Evidence map›Paper›PMID 40410915›Full record

SynthesisSystematic reviews2025

High-intensity interval training and strength conditioning in patients with chronic lymphocytic leukemia: a systematic review.

Pedro M P Cunha, Ricardo J Ribeiro, Andreia Pizarro, Jorge Mota, Jose C D Ribeiro

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pedro M P CunhaFaculty of Sports, FADEUP) and Laboratory for Integrative, Research Center in Physical Activity, Health and Leisure (CIAFEL)University of PortoTranslational Research in Population Health (ITR), Porto, Portugal. pedrocunha@fade.up.pt.
Ricardo J Ribeiroi3S-Instituto de Investigação E Inovação Em Saúde, Universidade Do Porto, Porto, Portugal.
Andreia PizarroFaculty of Sports, FADEUP) and Laboratory for Integrative, Research Center in Physical Activity, Health and Leisure (CIAFEL)University of PortoTranslational Research in Population Health (ITR), Porto, Portugal.
Jorge MotaFaculty of Sports, FADEUP) and Laboratory for Integrative, Research Center in Physical Activity, Health and Leisure (CIAFEL)University of PortoTranslational Research in Population Health (ITR), Porto, Portugal.
Jose C D RibeiroFaculty of Sports, FADEUP) and Laboratory for Integrative, Research Center in Physical Activity, Health and Leisure (CIAFEL)University of PortoTranslational Research in Population Health (ITR), Porto, Portugal.

Funding

Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa 2021.07178.BD: DOI 10.54499/2021.07178.BD
6 · The paper itself

Abstract

backgroundThis systematic review explores the impact of physical exercise on chronic lymphocytic leukemia (CLL) patients' physical fitness, immunologic, and quality of life outcomes.

methodsEligible studies were searched in PubMed and Web of Science up to February 2024 and were included if they involved participants in adult age, with confirmed CLL diagnose, using physical activity protocols with study design helding intervention protocols, clinical trials, or quantitative data reporting. Bias was assessed with ROBINS-I and RoB2 tools from Cochrane. The results are presented in tables and figures. A qualitative synthesis describes the main outcomes of the included studies. Meta-analysis was not performed due to significant heterogeneity.

resultsThis review identifies 92 studies, with 6 meeting the inclusion criteria, with a sample size of 323 patients. These studies focus on cardiovascular training combined with resistance training (four studies with total sample of 177 patients), continuous cardiovascular training (one study with 122 patients), and endurance resistance training (one study with 24 patients), highlighting the importance of physical exercise in CLL patients before treatment, with significant improvements in physical fitness and immunologic parameters on intervention groups. DISCUSSION: The paucity regarding exercise influence on CLL, with small samples of patients in pilot study experiments, noted that exercise plays a vital role in improving physical fitness and immunologic parameters. However, none addressed strength training, which is known as one of the best options to increase muscular mass in physical activity interventions. The inconsistency of intervention and/or evaluation protocols ravels the advice of exercise and medical professionals on prescribing different modes of exercise, improving compliance with the prescribed exercise program, and determining which intervention in the context of exercise prescription should be used. More studies are needed to evaluate the impact of physical activity on the health-related quality of life and life span of the CLL patient.

trial registrationPROSPERO CRD42023464877.

Indexed as

Exercise TherapyHigh-Intensity Interval TrainingLeukemia, Lymphocytic, Chronic, B-CellResistance TrainingHumansPhysical FitnessQuality of LifeChronic lymphocytic leukemiaExerciseOncologyPhysical activityQuality of lifeResistance training

Identifiers

PMID40410915
PMCPMC12100989

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.