Physiologic and psychologic adaptation to exercise interventions in lung cancer patients undergoing chemotherapy: a systematic review and meta-analysis of randomized controlled trials

Lee, Junga

doi:10.1007/s00520-020-05939-3

Cited by 14 publications

(28 citation statements)

References 26 publications

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“…38 Exercise also improved 6-Minute Walk Test (6MWT) scores among patients with non-small-cell lung cancer who took part in an exercise intervention preoperatively 45 or postoperatively, 22 but did not have a statistically significant effect among patients receiving chemotherapy for lung cancer. 34 Patients with hematologic malignancies who took part in exercise interventions during bone marrow transplantation also experienced increases in 6MWT distances. 17 Muscle strength.…”

Section: Study Quality Assessmentmentioning

confidence: 99%

Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline

Ligibel

Bohlke

May

et al. 2022

JCO

226

142

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PURPOSE To provide guidance on exercise, diet, and weight management during active cancer treatment in adults. METHODS A systematic review of the literature identified systematic reviews and randomized controlled trials evaluating the impact of aerobic and resistance exercise, specific diets and foods, and intentional weight loss and avoidance of weight gain in adults during cancer treatment, on quality of life, treatment toxicity, and cancer control. PubMed and the Cochrane Library were searched from January 2000 to May 2021. ASCO convened an Expert Panel to review the evidence and formulate recommendations. RESULTS The evidence base consisted of 52 systematic reviews (42 for exercise, nine for diet, and one for weight management), and an additional 23 randomized controlled trials. The most commonly studied types of cancer were breast, prostate, lung, and colorectal. Exercise during cancer treatment led to improvements in cardiorespiratory fitness, strength, fatigue, and other patient-reported outcomes. Preoperative exercise in patients with lung cancer led to a reduction in postoperative length of hospital stay and complications. Neutropenic diets did not decrease risk of infection during cancer treatment. RECOMMENDATIONS Oncology providers should recommend regular aerobic and resistance exercise during active treatment with curative intent and may recommend preoperative exercise for patients undergoing surgery for lung cancer. Neutropenic diets are not recommended to prevent infection in patients with cancer during active treatment. Evidence for other dietary and weight loss interventions during cancer treatment was very limited. The guideline discusses special considerations, such as exercise in individuals with advanced cancer, and highlights the critical need for more research in this area, particularly regarding diet and weight loss interventions during cancer treatment. Additional information is available at www.asco.org/supportive-care-guidelines .

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Section: Study Quality Assessmentmentioning

confidence: 99%

Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline

Ligibel

Bohlke

May

et al. 2022

JCO

226

142

View full text Add to dashboard Cite

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“…Moreover, lax treatment compliance may cause disease recurrence [ 5 ]. Routine care only covers patients' stay in hospitals [ 6 , 7 ], while the whole process psychological intervention allows postdischarge care of patients, which provides an extended professional nursing session for a better recovery of patients [ 8 ]. Continuity of care is an extension of inpatient nursing based on holistic nursing theory and humanistic care theory and ensures the nursing quality after discharge to promote rehabilitation and avoid readmission [ 9 ], thereby enhancing the quality of life of patients [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Continuity of Care plus Whole Process Psychological Intervention for Lung Cancer Patients undergoing Chemotherapy

Zhou

Tang

Sun

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the efficiency of continuity of care plus whole process psychological intervention for lung cancer patients undergoing chemotherapy. Methods. A total of 130 patients who have lung cancer undergoing chemotherapy admitted to our hospital from 2019 to 2021 were recruited and assigned via different intervention methods (1 : 1) to receive either continuity of care plus whole process psychological intervention (observation group) or routine nursing (control group). Outcome measures included psychological state, treatment compliance, quality of life, and nursing satisfaction. Results. Continuity of care plus whole process psychological intervention was associated with significantly lower Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores versus routine care. The patients given combined nursing showed higher self-esteem scores versus those given routine care. Continuity of care plus whole process psychological intervention also resulted in significantly lower cancer-related fatigue scores and higher treatment compliance versus routine care. Patients given continuity of care plus whole process psychological intervention had a better quality of life and higher nursing satisfaction versus those given routine care ( P < 0.05 ). Conclusions. Continuity of care plus whole process psychological intervention can effectively mitigate the negative emotions of lung cancer patients, alleviate cancer-related fatigue, improve treatment compliance, and boost the life quality of patients.

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“…Although previous researches of lung cancer intervention mainly focused on patients with diagnosed lung cancer [ 30 , 31 ] or advanced lung cancer patients [ 9 , 32 ], our study targeted to high risk elderly who had not developed lung cancer, which would be more conducive to prevent and control lung cancer. Junga investigated the exercise interventions in patients with lung cancer during chemotherapy regarding physiological and psychological outcomes [ 30 ]. Kureshi et al suggested that support vector machines and decision trees were a promising approach for personalized therapeutic interventions in non-small cell lung cancer [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Deep Q-networks with web-based survey data for simulating lung cancer intervention prediction and assessment in the elderly: a quantitative study

Chen

2022

BMC Med Inform Decis Mak

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Background Lung cancer screening and intervention might be important to help detect lung cancer early and reduce the mortality, but little was known about lung cancer intervention strategy associated with intervention effect for preventing lung cancer. We employed Deep Q-Networks (DQN) to respond to this gap. The aim was to quantitatively predict lung cancer optimal intervention strategy and assess intervention effect in aged 65 years and older (the elderly). Methods We screened lung cancer high risk with web-based survey data and conducted simulative intervention. DQN models were developed to predict optimal intervention strategies to prevent lung cancer in elderly men and elderly women separately. We assessed the intervention effects to evaluate the optimal intervention strategy. Results Proposed DQN models quantitatively predicted and assessed lung cancer intervention. DQN models performed well in five stratified groups (elderly men, elderly women, men, women and the whole population). Stopping smoking and extending quitting smoking time were optimal intervention strategies in elderly men. Extending quitting time and reducing smoked cigarettes number were optimal intervention strategies in elderly women. In elderly men and women, the maximal reductions of lung cancer incidence were 31.81% and 24.62% separately. Lung cancer incidence trend was deduced from the year of 1984 to 2050, which predicted that the difference of lung cancer incidence between elderly men and women might be significantly decreased after thirty years quitting time. Conclusions We quantitatively predicted optimal intervention strategy and assessed lung cancer intervention effect in the elderly through DQN models. Those might improve intervention effects and reasonably prevent lung cancer.

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Physiologic and psychologic adaptation to exercise interventions in lung cancer patients undergoing chemotherapy: a systematic review and meta-analysis of randomized controlled trials

Cited by 14 publications

References 26 publications

Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline

Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline

Continuity of Care plus Whole Process Psychological Intervention for Lung Cancer Patients undergoing Chemotherapy

Deep Q-networks with web-based survey data for simulating lung cancer intervention prediction and assessment in the elderly: a quantitative study

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