Cuiqing Zhao

This study aims to investigate the effects of exercise on depression and anxiety in lung cancer survivors and identify the optimal exercise prescription for this population. Searches were conducted in PubMed, Web of Science, Cochrane Library, Embase, Scopus, CNKI, and Wanfang Data up to 7 January 2024. A meta-analysis was performed to calculate the standardized mean difference (SMD) and 95% confidence interval. Thirteen studies were included in this meta-analysis. Exercise significantly alleviated depression (SMD, −0.54; p = 0.002) and anxiety (SMD, −0.66; p = 0.0002) in lung cancer survivors. Subgroup analyses showed that aerobic exercise, exercise conducted >3 times per week, <60 min per session, and ≥180 min per week, were more effective in alleviating depression and anxiety, particularly in middle-aged individuals. In conclusion, exercise alleviates depression and anxiety in lung cancer survivors, particularly those who are middle-aged, and aerobic exercise may be the most effective intervention. This meta-analysis provides clinicians with evidence to recommend that lung cancer survivors engage in exercise more than three times per week, with each session lasting less than 60 min, aiming to achieve a total of 180 min per week by increasing the frequency of exercise.

Background: Although some studies have examined the association between exercise and falls, most have focused on specific exercises, and the results have been inconsistent. In addition, there is a lack of evidence on elderly Chinese women who have different living and exercise habits compared to those in other countries. Therefore, this study aimed to investigate whether physical exercise is associated with falls in elderly Chinese women. Methods: This cross-sectional study included 1429 elderly Chinese women with a mean age of 69.2 years. Information on physical exercise habits and fall experiences was collected using a self-report questionnaire. Logistic regression models were used to analyze the association between physical exercise habits and falls. Results: The results showed that 15% participants had a fall in the past year. After adjusting for confounding factors, the odd ratios (ORs) and 95% Confidence Intervals (CIs) for fall experiences across categories of exercise frequency were as follow: 1 (reference) for no exercise behavior, 0.50 (0.29, 0.85) for exercise 1 to 5 times a week, and 0.37 (0.25, 0.55) for exercise more than 6 times a week. Furthermore, the ORs (95% CIs) across categories of exercise insistence were 1 (reference) for less than 1 year, 0.78 (0.37, 1.65) for 1 to 3 years, and 0.38 (0.20, 0.74) for more than 3 years. In terms of exercise duration, the ORs (95% CIs) for < 1 h/day, 1–2 h/day, and > 2 h/day were 1 (reference), 0.85 (0.53, 1.36), and 2.80 (1.30, 6.05). Unlike other variables, longer exercise duration was associated unfavorably with falls. Conclusion: Physical exercise habits were associated with falls in elderly Chinese women. Keeping a proper exercise habit may contribute to lower risk of falling in elderly women.