Exercise Interventions on Health-related Quality of Life for People with Cancer During Active Treatment

University of New Mexico, Albuquerque, NM,USA. .
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 10/2012; 8(5):CD008465. DOI: 10.1002/14651858.CD008465.pub2
Source: PubMed


People with cancer undergoing active treatment experience numerous disease- and treatment-related adverse outcomes and poorer health-related quality of life (HRQoL). Exercise interventions are hypothesized to alleviate these adverse outcomes. HRQoL and its domains are important measures of cancer survivorship, both during and after the end of active treatment for cancer.
To evaluate the effectiveness of exercise on overall HRQoL outcomes and specific HRQoL domains among adults with cancer during active treatment.
We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed MEDLINE, EMBASE, CINAHL, PsycINFO, PEDRO, LILACS, SIGLE, SportDiscus, OTSeeker, Sociological Abstracts from inception to November 2011 with no language or date restrictions. We also searched citations through Web of Science and Scopus, PubMed's related article feature, and several websites. We reviewed reference lists of included trials and other reviews in the field.
We included all randomized controlled trials (RCTs) and quasi-randomized controlled clinical trials (CCTs) comparing exercise interventions with usual care or other type of non-exercise comparison intervention to maintain or enhance, or both, overall HRQoL or at least one distinct domain of HRQoL. Included trials tested exercise interventions that were initiated when adults with cancer were undergoing active cancer treatment or were scheduled to initiate treatment.
Five paired review authors independently extracted information on characteristics of included trials, data on effects of the intervention, and assessed risk of bias based on predefined criteria. Where possible, we performed meta-analyses for HRQoL and HRQoL domains for the reported difference between baseline values and follow-up values using standardized mean differences (SMDs) and a random-effects model by length of follow-up. We also reported the SMD at follow-up between the exercise and control groups. Because investigators used many different HRQoL and HRQoL domain instruments and often more than one for the same domain, we selected the more commonly used instrument to include in the SMD meta-analyses. We also report the mean difference for each type of instrument separately.
We included 56 trials with 4826 participants randomized to an exercise (n = 2286) or comparison (n = 1985) group. Cancer diagnoses in trial participants included breast, prostate, gynecologic, hematologic, and other. Thirty-six trials were conducted among participants who were currently undergoing active treatment for their cancer, 10 trials were conducted among participants both during and post active cancer treatment, and the remaining 10 trials were conducted among participants scheduled for active cancer treatment. Mode of exercise intervention differed across trials and included walking by itself or in combination with cycling, resistance training, or strength training; resistance training; strength training; cycling; yoga; or Qigong. HRQoL and its domains were assessed using a wide range of measures.The results suggest that exercise interventions compared with control interventions have a positive impact on overall HRQoL and certain HRQoL domains. Exercise interventions resulted in improvements in: HRQoL from baseline to 12 weeks' follow-up (SMD 0.33; 95% CI 0.12 to 0.55) or when comparing difference in follow-up scores at 12 weeks (SMD 0.47; 95% CI 0.16 to 0.79); physical functioning from baseline to 12 weeks' follow-up (SMD 0.69; 95% CI 0.16 to 1.22) or 6 months (SMD 0.28; 95% CI 0.00 to 0.55); or when comparing differences in follow-up scores at 12 weeks (SMD 0.28; 95% CI 0.11 to 0.45) or 6 months (SMD 0.29; 95% CI 0.07 to 0.50); role function from baseline to 12 weeks' follow-up (SMD 0.48; 95% CI 0.07 to 0.90) or when comparing differences in follow-up scores at 12 weeks (SMD 0.17; 95% CI 0.00 to 0.34) or 6 months (SMD 0.32; 95% CI 0.03 to 0.61); and, in social functioning at 12 weeks' follow-up (SMD 0.54; 95% CI 0.03 to 1.05) or when comparing differences in follow-up scores at both 12 weeks (SMD 0.16; 95% CI 0.04 to 0.27) and 6 months (SMD 0.24; 95% CI 0.03 to 0.44). Further, exercise interventions resulted in a decrease in fatigue from baseline to 12 weeks' follow-up (SMD -0.38; 95% CI -0.57 to -0.18) or when comparing difference in follow-up scores at follow-up of 12 weeks (SMD -0.73; 95% CI -1.14 to -0.31). Since there is consistency of findings on both types of measures (change scores and difference in follow-up scores) there is greater confidence in the robustness of these findings.When examining exercise effects by subgroups, exercise interventions had significantly greater reduction in anxiety for survivors with breast cancer than those with other types of cancer. Further, there was greater reduction in depression, fatigue, and sleep disturbances, and improvement in HRQoL, emotional wellbeing (EWB), physical functioning, and role function for cancer survivors diagnosed with cancers other than breast cancer but not for breast cancer. There were also greater improvements in HRQoL and physical functioning, and reduction in anxiety, fatigue, and sleep disturbances when prescribed a moderate or vigorous versus a mild exercise program.Results of the review need to be interpreted cautiously owing to the risk of bias. All the trials reviewed were at high risk for performance bias. In addition, the majority of trials were at high risk for detection, attrition, and selection bias.
This systematic review indicates that exercise may have beneficial effects at varying follow-up periods on HRQoL and certain HRQoL domains including physical functioning, role function, social functioning, and fatigue. Positive effects of exercise interventions are more pronounced with moderate- or vigorous-intensity versus mild-intensity exercise programs. The positive results must be interpreted cautiously because of the heterogeneity of exercise programs tested and measures used to assess HRQoL and HRQoL domains, and the risk of bias in many trials. Further research is required to investigate how to sustain positive effects of exercise over time and to determine essential attributes of exercise (mode, intensity, frequency, duration, timing) by cancer type and cancer treatment for optimal effects on HRQoL and its domains.

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    • "By participating in PA during treatment, the women expressed that they experienced an increased social support. To be part of a social context and to feel supported during the cancer treatment has previously been shown to increase the sense of wellbeing in patients during breast cancer treatment (Bulmer et al., 2012; Mishra et al., 2012; Trinh et al., 2014). The women felt encouraged and supported to exercise by the PA team at the rehabilitations unit, by their family and their employer. "
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    ABSTRACT: Purpose: The aim of this study was to explore how women with breast cancer experience physical activity (PA) during adjuvant chemotherapy treatment. Methods: This study included sixteen women diagnosed with breast cancer who had participated in a supervised 16-week PA intervention during adjuvant chemotherapy treatment. The qualitative approach included semi-structured individual and focus group interviews. Data were analyzed inductively with content analysis. Result: The content analysis resulted in a description of experiencing health during chemotherapy treatment covered by five categories: Solidarity with others and being good to oneself; Experiencing functional improvement and social support; Empowerment and motivation to focus on health; Barriers to adherence to PA during illness and treatment; and Enabling health and independence. A core category was identified; PA a tool for maintenance and recovery of physical, mental and social health. The women reported that PA had a positive impact on both physical function and mental wellbeing. Participating in the PA intervention also increased their feeling of social support, which was reported to be important to motivate adherence to PA when the side effects became more severe. Symptom burden, time and lack of motivation were reported as barriers to continue PA during treatment. Conclusion: The women in this study reported that PA had a positive impact on their perceived health and that it was possible to exercise despite increasing symptom burden from treatment. PA was perceived as a tool that supported health processes and gave the women a feeling of getting respite from the illness.
    European journal of oncology nursing: the official journal of European Oncology Nursing Society 10/2015; DOI:10.1016/j.ejon.2015.09.007 · 1.43 Impact Factor
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    • "at cancer patients and survivors have an increased risk to develop posttraumatic stress disorder in comparison with the general population , which could negatively affect the outcome of the treatment . Physical activity has proven to have health benefits across many diseases , including cancer ( Broderick , Ryan , O ' Donnell , & Hussey , 2014 ) . Mishra et al . ( 2012 ) found that physical activity or ex - ercise interventions improves cancer patients ' HRQoL when it is given at the same time as the patients un - dergo cancer treatment and also reduces anxiety with breast cancer patients . Because the 18 F - FDG - PET / CT examination is depen - dent on the patient ' s cooperation and the procedure m"
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    ABSTRACT: The aims of this study were to investigate the patients' knowledge about and experience of an 18F-fluoro-deoxy-glucose (FDG)-positron emission tomography (PET)/computed tomography (CT) examination and to investigate the self-reported feelings of stress, level of physical activity, and health-related quality of life (HRQoL) and to find out if this was related to how they experienced the examination. A cross-sectional survey was used to collect information on 198 patients with known or suspected malignancy. As many as 32% to 63% were satisfied with the nursing staff, the communication, and the professional skills. Most patients did not know beforehand what an FDG-PET/CT examination was. The HRQoL, level of perceived stress, and physical activity were relatively low. A better HRQoL, lower level of perceived stress, and a higher level of physical activity were correlated to a more positive experience and higher education to more knowledge about the examination (p < .01–.05). The information before the examination needs to be improved. The results may be used to improve patient care and optimize imaging procedures.
    Journal of Radiology Nursing 06/2015; 34(2). DOI:10.1016/j.jradnu.2014.11.008
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    • ".48 to 0.57 g=0.25, 95%CI=0.16 to 0.67 g=0.11, 95%CI=0.32 to 0.75 g=0.22, 95%CI=0.32 to 0.47 g=0.14, 95%CI=0.95 to 1.23 g=0.47, 95%CI=0.32 to 0.75 g=0.16, 95%CI=0.76 to 1.07 BMI g=0.12, 95%CI=1.04 to 0.80 20002500 2006Azner et al., 2006; Winter et al., 2009; Kelly, 2011 Rogers et al., 2005 2013 QOL San Juan et al., 2011 Stolley et al., 2010; Götte et al., 2013 2 2010 QOL Friendenreich & Courneya, 1996; Biddle & Mutrie, 1995/2005; Velthuis et al., 2010; Mishra et al., 2012; Dhillon et al., 2012; Tanir & Kuguoglu, 2013 323 J. Jpn. Acad. "
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    ABSTRACT: Objective: Physical activity as an element of the treatment for patients with childhood cancer is important to improve patients’ muscle strength and quality of life (QOL). However, the effects of including physical activity as part of the treatment for children with cancer are largely unclear. Hence, this study aimed to clarify the effects of physical activity as part of the intervention for patients with childhood cancer.Methods: First, we examined the contents of four relevant and published review studies. Next, a search was conducted on five databases to identify relevant studies. The search term revolved around the combination of key words such as “children” AND “cancer” OR “oncology” OR “leukemia” OR “lymphoma” OR “tumor” AND “physical activity” OR “exercise” OR “daily activity” OR “life activity”. Of the 823 studies found, we identified six studies that met all the criteria. Effect size (Hedges’ g) regarding physical activity was estimated using a random effect model with 95% confidence intervals (CI).Results: In patients with childhood cancer, physical activity had an impact on QOL [g=0.17, 95%CI=−0.48 to 0.57], fatigue [g=0.25, 95%CI=−0.16 to 0.67], hemoglobin [g=0.11, 95%CI=−0.32 to 0.75], sleep quality [g=0.22, 95%CI=−0.32 to 0.47], activity [g=0.14, 95%CI=−0.95 to 1.23], ankle dorsiflexion active range of motion [g=0.47, 95%CI=−0.32 to 0.75], body mass [g=0.16, 95%CI=−0.76 to 1.07], and BMI [g=−0.12, 95%CI=−1.04 to 0.80].Conclusion: These results suggested that physical activity as part of the treatment regimen for children during the treatment of childhood cancer was not effect. For future studies, it is need to measure the effectiveness of physical activity during the treatment of childhood cancer.
    Nihon Kango Kagakkai shi = Journal of Japan Academy of Nursing Science 01/2015; 34(1):321-329. DOI:10.5630/jans.34.321
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