scholarly journals Physical activity after cancer treatment in adults with cancer-related fatigue: a systematic review of randomized trials with fatigue as an eligibility criterion

2020 ◽  
Author(s):  
Rosemary Twomey ◽  
Samuel Yeung ◽  
James Graeme Wrightson ◽  
Lillian Sung ◽  
Paula D. Robinson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Cancer Treatment ◽  
Randomized Trials ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Eligibility Criterion ◽  
Cancer Related Fatigue ◽  
After Cancer ◽  
Substantial Heterogeneity

Physical activity (PA) is recommended for the management of cancer-related fatigue (CRF), yet the evidence is primarily based on interventions delivered during cancer treatment, with no eligibility criterion for fatigue. The objective of this systematic review was to summarize and evaluate the effect of PA on CRF after cancer treatment (i.e. post-cancer fatigue), using randomized trials where fatigue was an eligibility criterion. Data from 19 eligible studies were extracted by two reviewers. An estimated 7% of all trials on PA for CRF include an eligibility criterion for fatigue after cancer treatment. Sixteen studies were included in a random-effects meta-analysis. Based on studies with substantial heterogeneity and high risk of bias, the effect of PA on post-cancer fatigue was modest and variable (Hedge’s g -0.40; p = 0.010; 95% prediction intervals -1.41 to 0.62). Additional transparently reported randomized clinical trials are needed to better understand the benefits of PA for post-cancer fatigue.

scholarly journals Physical Activity in Adults With Fatigue After Cancer Treatment

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Rosie Twomey ◽  
Samuel Yeung ◽  
James G. Wrightson ◽  
Lillian Sung ◽  
Paula D. Robinson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Treatment ◽  
Randomized Trials ◽  
Randomized Clinical Trials ◽  
Risk Of Bias ◽  
Secondary Outcome ◽  
Future Research ◽  
Eligibility Criterion ◽  
Ovid Medline ◽  
After Cancer

Physical activity is recommended for the management of cancer-related fatigue (CRF), yet the evidence is primarily based on interventions delivered during cancer treatment, with no eligibility criterion for fatigue. There is a need to examine the quantity and quality of the existing literature on physical activity for clinically-relevant CRF that continues after cancer treatment (post-cancer fatigue). The objective of this systematic review was to summarize and evaluate the effect of physical activity on post-cancer fatigue in adults, using randomized trials where fatigue was an eligibility criterion. Studies were included if they: included adult participants with a cancer diagnosis who had completed initial cancer treatments (e.g., surgery, chemotherapy and/or radiation therapy); explicitly stated that fatigue was a participant eligibility/inclusion criterion, regardless of how this was described or assessed; involved a physical activity intervention; measured fatigue as a primary or secondary outcome. A previous systematic search was updated and electronic databases (Ovid MEDLINE(R), Ovid MEDLINE(R) and In-Process & Other Non-Indexed Citations, Embase, PsycINFO, Cochrane Database of Systematic Reviews, and CINAHL) were last searched on October 13, 2020. The risk of bias was assessed using the Cochrane Collaboration’s tool for randomized trials. A random-effects meta-analysis for the severity of fatigue across different scales at the end of the intervention was conducted. A total of 1035 participants were randomized across 19 studies. We estimate that less than 10% of the randomized trials of physical activity for CRF include people with post-cancer fatigue. The effect of physical activity on post-cancer fatigue was modest and variable (Hedge’s g -0.40; p = 0.010; 95% prediction intervals -1.41 to 0.62). Most studies had an unknown or high risk of bias, there was substantial heterogeneity between trials and evidence for the effect of physical activity on post-cancer fatigue was graded as low certainty. Including people with clinically relevant fatigue is a priority for future research in cancer survivorship. Additional transparently reported randomized clinical trials are needed to better understand the benefits of physical activity for post-cancer fatigue.

scholarly journals Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis

2017 ◽  
Vol 52 (10) ◽  
pp. 651-658 ◽  
Author(s):  
Roger Hilfiker ◽  
Andre Meichtry ◽  
Manuela Eicher ◽  
Lina Nilsson Balfe ◽  
Ruud H Knols ◽  
...  
Keyword(s):  
Systematic Review ◽  
Resistance Training ◽  
Cancer Treatment ◽  
Meta Analysis ◽  
Cancer Type ◽  
Cancer Related Fatigue ◽  
Different Types ◽  
After Cancer ◽  
Indirect Comparisons ◽  
Pharmaceutical Interventions

AimTo assess the relative effects of different types of exercise and other non-pharmaceutical interventions on cancer-related fatigue (CRF) in patients during and after cancer treatment.DesignSystematic review and indirect-comparisons meta-analysis.Data sourcesArticles were searched in PubMed, Cochrane CENTRAL and published meta-analyses.Eligibility criteria for selecting studiesRandomised studies published up to January 2017 evaluating different types of exercise or other non-pharmaceutical interventions to reduce CRF in any cancer type during or after treatment.Study appraisal and synthesisRisk of bias assessment with PEDro criteria and random effects Bayesian network meta-analysis.ResultsWe included 245 studies. Comparing the treatments with usual care during cancer treatment, relaxation exercise was the highest ranked intervention with a standardisedmean difference (SMD) of −0.77 (95% Credible Interval (CrI) −1.22 to −0.31), while massage (−0.78; −1.55 to −0.01), cognitive–behavioural therapy combined with physical activity (combined CBT, −0.72; −1.34 to −0.09), combined aerobic and resistance training (−0.67; −1.01 to −0.34), resistance training (−0.53; −1.02 to −0.03), aerobic (−0.53; −0.80 to −0.26) and yoga (−0.51; −1.01 to 0.00) all had moderate-to-large SMDs. After cancer treatment, yoga showed the highest effect (−0.68; −0.93 to −0.43). Combined aerobic and resistance training (−0.50; −0.66 to −0.34), combined CBT (−0.45; −0.70 to −0.21), Tai-Chi (−0.45; −0.84 to −0.06), CBT (−0.42; −0.58 to −0.25), resistance training (−0.35; −0.62 to −0.08) and aerobic (−0.33; −0.51 to −0.16) showed all small-to-moderate SMDs.ConclusionsPatients can choose among different effective types of exercise and non-pharmaceutical interventions to reduce CRF.

scholarly journals Effect of different types of exercise on health-related quality of life during and after cancer treatment: a protocol for a systematic review and network meta-analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e031374 ◽  
Author(s):  
Esther Ubago-Guisado ◽  
Luis Gracia-Marco ◽  
Iván Cavero-Redondo ◽  
Vicente Martinez-Vizcaino ◽  
Blanca Notario-Pacheco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Systematic Review ◽  
Cancer Treatment ◽  
Meta Analysis ◽  
Exercise Interventions ◽  
Different Types ◽  
Health Related ◽  
After Cancer

IntroductionCancer (and survival) is known to affect the quality of life. Strategies as physical activity and exercise during and after cancer may improve health-related qualify of life (HRQOL) outcomes and are, therefore, of clinical and public health importance. To the best of our knowledge, comparative evidence of the effect of the different types of exercise on improving HRQOL in cancer patients has not been synthesised thus far. We aim to conduct a systematic review and network meta-analysis in order to synthesise all available evidence regarding the effect of different types of exercise interventions on HRQOL during and after cancer treatment.Methods and analysisMEDLINE (via PubMed), Web of Science, Embase, The Cochrane Library and SPORTDiscus will be searched from inception to December 2018 for relevant randomised controlled trials (RCTs) and non-RCTs. Studies assessing physical activity and exercise interventions in cancer patients (during treatment) and survivors (after treatment) will be selected. Two independent reviewers will identify eligible studies. After quality appraisal and data extraction, we will conduct meta-analyses for outcomes of interest, including data from mental and physical dimensions of cancer-specific and/or generic HRQOL questionnaires. Risk of bias assessments will be completed using the Quality Assessment Tool for Quantitative Studies. Study heterogeneity will be measured by the I2 statistic. Bayesian (and traditional approach) network meta-analysis will be performed when possible to determine the comparative effect of the different physical activity or exercise interventions.Ethics and disseminationThis systematic review and network meta-analysis will synthesise evidence on the effect of different types of exercise interventions on HRQOL during and after cancer treatment. The results will be disseminated by publication in a peer-reviewed journal and through scientific conferences and symposia. Ethical approval will not be required because the data used for this work will be exclusively extracted from published studies.PROSPERO registration numberCRD42019125028.

The Effect of Resistance Training on Body Composition During and After Cancer Treatment: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Briana Clifford ◽  
Sean Koizumi ◽  
Michael A. Wewege ◽  
Hayley B. Leake ◽  
Lauren Ha ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Composition ◽  
Resistance Training ◽  
Cancer Treatment ◽  
Meta Analysis ◽  
After Cancer

scholarly journals Impact of implementation intentions on physical activity practice in adults: A systematic review and meta-analysis of randomized clinical trials

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206294 ◽  
Author(s):  
Marco Antonio Vieira da Silva ◽  
Thaís Moreira São-João ◽  
Valéria Cândido Brizon ◽  
Décio Henrique Franco ◽  
Fábio Luiz Mialhe
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Implementation Intentions ◽  
Meta Analysis

scholarly journals Effectiveness of Physical and Psychological Treatment for Cancer-Related Fatigue: Systematic Review

2021 ◽  
Vol 14 (2) ◽  
pp. 195-211
Author(s):  
Dian Hudiyawati ◽  
Wulan Syafitry
Keyword(s):  
Systematic Review ◽  
Cancer Treatment ◽  
Psychological Treatment ◽  
Total Sample ◽  
Pharmacological Intervention ◽  
Physical Treatment ◽  
Cancer Related Fatigue ◽  
Fatigue Management ◽  
Before And After ◽  
After Cancer

Cancer is the second leading cause of death worldwide. Fatigue is one of the most common side effects of people with cancer. The range of people with cancer who experience fatigue is 70-80%, when undergoing cancer treatment and during the phase before and after treatment. This systematic review aims to identify fatigue management with non-pharmacological intervention. The journals selected from 2015 to 2020 in an international database: Pubmed, SAGE journals, Microsoft Academic, and Science Direct. The database searched using the keywords "exercise treatment" OR "psychological treatment," AND "fatigue" OR "cancer-related fatigue," AND "during cancer treatment" OR "after cancer treatment." Assessment of Critical quality appraisal uses tools from the JBI (Joanna Briggs Institute) critical assessment checklist. The method of analysis used the descriptive method. The results of the Systematic review found 13 journals that met the inclusion criteria, the total sample was 1365 respondents with an average age of 56.85, and the consequences of female respondents were 857 respondents, and male respondents were 464 respondents. Physical treatment and psychological treatment can reduce cancer fatigue before and after treatment. The interventions given both physical treatment and psychological treatment have their benefits and vary in their effectiveness.

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