Tai Chi for cancer survivors: A systematic review toward consensus‐based guidelines

Yang, Lin; Winters-Stone, Kerri M.; Rana, Benny; Cao, Chao; Carlson, Linda E.; Courneya, Kerry S.; Friedenreich, Christine M.; Schmitz, Kathryn H.

doi:10.1002/cam4.4273

Cited by 17 publications

(13 citation statements)

References 93 publications

(259 reference statements)

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“…37 Additional studies are needed to evaluate whether the observed associations are causal, and if so, to develop theory-based interventions that can be incorporated into cancer survivorship care to reduce sedentary behavior and increase physical activity. 6,38…”

Section: Discussionmentioning

confidence: 99%

“…Low LTPA and prolonged sitting may also contribute to increased risk of cachexia, thromboembolic events, and fatigue, which all influence survival after cancer . Additional studies are needed to evaluate whether the observed associations are causal, and if so, to develop theory-based interventions that can be incorporated into cancer survivorship care to reduce sedentary behavior and increase physical activity …”

Section: Discussionmentioning

confidence: 99%

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Association of Daily Sitting Time and Leisure-Time Physical Activity With Survival Among US Cancer Survivors

2022

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IMPORTANCE Sedentary behaviors, particularly prolonged sitting and lack of physical activity, may influence survival after cancer. OBJECTIVE To examine the independent and joint associations of daily sitting time and leisure-time physical activity with mortality outcomes among cancer survivors. DESIGN, SETTING, AND PARTICIPANTS A prospective cohort of a nationally representative sample of cancer survivors, age 40 years or older (n = 1535; weighted population, 14 002 666), from the US National Health and Nutrition Examination Survey from 2007 to 2014. Participants were linked to mortality data from their interview and physical examination date through December 31, 2015. Daily sitting time and leisure-time physical activity (LTPA) were self-reported using the Global Physical Activity Questionnaire. Data analyses were performed from January 1 to May 1, 2021. MAIN OUTCOMES AND MEASURES All-cause, cancer-specific, and noncancer mortality. RESULTS Among 1535 cancer survivors (mean [SE] age, 65.1 [0.4] years; 828 [60.1%] females; 945 [83.1%] non-Hispanic White individuals), 950 (56.8%) reported LTPA of 0 minutes per week (min/wk) during the previous week (inactive); 226 (15.6%) reported LTPA of less than 150 min/wk (insufficiently active); 359 (27.6%) reported LTPA of 150 min/wk or more (active); 553 (35.4%) reported sitting for 6 to 8 hours per day (h/d); and 328 (24.9%) reported sitting for more than 8 h/d. Of note, 574 (35.8%) cancer survivors reported no LTPAwith concurrent sitting of more than 6 h/d. During the follow-up period of up to 9 years (median, 4.5 years; 6980 person-years), there were 293 deaths (cancer, 114; heart diseases, 41; other causes, 138). Multivariable models showed that being physically active was associated with lower risks of all-cause (hazard ratio [HR], 0.34; 95% CI, 0.20-0.60) and cancer-specific (HR, 0.32; 95% CI, 0.15-0.70) mortality compared with inactivity. Sitting more than 8 h/d was associated with higher risks of all-cause (HR, 1.81; 95% CI, 1.05-3.14) and cancer-specific (HR, 2.27; 95% CI, 1.08-4.79) mortality compared with those sitting less than 4 h/d. In the joint analyses, prolonged sitting was associated with an increased risk of death among cancer survivors who were not sufficiently active. Specifically, inactive and insufficiently active survivors reported sitting more than 8 h/d had the highest overall (HR, 5.38; 95% CI, 2.99-9.67) and cancer-specific (HR, 4.71; 95% CI, 1.60-13.9) mortality risks. CONCLUSIONS AND RELEVANCEIn this cohort study of a nationally representative sample of US cancer survivors, the combination of prolonged sitting with lack of physical activity was highly prevalent and was associated with the highest risks of death from all causes and cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Daily Sitting Time and Leisure-Time Physical Activity With Survival Among US Cancer Survivors

2022

Self Cite

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“…While its definitive impact requires further extensive research, some studies suggest benefits such as enhanced physical functioning, stress reduction, improved mental health, immune enhancement, and improved quality of life, and that it may complement conventional medicine as adjunct therapy by providing a holistic approach to cancer care. 29 , 33 - 44 As research progresses, understanding its potential role in cancer medicine could open doors to more comprehensive and patient-centric approaches to healthcare. In this regard, GQ emerges as a unique mind-body exercise that combines moderate and adaptive walking exercise with a pronounced focus on a specialized breathing technique.…”

Section: Discussionmentioning

confidence: 99%

“…Emerging studies have shown that mind-body exercise such as Qigong can reduce fatigue, improve sleep, depression, anxiety, quality of life and cognitive changes associated with cancer as well as biomarkers of stress, cortisol level, inflammation and immune function in cancer survivors during and after treatment. 29 , 33 - 44 …”

Section: Introductionmentioning

confidence: 99%

Exploring Guolin Qigong (Mind-Body Exercise) for Improving Cancer Related Fatigue in Cancer Survivors: A Mixed Method Randomized Controlled Trial Protocol

Low,

Ho,

Liu

et al. 2024

Integr Cancer Ther

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Background: Cancer-related fatigue and its associated symptoms of sleep disorder and depression are prevalent in cancer survivors especially among breast, lung, and colorectal cancer survivors. While there is no gold standard for treating cancer-related fatigue currently, studies of mind-body exercises such as Qigong have reported promise in reducing symptoms. This study was designed to evaluate the feasibility and effect of Guolin Qigong on cancer-related fatigue and other symptoms in breast, lung and colorectal cancer survivors while exploring their perceptions and experiences of Guolin Qigong intervention. Methods: This is an open-label randomized controlled trial with 60 participants divided into 2 study groups in a 1:1 ratio. The intervention group will receive 12 weeks of Guolin Qigong intervention with a 4-week follow-up while control will receive usual care under waitlist. The primary outcome will be feasibility measured based on recruitment and retention rates, class attendance, home practice adherence, nature, and quantum of missing data as well as safety. The secondary subjective outcomes of fatigue, sleep quality and depression will be measured at Week-1 (baseline), Week-6 (mid-intervention), Week-12 (post-intervention), and Week-16 (4 weeks post-intervention) while an objective 24-hour urine cortisol will be measured at Week-1 (baseline) and Week-12 (post-intervention). We will conduct a semi-structured interview individually with participants within 3 months after Week-16 (4 weeks post-intervention) to obtain a more comprehensive view of practice adherence. Discussion: This is the first mixed-method study to investigate the feasibility and effect of Guolin Qigong on breast, lung, and colorectal cancer survivors to provide a comprehensive understanding of Guolin Qigong’s intervention impact and participants’ perspectives. The interdisciplinary collaboration between Western Medicine and Chinese Medicine expertise of this study ensures robust study design, enhanced participant care, rigorous data analysis, and meaningful interpretation of results. This innovative research contributes to the field of oncology and may guide future evidence-based mind-body interventions to improve cancer survivorship. Trial registration: This study has been registered with ANZCTR (ACTRN12622000688785p), was approved by Medical Research Ethic Committee of University Malaya Medical Centre (MREC ID NO: 2022323-11092) and recognized by Western Sydney University Human Research Ethics Committee (RH15124).

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“…Since some patients may not be physically able to perform aerobic exercise or resistance training, Tai Chi, yoga, or Baduanjin exercises may be more feasible alternatives to suggest. A systematic review evaluating Tai Chi identified benefits for fatigue and sleep quality among cancer patients, but there was insufficient evidence on long term outcomes [10]. Another exercise option is also Baduanjin, a tradition Chinese Qigong exercise that consists of eight easy movements of the body, which in a systematic review and me-ta-analysis of randomized control trials, has been found to improve cancer fatigue, sleep, and quality of life among cancer patients [11].…”

Section: Tai Chi Yoga and Baduanjin As A Form Of Exercisementioning

confidence: 99%

Review of Under-Recognized Adjunctive Therapies for Cancer

Money

Matthews

Tan-Shalaby

2022

Cancers

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Patients and providers may not be aware that several adjunctive measures can significantly improve the quality of life, response to treatment, and possibly outcomes for cancer patients. This manuscript presents a review of practical under-recognized adjunctive therapies that are effective including exercise; stress-reduction techniques such as mindfulness, massage, yoga, Tai Chi, breathing exercises; importance of sleep quality; diet modifications such as calorie restriction at the time of chemotherapy and avoidance of high carbohydrate foods; supplements such as aspirin, green tea, turmeric, and melatonin; and repurposed prescription medications such as metformin and statins. Each recommendation should be tailored to the individual patient to assure no contraindications.

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Tai Chi for cancer survivors: A systematic review toward consensus‐based guidelines

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 17 publications

References 93 publications

Association of Daily Sitting Time and Leisure-Time Physical Activity With Survival Among US Cancer Survivors

Association of Daily Sitting Time and Leisure-Time Physical Activity With Survival Among US Cancer Survivors

Exploring Guolin Qigong (Mind-Body Exercise) for Improving Cancer Related Fatigue in Cancer Survivors: A Mixed Method Randomized Controlled Trial Protocol

Review of Under-Recognized Adjunctive Therapies for Cancer

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