícios dos Exercícios Físicos no Câncer de Mama. Arquivos Brasileiros de Cardiologia. Vol. 119. Núm. 6. p. 981-990. 2022.
-Cardoso, S. C. F.; Silva, D. M. B.; Navarro, D. N.; Guia, N.; Mostarda, C. T.; Navarro, F.; Navarro, A. C. Exercício físico, ângulo de fase e modulação autonômica cardíaca em mulheres com câncer de mama: uma revisão. Revista Brasileira de Prescrição e Fisiologia do Exercício. São Paulo. Vol. 17. Núm. 108. p.163-169. 2022.
-Casas, C.P. R.; Alburquerque, R. C. R.; Loureiro, R. B.; Gollner, A.M. Freitas, M. G.; Duque, G.P.N.; Viscondi, J. Y. K. Cervical cancer screening in low-and middle-income countries: A systematic review of economic evaluation studies. Clinics. Vol. 77. p. 1-12. 2022.
-Chow, K.M.; Chan, C.W.H.; Anderson, D.J.; Porter-Steele, J.; Leung, A.W.Y.; Law, B.M.H.; McCarthy, A. L. Feasibility and acceptability of a culturally adapted Women's Wellness After Cancer Programme for Chinese women treated for gynaecological cancer: A pilot randomised controlled trial. Heliyon. Vol. 9. Núm. 5. p. e15591. 2023.
-Fekri-Ershad, S.; Ramakrishnan. S. Cervical cancer diagnosis based on modified uniform local ternary patterns and feed forward multilayer network optimized by genetic algorithm. Computers in Biology and Medicine. Vol. 144. p. 105392. 2022.
-Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2023: incidência do Câncer no Brasil. Rio de Janeiro. INCA. 2022. Acesso em 06/2023. Disponível em: https://www.gov.br/inca/ptbr/assuntos/cancer/numeros/estimativa
-International Agency for Research Cancer (IARC). Estimated number of deaths in 2021, Word. Acesso em 01/2023. Disponível em: https://gco.iarc.fr/today/home
-Iyer, N.S.; Osann, K.; Hsieh, S.; Tucker, J.A.; Monk, B.J.; Nelson, E.L.; Wenzel, L. Health behaviors in cervical cancer survivors and associations with quality of life. Clinical therapeutics. Vol. 38. Núm. 3. p. 467-475. 2016.
-Millet, N.; McDermott, H.J.; Moss, E.; Edwardon, C.L.; Munir, F. Increasing physical activity levels following treatment for cervical cancer: an intervention mapping approach. Journal of Cancer Survivorship. Vol. 16. Núm. 3. p. 650-658. 2022.
-Obama, K.; Maru, M.; Maeda, R.; Kubota, T. Cancer-related fatigue and physical activity among premenopausal cervical and endometrial cancer survivors in Japan. Journal of medical and dental sciences. Vol. 62. Núm. 3. p. 57-68. 2015.
-Pagano, A.P.; Ford, K.L.; Starr, K.N.P.; Kiss, N.; Steed, H.; Kung, J.Y.; Elango, R.; Prado, C, M. Energy Metabolism in Gynecological Cancers: A Scoping Review. International Journal of Environmental Research and Public Health. Vol. 19. Núm. 11. p. 6419. 2022.
-Page, M. J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L. Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; Chou, R.; Glanville, J.; Grimshaw, J.M.; Hróbjartsson, A.; Lalu, M.M.; Li, T.; Loder, E.W.; Mayo-Wilson, E.; McDonald, S.; McGuinness, L.A.; Stewart, L.A.; Thomas, J.; Tricco, A.C.; Welch, V.A.; Whiting, P.; Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International journal of surgery. Vol. 88. p. 105906. 2021.
-Peel, A.B.; Barlow, C.E.; Leonard, D.; De Fina, L.F.; Jones, L.W.; Lakoski, S.G. Cardiorespiratory fitness in survivors of cervical, endometrial, and ovarian cancers: the Cooper Center Longitudinal Study. Gynecologic oncology. Vol. 138. Núm. 2. p. 394-397. 2015.
-Rock, C.L.; Thomson, C.A.; Sullivan, K.R.; Howe, C.L.; Kushi, L.H.; Caan, B.J.; Neuhouser, M.L.; Bandera, E.V.; Wang, Y.; Robien, K.; Basen-Engquist, K.M.; Brown, 18 - J.C.; Courneya, K.S.; Crane, T.E.; Garcia, D.O.; Grant, B.L.; Hamilton, K.K.; Hartman, S.J.; Kenfield, S. A.; Martinez, M.E.; Meyerhardt, J.A.; Nekhlyudov, L.; Overholser, L.; Patel, A.V.; Pinto, B.M.; Platek, M.E.; Rees-Punia, E.; Spees, C.K.; Gapstur, S.M.; McCullough, M.L. American Cancer Society nutrition and physical activity guideline for cancer survivors. CA: A Cancer Journal for Clinicians. Vol. 72. Núm. 3. p. 230-262. 2022.
-Salisbury, C.E.; Hyde, M.K.; Cooper, E.T.; Stennett, R.C.; Gomrsall, S.R.; Skinner, T. L. Physical activity behaviour change in people living with and beyond cancer following an exercise intervention: a systematic review. Journal of Cancer Survivorship. Vol. 17. Núm. 3. p.569-594. 2023.
-Sehnal, B.; Sláma, J.; What next in cervical cancer screening? Ceska Gynekologie. Vol. 85. Núm. 4. p. 236-243. 2020.
-Szender, J.B.; Cannioto, R.; Gulati, N.R.; Schmitt, K.L.; Friel, G.; Minlikeeva, A.; Platek, A.; Gower, E.H.; Nagy, R.; Khachatryan, E.; Mayor, P.C.; Kasza, K.A.; Lele, S.B.; Odunsi, K.; Moysich, K. B. Impact of physical inactivity on risk of developing cancer of the uterine cervix: a case-control study. Journal of lower genital tract Disease. Vol. 20. Núm. 3. p. 230-233. 2016.
-Turcker, K.; Staley, S.A.; Clark, L.H.; Soper. J.T. Physical Activity: Impact on Survival in Gynecologic Cancer. Obstet Gynecol Surv. Vol. 74. Núm. 11. p. 679-692. 2019.
-Wang, X.; Ding, Y.; Cai, H.Y.; You, J.; Fan, F.Q.; Zhi-Fang, C.; An, P. Effectiveness of modified complex decongestive physiotherapy for preventing lower extremity lymphedema after radical surgery for cervical cancer: a randomized controlled trial. International Journal of Gynecologic Cancer. Vol. 30. Núm. 6. p. 754-763. 2020.
-Xing, J.; Zhu, T.; Zhang, J.; Yang W, Ai-Jun, Y. Association between prestored smartphone monitored physical activity and the risk of HPV infection and cervical cancer. Asian Pacific Journal of Cancer Prevention. Vol. 23. Núm. 10. p. 3393-3404. 2022.
-Zhang, J.; Ju, X.; Feng, Z.; Zhang, X.; Li, J. Progressive resistance exercise training to prevent lower-limb lymphedema after cervical cancer surgery: a feasibility study. Asia-Pacific Journal of Oncology Nursing. Vol. 9. Núm. 1. p. 32-38. 2022.
Copyright (c) 2024 Lailton Oliveira da Silva, Ismenia Martineli Lima de Sousa, Louhanna Pinheiro Rodrigues Teixeira, Anderson Weiny Barbalho Silva, José Juvenal Linhares

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).