Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer

Zhu, Jizhe; Wang, Xin; Chen, SuXiang; Du, Ruofei; Zhang, Haoning; Zhang, Menghan; Shao, Mengwei; Chen, Changying; Wang, Tao

doi:10.1016/j.apjon.2022.100169

Cited by 2 publications

(1 citation statement)

References 51 publications

(211 reference statements)

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“…Notably, there are some review articles that have summarized the potential beneficial effects of exercise on quality of life, depression, cancer-related cognitive impairment, functionality status, chronic pain, cancer-related fatigue, radiotherapy-related dysphagia, psycho-emotional status, cancer cachexia, sarcopenia, chemotherapy toxicity, bone health, and sleep disturbances [14][15][16][17][18][19][20][21][22][23][24][25][26][27]. However, only a few outdated review articles have focused on the anti-cancer molecular mechanisms of exercise.…”

Section: Introductionmentioning

confidence: 99%

Exercise as a Promising Agent against Cancer: Evaluating Its Anti-Cancer Molecular Mechanisms

Spanoudaki,

Giaginis,

Karafyllaki

et al. 2023

Cancers

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Background: Cancer cases are continuously increasing, while the prevalence rates of physical inactivity are also continuously increasing. Physical inactivity is a causative factor in non-communicable diseases, including cancer. However, the potential beneficial effects of exercise on cancer treatment have not received much attention so far. The aim of this study was to highlight the relationship between cancer and exercise on a molecular basis. Methods: Comprehensive and in-depth research was conducted in the most accurate scientific databases by using relevant and effective keywords. Results: The mechanisms by which exercise may reduce cancer risk and/or progression may include the metabolic profile of hormones, systemic inflammation reduction, insulin sensitivity increase, antioxidant capacity augmentation, the boost to the immune system, and the direct effect on the tumor. There is currently substantial evidence that the effect of exercise may predict a stronger association with cancer and could supplementarily be embedded in cancer clinical practice to improve disease progression and prognosis. Conclusion: The field of this study requires interconnecting the overall knowledge of exercise physiology with cancer biology and cancer clinical oncology to provide the basis for personalized targeting strategies that can be merged with training as a component of a holistic co-treatment approach to optimize cancer healthcare.

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Section: Introductionmentioning

confidence: 99%

Exercise as a Promising Agent against Cancer: Evaluating Its Anti-Cancer Molecular Mechanisms

Spanoudaki,

Giaginis,

Karafyllaki

et al. 2023

Cancers

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Wearable, epidermal devices for assessment of swallowing function

Rafeedi,

Abdal,

Polat

et al. 2023

npj Flex Electron

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Swallowing is an ensemble of voluntary and autonomic processes key to maintaining our body’s homeostatic balance. Abnormal swallowing (dysphagia) can cause dehydration, malnutrition, aspiration pneumonia, weight loss, anxiety, or even mortality—especially in older adults—by airway obstruction. To prevent or mitigate these outcomes, it is imperative to regularly assess swallowing ability in those who are at risk of developing dysphagia and those already diagnosed with it. However, current diagnostic tools such as endoscopy, manometry, and videofluoroscopy require access to clinical experts to interpret the results. These results are often sampled from a limited examination timeframe of swallowing activity in a controlled environment. Additionally, there is some risk of periprocedural complications associated with these methods. In contrast, the field of epidermal sensors is finding non-invasive and minimally obtrusive ways to examine swallowing function and dysfunction. In this review, we summarize the current state of wearable devices that are aimed at monitoring swallowing function and detecting its abnormalities. We pay particular attention to the materials and design parameters that enable their operation. We examine a compilation of both proof-of-concept studies (which focus mainly on the engineering of the device) and studies whose aims are biomedical (which may involve larger cohorts of subjects, including patients). Furthermore, we briefly discuss the methods of signal acquisition and device assessment in relevant wearable sensors. Finally, we examine the need to increase adherence and engagement of patients with such devices and discuss enhancements to the design of such epidermal sensors that may encourage greater enthusiasm for at-home and long-term monitoring.

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Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer

Cited by 2 publications

References 51 publications

Exercise as a Promising Agent against Cancer: Evaluating Its Anti-Cancer Molecular Mechanisms

Exercise as a Promising Agent against Cancer: Evaluating Its Anti-Cancer Molecular Mechanisms

Wearable, epidermal devices for assessment of swallowing function

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