Relaxation versus exercise for improved quality of life in lymphoma survivors—a randomised controlled trial

Abstract

Purpose Lymphoma survivors experience persisting needs as a consequence of disease and treatment, which have an impact on quality of life (QoL). There is evidence supporting the use of relaxation and exercise to improve QoL, but there is no agreement on which is more beneficial. This study aims to compare a relaxation intervention versus an exercise intervention to determine which has a greater impact on QoL post-chemotherapy. Methods Eligible participants (n = 46) were randomised to a relaxation or exercise intervention for 12 weeks. QoL was assessed at baseline, 6 weeks and post-intervention using the European Organisation for Research and Treatment of Cancer QoL Questionnaire Core 30 (EORTC QLQ-C30) questionnaire, which is a valid and reliable tool. The summary score and all EORTC domains were assessed. Results There was a significant difference in QoL post-intervention between groups (p = 0.029) while adjusting for baseline QoL, with the exercise group demonstrating a larger improvement. Within-group QoL significantly improved pre- to post-intervention in both the relaxation (p = 0.036) and exercise (p = 0.004) groups. Conclusions A self-management intervention of either exercise or relaxation can help significantly improve QoL in lymphoma survivors following chemotherapy. While exercise is preferred, a relaxation intervention would also have a beneficial impact on QoL. Implications for Cancer Survivors Lymphoma survivors should be routinely screened and those with decreased QoL referred for an exercise programme, or relaxation for survivors who are unable to exercise or choose not to. A home-based programme can have a significant positive impact on QoL and is a feasible and effective method in the current climate. Trial registration number Clinical Trials ID NCT02272751

Effect of Relaxation Breathing Exercise on Fatigue for Women with Gynecological Cancer Receiving Chemotherapy

“…Meanwhile, some nurses still believe that cancer related-fatigue is a normal response that experienced by women after chemotherapy, so it does not require intervention (Sanada et al 2017). Other than that, previous study showed that a combination of non-pharmacological and pharmacological therapy was very essential and effective technique to control fatigue (Hathiramani et al 2020). Furthermore, there is little studies that have been addressed the efficacy of RBE after chemotherapy and the required frequencies for effective fatigue relief result.…”

Pengaruh olahraga untuk meningkatkan kualitas hidup pada pasien kanker: Tinjauan sistematis

“…Artikel terpilih diterbitkan pada 2016-2020, dari 12 artikel yang diulas semuanya berasal dari luar Indonesia; empat artikel berasal dari Amerika Serikat (Carson et al, 2017;Leach et al, 2019;Murley et al, 2019;Pisu et al, 2017), dua dari Amerika Serikat (Hathiramani, 2020;Mijwel et al, 2019), dua dari India (Dhawan et al, 2019;Samuel et al, 2019), dua dari Cina (Huang et al, 2015;Ying & Min, 2019), satu artikel dari Iran (Pasyar et al, 2019), satu artikel dari Korea (Kim et al, 2019). Jumlah responden dalam tinjauan ini adalah 903.…”

“…Terapi olahraga yang diberikan pada pasien kanker dalam tinjauan literatur ini bervariasi, mulai dari intervensi tunggal hingga intervensi gabungan. Terapi olahraga yang diberikan meliputi Tai Chi (n=1) (Murley et al, 2019), Aerobik (n=5) (Hathiramani, 2020;Kim et al, 2019;Leach et al, 2019;Mijwel et al, 2019;Samuel et al, 2019), yoga (n=2) (Carson et al, 2017;Pasyar et al, 2019), menari (n=1) (Pisu et al, 2017), Olahraga Baduanjin (n=1) (Ying & Min, 2019), Olahraga Qigong (n=1) (Huang et al, 2015), Olahraga keseimbangan (n=1) (Dhawan et al, 2019). Latihan yang diberikan tatap muka (n=4) (Carson et al, 2017;Huang et al, 2015;Mijwel et al, 2019;Pisu et al, 2017), latihan yang diberikan melalui DVD atau di rumah(n=3) (Dhawan et al, 2019;Hathiramani, 2020;Kim et al, 2019), latihan diberikan tatap muka dan melalui DVD (n=5) (Leach et al, 2019;Murley et al, 2019;Pasyar et al, 2019;Samuel et al, 2019;Ying & Min, 2019).…”

“…Terapi olahraga yang diberikan meliputi Tai Chi (n=1) (Murley et al, 2019), Aerobik (n=5) (Hathiramani, 2020;Kim et al, 2019;Leach et al, 2019;Mijwel et al, 2019;Samuel et al, 2019), yoga (n=2) (Carson et al, 2017;Pasyar et al, 2019), menari (n=1) (Pisu et al, 2017), Olahraga Baduanjin (n=1) (Ying & Min, 2019), Olahraga Qigong (n=1) (Huang et al, 2015), Olahraga keseimbangan (n=1) (Dhawan et al, 2019). Latihan yang diberikan tatap muka (n=4) (Carson et al, 2017;Huang et al, 2015;Mijwel et al, 2019;Pisu et al, 2017), latihan yang diberikan melalui DVD atau di rumah(n=3) (Dhawan et al, 2019;Hathiramani, 2020;Kim et al, 2019), latihan diberikan tatap muka dan melalui DVD (n=5) (Leach et al, 2019;Murley et al, 2019;Pasyar et al, 2019;Samuel et al, 2019;Ying & Min, 2019). Latihan dengan durasi diberikan kurang dari 60 menit (n=7) (Dhawan et al, 2019;Hathiramani, 2020;Huang et al, 2015;Kim et al, 2019;Murley et al, 2019;Pisu et al, 2017;Samuel et al, 2019), latihan yang diberikan selama 60 menit (n=4) (Leach et al, 2019;Mijwel et al, 2019;Pasyar et al, 2019;Ying & Min, 2019) (Carson et al, 2017).…”

“…Latihan yang diberikan tatap muka (n=4) (Carson et al, 2017;Huang et al, 2015;Mijwel et al, 2019;Pisu et al, 2017), latihan yang diberikan melalui DVD atau di rumah(n=3) (Dhawan et al, 2019;Hathiramani, 2020;Kim et al, 2019), latihan diberikan tatap muka dan melalui DVD (n=5) (Leach et al, 2019;Murley et al, 2019;Pasyar et al, 2019;Samuel et al, 2019;Ying & Min, 2019). Latihan dengan durasi diberikan kurang dari 60 menit (n=7) (Dhawan et al, 2019;Hathiramani, 2020;Huang et al, 2015;Kim et al, 2019;Murley et al, 2019;Pisu et al, 2017;Samuel et al, 2019), latihan yang diberikan selama 60 menit (n=4) (Leach et al, 2019;Mijwel et al, 2019;Pasyar et al, 2019;Ying & Min, 2019) (Carson et al, 2017). Latihan diberikan selama 8 minggu (n=4) (Carson et al, 2017;Leach et al, 2019;Murley et al, 2019;Pasyar et al, 2019), Latihan diberikan lebih dari 8 minggu (n=8) (Dhawan et al, 2019;Hathiramani, 2020;Huang et al, 2015;Kim et al, 2019;Mijwel et al, 2019;Pisu et al, 2017;Samuel et al, 2019;Ying & Min, 2019).…”