Effects of Nordic Walking on physical fitness in patients with cancer: a systematic review

Casanovas Alvarez, Anabel; Mur, Esther; Masia, Jaume; Fernández Jané, Carles; Sebio-Garcia, Raquel; Casanovas Alvarez, Anabel; Mur, Esther; Masia, Jaume; Fernández Jané, Carles; Sebio-Garcia, Raquel

doi:10.3390/cancers17193170

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Author

Casanovas Alvarez, Anabel

Mur, Esther

Masia, Jaume

Fernández Jané, Carles

Sebio-Garcia, Raquel

Publication date

2025-09-29

URI https://hdl.handle.net/20.500.12367/3225

Abstract

Background: Despite evidence supporting exercise in cancer care, adherence remains low. Nordic Walking (NW), a pole-assisted outdoor activity, may overcome barriers and improve fitness. However, a comprehensive synthesis of its effects on physical fitness in cancer patients is lacking. Objective: To evaluate NW’s effects on physical fitness, health-related quality of life (HRQoL), adherence, and safety in patients living with and beyond cancer, compared with no intervention or other exercise programs. Methods: This PRISMA-compliant systematic review and meta-analysis (PROSPERO: CRD42024551608) included randomized or quasi-randomized trials. Five databases were searched through November 2024. Risk of bias (Joanna Briggs Institute) and evidence certainty (GRADE) were assessed. [...]