Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review

Codima, Alberto; Silva, Willian das Neves; Borges, Ana Paula de Souza; Castro, Gilberto de

doi:10.1007/s00520-020-05499-6

Cited by 24 publications

(13 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the study by Jin et al [5], age and sex were considered the major factors leading to differences in the quality of life data after lung cancer resection. However, a cross-sectional study by Codima et al [6] confirmed the differences in the quality of life after the same type of lung cancer resection and indicated that there may be other potential influencing factors affecting the quality of life after lung cancer resection. To determine the dynamic changes and the influencing factors for the quality of life of patients undergoing lung cancer resection, this study discussed the dynamic changes and influencing factors for the quality of life in nursing care after lung cancer resection.…”

Section: Introductionmentioning

confidence: 98%

Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

Fang

2022

Contrast Media & Molecular Imaging

View full text Add to dashboard Cite

To investigate the dynamic changes and influencing factors for the quality of life in nursing care in patients with lung cancer after resection. Totally, 136 patients undergoing lung cancer resection in our hospital from January 2019 to January 2022 were prospectively enrolled as subjects. The quality of life was measured before and 1 and 2 weeks and 1, 3, 6, and 12 months after the operation to analyze the dynamic changes in the quality of life in nursing care. Clinical data of patients were collected at the time of discharge. The patients were divided into high-quality and low-quality groups according to the median level of quality of life in nursing care at the final follow-up. The logistic regression equation was applied to analyze the influencing factors for the quality of life in nursing care after lung cancer resection. Of 136 patients receiving lung cancer resection, 32 were lost to follow-up until the final follow-up, so 104 patients were finally included. According to the median level of quality of life in nursing care at the final follow-up, the patients were divided into high-quality and low-quality groups (n = 52 per group). The quality of life in nursing care first decreased, then increased, and then stabilized after lung cancer resection. The comparison of clinical data between the two groups exhibited that albumin level was higher in the high-quality group than that in the control group. The age, proportion of living alone, S-AI score, and FoP-Q-SF score were lower in the high-quality group than those in the low-quality group ( P < 0.05 ). Univariate logistic regression analysis demonstrated that high albumin (OR = 0.884) was a protective factor for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Living alone (OR = 1.333), high S-AI score (OR = 1.211), high FoP-Q-SF score (OR = 1.221), and advanced age (OR = 1.209) were the risk factors for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Multivariate logistic regression analysis demonstrated that high albumin (OR = 0.861) was a protective factor for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Living alone (OR = 1.144), high S-AI score (OR = 1.170), high FoP-Q-SF score (OR = 1.161), and advanced age (OR = 1.181) were the risk factors for the quality of life after lung cancer resection ( P < 0.05 ). The quality of life in nursing care first decreased, then increased, and then stabilized after lung cancer resection. Albumin, age, living alone, and S-AI and FoP-Q-SF scores were the influencing factors for the quality of life in nursing care after lung cancer resection. In the nursing care process after lung cancer resection, we should focus on elderly patients living alone who are affected by anxiety and fear of recurrence to improve the quality of life of these patients.

show abstract

Section: Introductionmentioning

confidence: 98%

Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

Fang

2022

Contrast Media & Molecular Imaging

View full text Add to dashboard Cite

show abstract

“…Physical exercise has been recognized as a feasible and effective way to improve clinical outcomes in patients with lung cancer after surgery ( 14 ). Although different combinations of exercise types (e.g., aerobic exercise, resistance training, and high-intensity interval training) have been proven to improve different physical capacities, such as peak rate of oxygen uptake (VO 2 peak), respiratory muscle strength, 6-min walking test (6MWT) distance, fatigue, and health-related QoL ( 15 – 18 ) of the patients with lung cancer, the effect of exercise interventions on alleviating depression and anxiety in patients with lung cancer remains unclear ( 19 , 20 ). Only a few studies considered the impact of exercise on the emotional problems of patients with lung cancer, and most of their exercise prescriptions failed to alleviate depression and anxiety ( 21 – 23 ).…”

Section: Introductionmentioning

confidence: 99%

An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety

Juntian

Yang

Dong

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

IntroductionLung cancer has the highest rates of morbidity and mortality among all cancers. Patients with lung cancer inevitably confront psychosocial discomforts and progressively experience depression and anxiety that potentially impact the clinical outcomes [e.g., quality of life (QoL)]. These mental disorders in patients with lung cancer may effectively be alleviated with prescribed Chinese traditional mind-body exercises. This study aimed to determine the effect of the exercise prescription containing Chinese traditional mind-body exercise on QoL, depression, and anxiety in patients with lung cancer.MethodsIn this study, 52 patients with non-small cell lung cancer (NSCLC) recruited from the China-Japan Friendship Hospital were divided into two groups, namely, the experimental group (N = 26) and the control group (N = 26). The experimental group was treated with an 8-week exercise prescription containing aerobic and resistance training. The control group received the usual care during the study period. The QoL, depression, and anxiety were separately investigated using EORTC QLQ-C30, EORTC QLQ-LC13, the Self-Rating Depression Scale (SDS), and the Self-Rating Anxiety Scale (SAS) at baseline and post-intervention. The scores of questionnaires were analyzed using the paired sample and independent sample t-tests to explore the intragroup and intergroup differences, respectively.ResultsThe EORTC QLQ-C30 scores for physical functioning, role functioning, emotional functioning, and global QoL in the experimental group at post-intervention were significantly higher than those at baseline. The EORTC QLQ-C30 scores for fatigue, pain, dyspnea, and insomnia in the experimental group at post-intervention were significantly lower than those at the baseline. The SDS scores (baseline: 57.74 ± 8.77 vs. post-intervention: 51.42 ± 7.31, p < 0.05) and the SAS scores (baseline: 56.63 ± 9.39 vs. post-intervention: 49.16 ± 7.83, p < 0.05) in the experimental group at post-intervention were significantly lower than those at baseline.ConclusionsThe 8-week exercise prescription containing moderate-intensity Baduanjin (5 days per week) can effectively alleviate QoL, depression, and anxiety in patients with NSCLC. Our exercise prescription is an effective supportive treatment for lung cancer patients with depression and anxiety.Clinical trial registrationChinese Clinical Trial Registry (ChiCTR1900025121).

show abstract

“…QoL is a subjective and self-perceived variable with many dimensions of analysis,59 so the results that can be obtained from its assessment, depending on the questionnaire used for its measurement, its specificity and the dimensions screened 6016 or combined with other exercise protocols 46 61. This fact could explain the lack of significant changes after IMT in the studies included in our analysis.…”

Section: Discussionmentioning

confidence: 99%

Cancer survivor inspiratory muscle training: systematic review and Bayesian meta-analysis

Tórtola-Navarro

Gallardo-Gómez

Álvarez-Barbosa

et al. 2022

BMJ Support Palliat Care

View full text Add to dashboard Cite

BackgroundThe long-term impact of cancer treatment is associated with respiratory dysfunction and physical fitness impairment. Although inspiratory muscle training (IMT) has been shown as an effective exercise therapy in cancer survivors, there is no evidence on the optimal dose, application moment nor specific population effects of this intervention. The main objective of this meta-analysis is to analyse the effects of IMT on pulmonary function, physical fitness and quality of life (QoL) in cancer survivors.MethodsThis systematic review and meta-analysis was preregistered in the International Prospective Register of Systematic Reviews (PROSPERO) register and conducted according to the Preferred Reporting for Systematic Reviews and Meta-analysis statement. We used a Bayesian multilevel random-effects meta-analysis model to pool the data. Multilevel metaregression models were used to examine the conditional effects of our covariates. Convergence and model fit were evaluated through specific model parameters. Sensitivity analyses removing influential cases and using a frequentist approach were carried out.ResultsPooled data showed that IMT intervention is effective to improve pulmonary function (standardised mean difference=0.53, 95% credible interval 0.13 to 0.94, SE=0.19). However, IMT did not present statistically significant results on physical fitness and QoL. Metaregression analyses found that the type of cancer, the moment of application and the evaluation tool used had significant moderation effects on pulmonary function.ConclusionIMT could be an important part in the management of side effects suffered by cancer survivors. Considering the current evidence, this intervention is highly recommended in patients diagnosed with oesophageal and lung cancers. IMT may provide superior benefits before the biological treatment and after the surgery.PROSPERO registration number304909.

show abstract

Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review

Cited by 24 publications

References 47 publications

Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety

Cancer survivor inspiratory muscle training: systematic review and Bayesian meta-analysis

Contact Info

Product

Resources

About