Cochrane · systematic review · CD010804

Exercise for cancer cachexia in adults

Grande, AJ, Silva, V, Sawaris Neto, L, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
11
No studies
3
Included studies
NR
No studies 3 · 21.4%Ungraded 0 · 0%Very low 11 · 78.6%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Exercise plus usual care compared to usual care for cancer cachexia in adults

Population: cancer cachexia in adults
7 questions
OutcomeEffectEvidenceStatus / GRADE
Lean body mass
Exercise plus usual care vs usual care
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adherence to prescribed exercise programmes
Exercise plus usual care vs usual care
RR 11 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Occurrence of adverse events
Exercise plus usual care vs usual care
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Muscle strength and endurance
Exercise plus usual care vs usual care
no estimate extractedNRNo studies
Maximal and submaximal exercise capacity Functional capacity
Exercise plus usual care vs usual care
no estimate extractedNRNo studies
Fatigue
Exercise plus usual care vs usual care
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Health‐related quality of life
Exercise plus usual care vs usual care
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Multimodal intervention (exercise plus other interventions) plus usual care compared to usual care

Population: cancer cachexia in adults
7 questions
OutcomeEffectEvidenceStatus / GRADE
Lean body mass
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extracted1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adherence to prescribed exercise programmes
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extractedNRNo studies
Occurrence of adverse events
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
RR 1.18 [0.67, 2.07]1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Muscle strength and endurance** Strength
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extracted1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Maximal and submaximal exercise capacity** Submaximal capacity
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extracted1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Fatigue
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extracted1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Health‐related quality of life
Multimodal intervention (exercise plus other interventions) plus usual care vs usual care
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision, indirectness