A modified exercise protocol may promote continuance of exercise after the intervention in lung cancer patients—a pragmatic uncontrolled trial

Andersen, Andreas H.; Vinther, Anders; Poulsen, Lise-Lotte; Mellemgaard, Anders

doi:10.1007/s00520-013-1781-z

Cited by 16 publications

(31 citation statements)

References 17 publications

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“…Of the exercise studies, 5 studied group or individual programmes using only supervised training in a health care setting with no home training component. Five programmes offered supervised training and a home training component . Five programmes used unsupervised home training following an initial instruction session in a health care setting, 3 of which involved exercise with devices .…”

Section: Resultsmentioning

confidence: 99%

“…These were rarely reported, although 2 studies had motivation to participate in group‐based exercise as an inclusion criteria (Table ) . Cheville et al based an exercise intervention in the home to enable opportunity for busy patients to participate by reducing travel to a health care setting .…”

Section: Resultsmentioning

confidence: 99%

“…Despite this, use of “problem‐solving” BCTs, to support participants address motivational (and capability) barriers to complete action plans and achieve goals, was only observed in 1/15 (7%) exercise studies and 6/12 (50%) symptom self‐management studies. Andersen et al used problem‐solving and behavioural experiments to equip participants with skills to manage breathlessness during exercise. Six symptom self‐management studies used problem‐solving techniques to upskill participants in identifying symptom triggers or when to involve medical services.…”

Section: Resultsmentioning

confidence: 99%

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Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

et al. 2018

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“…Similarly, a recent study including patients with surgically resected NSCLC (stage I–II) detected a significant VO 2peak increment in the EX group versus control . Globally considered, although some studies did not report any significant change in functional capacity following a training period , the majority agreed on the potential beneficial effect of exercise on cardiorespiratory fitness .…”

Section: Investigated Outcomes In Lung Cancermentioning

confidence: 98%

Physical Activity and Exercise in Lung Cancer Care: Will Promises Be Fulfilled?

Avancini

Sartori

Gkountakos³

et al. 2019

The Oncologist

114

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Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy. Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea. The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells’ acquired capabilities (hallmarks of cancer), together with preventing treatment‐induced adverse events, represent main candidate mechanisms. To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in‐depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy. Implications for Practice Although growing evidence supports the safety and efficacy of exercise in lung cancer, both after surgery and during and after medical treatments, most patients are insufficiently active or sedentary. Engaging in exercise programs is particularly arduous for patients with lung cancer, mainly because of a series of physical and psychosocial disease‐related barriers (including the smoking stigma). A continuous collaboration among oncologists and cancer exercise specialists is urgently needed in order to develop tailored programs based on patients’ needs, preferences, and physical and psychological status. In this regard, benefit of exercise appears to be potentially enhanced when administered as a multidimensional, comprehensive approach to patients’ well‐being.

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“…Patients with schizophrenia have a shorter life expectancy than the general population. On average, these patients die 20 years younger than control subjects, matched by age and gender, many of them from cardiovascular disease [1][2][3][4]. Obesity and metabolic syndrome also play a major role in mortality in this group of patients, when the former is associated with various factors such as physical inactivity and unhealthy diets.…”

mentioning

confidence: 99%

A Diet and Fitness Program Similarly Affects Weight Reduction in Schizophrenia Patients Treated with Typical or Atypical Medications

et al. 2016

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A modified exercise protocol may promote continuance of exercise after the intervention in lung cancer patients—a pragmatic uncontrolled trial

Abstract: The present study showed an increased level of continuance of physical activity compared to the previous study. The present study could, however, not repeat the significant improvements in estimated VO2 max from the previous study.

Cited by 16 publications

References 17 publications

Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

Physical Activity and Exercise in Lung Cancer Care: Will Promises Be Fulfilled?

A Diet and Fitness Program Similarly Affects Weight Reduction in Schizophrenia Patients Treated with Typical or Atypical Medications

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