Yoga for the Management of Cancer Treatment-Related Toxicities

Lin, Po‐Ju; Peppone, Luke Joseph; Janelsins, Michelle Christine; Mohile, Supriya G.; Kamen, Charles; Kleckner, Ian R.; Fung, Chunkit; Asare, Matthew; Cole, Calvin; Culakova, Eva; Mustian, Karen M.

doi:10.1007/s11912-018-0657-2

Cited by 41 publications

(40 citation statements)

References 70 publications

(181 reference statements)

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“…Overall, the results of the study are predominantly in line with the results of more recent meta-analyses, which could only find small to medium effect sizes through yoga therapy regarding fatigue [29]. At this point, it is important to note that a yoga therapy with only 8 1-h sessions is a rather short and small intervention.…”

Section: Discussionsupporting

confidence: 84%

Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer

Zetzl

Renner

Pittig

et al. 2020

Support Care Cancer

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Purpose Examine the effects of an 8-week yoga therapy on fatigue in patients with different types of cancer. Methods A total of 173 cancer patients suffering from mild to severe fatigue were randomly allocated to yoga intervention (n = 84) (IG) versus waitlist control group (CG) (n = 88). Yoga therapy consisted of eight weekly sessions with 60 min each. The primary outcome was self-reported fatigue symptoms. Secondary outcomes were symptoms of depression and quality of life (QoL). Data were assessed using questionnaires before (T0) and after yoga therapy for IG versus waiting period for CG (T1). Results A stronger reduction of general fatigue (P = .033), physical fatigue (P = .048), and depression (P < .001) as well as a stronger increase in QoL (P = .002) was found for patients who attended 7 or 8 sessions compared with controls. Within the yoga group, both higher attendance rate and lower T0-fatigue were significant predictors of lower T1-fatigue (P ≤ .001). Exploratory results revealed that women with breast cancer report a higher reduction of fatigue than women with other types of cancer (P = .016) after yoga therapy. Conclusion The findings support the assumption that yoga therapy is useful to reduce cancer-related fatigue, especially for the physical aspects of fatigue. Women with breast cancer seem to benefit most, and higher attendance rate results in greater reduction of fatigue. Trial registration German Clinical Trials Register DRKS00016034

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Section: Discussionsupporting

confidence: 84%

Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer

Zetzl

Renner

Pittig

et al. 2020

Support Care Cancer

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“…Yoga is increasingly recognized as a complementary approach to diminishing the onset and severity of cancer‐related symptoms and/or treating such symptoms (Fig. ) . Research has demonstrated the feasibility and acceptability of yoga among patients with cancer who are undergoing treatment and those who have transitioned out of the medical setting .…”

Section: Introductionmentioning

confidence: 99%

“…1). 14 Research has demonstrated the feasibility and acceptability of yoga among patients with cancer who are undergoing treatment and those who have transitioned out of the medical setting. [15][16][17] Most National Cancer Institute-designated comprehensive cancer centers now include information about yoga on their websites (87%) and offer on-site yoga instruction (69%).…”

Section: Introductionmentioning

confidence: 99%

Yoga for symptom management in oncology: A review of the evidence base and future directions for research

Danhauer

Addington

Cohen

et al. 2019

Cancer

118

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Because yoga is increasingly recognized as a complementary approach to cancer symptom management, patients/survivors and providers need to understand its potential benefits and limitations both during and after treatment. The authors reviewed randomized controlled trials (RCTs) of yoga conducted at these points in the cancer continuum (N = 29; n = 13 during treatment, n = 12 post‐treatment, and n = 4 with mixed samples). Findings both during and after treatment demonstrated the efficacy of yoga to improve overall quality of life (QOL), with improvement in subdomains of QOL varying across studies. Fatigue was the most commonly measured outcome, and most RCTs conducted during or after cancer treatment reported improvements in fatigue. Results also suggested that yoga can improve stress/distress during treatment and post‐treatment disturbances in sleep and cognition. Several RCTs provided evidence that yoga may improve biomarkers of stress, inflammation, and immune function. Outcomes with limited or mixed findings (eg, anxiety, depression, pain, cancer‐specific symptoms, such as lymphedema) and positive psychological outcomes (such as benefit‐finding and life satisfaction) warrant further study. Important future directions for yoga research in oncology include: enrolling participants with cancer types other than breast, standardizing self‐report assessments, increasing the use of active control groups and objective measures, and addressing the heterogeneity of yoga interventions, which vary in type, key components (movement, meditation, breathing), dose, and delivery mode.

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“…In a meta-analysis of posttreatment yoga as a treatment for fatigue, 24 phase II and 1 phase III trials were reviewed, demonstrating that yoga is safe and effective in treating cancer-related fatigue. 22 However, yoga type and frequency varied widely among the 24 studies, samples were small, and bias was evident. Further, the need to develop prescriptive guidelines for yoga was identified.…”

Section: Self-management Interventionsmentioning

confidence: 99%

Symptom-based interventions to promote quality survivorship

Amidei

2018

Neuro-Oncology

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Survival alone is no longer an adequate outcome for persons with brain tumors; the quality of the survivorship experience should be viewed with equal importance. Symptom management is a significant component of quality survivorship care. Regardless of their histology, brain tumors and therapies used to treat them produce symptoms that affect an individual's ability to function in everyday life. Common symptoms include fatigue, cognitive impairment, distress, and sleep disturbance. Symptom-based interventions for persons with brain tumors focus on prevention, self-management, and prescriptive interventions targeted to these problems. Unfortunately, little evidence exists to support many interventions, making it challenging for clinicians to provide concrete recommendations. Research is needed to provide evidence in support of symptom-based interventions while novel approaches to these challenging problems are developed.

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Yoga for the Management of Cancer Treatment-Related Toxicities

Cited by 41 publications

References 70 publications

Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer

Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer

Yoga for symptom management in oncology: A review of the evidence base and future directions for research

Symptom-based interventions to promote quality survivorship

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