Yoga has a solid effect on cancer-related fatigue in patients with breast cancer: a meta-analysis

Dong, Bo; Xie, Congyan; Jing, Xiuchen; Lü, Lin; Tian, Li

doi:10.1007/s10549-019-05278-w

Cited by 72 publications

(75 citation statements)

References 24 publications

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“…The 24 SRs/MAs included four from the Cochrane Library. Of the 24 included studies, nine articles originated from China [ [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] ], three from England [ [24] , [25] , [26] ], three from Netherlands [ [27] , [28] , [29] ], the rest are from America [ 30 , 31 ], Germany [ 32 , 33 ], Norway [ 34 ], Canada [ 35 ], Ireland [ 36 ], Australia [ 37 ], and Colombia [ 38 ]. The number of participants varied widely from 156 to 3418.…”

Section: Resultsmentioning

confidence: 99%

“… Low Dong et al. (2019) [ 20 ] China 17 2183 Yoga 11 SMD = -0.83 (−1.34, −0.32) P < 0.001; I 2 = 81% Yoga can be considered as an alternative therapy for relieving fatigue in breast cancer patients who have completed treatment or are undergoing anti-cancer treatment Moderate Zhang et al. (2012) [ 21 ] China 9 602 Aerobic 5 SMD = 0.39 (0.23,0.56) P = 0.040; I 2 = 51.7% Aerobic exercise can effectively improve CRF in breast cancer patients Low Yang et al.…”

Section: Resultsmentioning

confidence: 99%

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Exercise for fatigue in breast cancer patients: An umbrella review of systematic reviews

Jiang

Yun

et al. 2020

International Journal of Nursing Sciences

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Objective To evaluate evidence from published systematic reviews about the effectiveness of exercise interventions on fatigue management in breast cancer patients. Methods PubMed, Web of Science, the Cochrane Library, the Cumulative Index of Nursing and Allied Health (CINAHL), Embase databases, the China National Knowledge Infrastructure (CNKI), the Wanfang database, the China Biomedical Literature Database (CBM), and the VIP database were searched to identify relevant systematic reviews. The reviews which assessed exercise interventions on cancer-related fatigue (CRF) in breast cancer patients were included. Quality of evidence was evaluated by the Grade of Recommendation, Assessment, Development, and Evaluation (GRADE) tool. The Assessment of Multiple Systematic Reviews (AMSTAR) appraisal tool was used to evaluate the methodological quality of included systematic reviews. Results Twenty-four systematic reviews met all the inclusion criteria. The overall mean score for AMSATR is 7.38 and ranged from 4 to 10 points. In addition, 21 reviews arrived at positive conclusions, which exercises could reduce CRF, and 3 obtained that exercise does not affect fatigue. As for GRADE, 8 of the reviews were graded as ‘moderate’, 2 of the studies were ‘very low’, and the others were ‘low’. Conclusions Aerobic and resistance exercise can be regarded as beneficial to CRF in breast cancer patients, and limited evidence exists that yoga had an effect on reducing fatigue. The quality of the current systematic review is still far from satisfactory.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Exercise for fatigue in breast cancer patients: An umbrella review of systematic reviews

Jiang

Yun

et al. 2020

International Journal of Nursing Sciences

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“…Yoga has a solid effect on cancer-related fatigue in patients with breast cancer [597]. It is one of the most prevalent complementary therapies used in breast cancer care, seems to be as effective as other exercise modalities for improving the QoL of women with breast cancer [598]. Wei, et al [599] reported significant improvement in lymphedema status, range of shoulder motion and spinal mobility after an 8-week yoga intervention [599].…”

Section: Alternative Therapies and Mind-body Interventionsmentioning

confidence: 99%

Alternative Treatments for Cancer Prevention and Cure [Part 1]

Mohiuddin¹

2019

APCT

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Many lay people along with some so called "key opinion leaders" have a common slogan "There's no answer for cancer". Again, mistake delays proper treatment and make situation worse, more often. Compliance is crucial to obtain optimal health outcomes, such as cure or improvement in QoL. Patients may delay treatment or fail to seek care because of high out-of-pocket expenditures. Despite phenomenal development, conventional therapy falls short in cancer management. There are two major hurdles in anticancer drug development: dose-limiting toxic side effects that reduce either drug effectiveness or the QoL of patients and complicated drug development processes that are costly and time consuming. Cancer patients are increasingly seeking out alternative medicine and might be reluctant to disclose its use to their oncology treatment physicians. But there is limited available information on patterns of utilization and efficacy of alternative medicine for patients with cancer. As adjuvant therapy, many traditional medicines shown efficacy against brain, head and neck, skin, breast, liver, pancreas, kidney, bladder, prostate, colon and blood cancers. The literature reviews non-pharmacological interventions used against cancer, published trials, systematic reviews and meta-analyses.

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“…Due in part to the persistence of symptoms and impairments in QOL, up to 86% of breast cancer survivors utilize complementary and integrative medicine (CIM) approaches, 26,27 which include acupuncture, 28,29 yoga, 30–32 mindfulness-based stress reduction, 33 diet, 34 and exercise. 35 While CIM approaches have shown promise in improving symptoms and QOL, there is currently no standardized approach.…”

Section: Introductionmentioning

confidence: 99%

A 4-Month Whole-Systems Ayurvedic Medicine Nutrition and Lifestyle Intervention Is Feasible and Acceptable for Breast Cancer Survivors: Results of a Single-Arm Pilot Clinical Trial

Dhruva

Miaskowski

et al. 2020

Glob Adv Health Med

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Purpose Ongoing symptoms and impairments in quality of life (QOL) among breast cancer survivors remain a significant problem. We tested the feasibility and acceptability of a manualized Ayurvedic nutrition and lifestyle intervention for breast cancer survivors. Methods Eligible participants had Stage I–III breast cancer, underwent treatment within the past year that included chemotherapy, and were without active disease. The 4-month individualized Ayurvedic intervention included counseling on nutrition, lifestyle, yoga, and marma (like acupressure) during 8 one-on-one visits with an Ayurvedic practitioner. Feasibility and acceptability were the primary outcomes. QOL (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ C30]) and symptoms—sleep disturbance (General Sleep Disturbance Scale [GSDS]), fatigue (Lee Fatigue Scale [LFS]), depressive symptoms (Center for Epidemiological Studies—Depression Scale [CES-D]), anxiety (Spielberger State-Trait Anxiety Inventory [STAI-S, STAI-T]), and stress (Perceived Stress Scale [PSS])—were measured prior to, at midpoint, and at the end of the 4-month intervention. Effect sizes (Cohen’s d) were calculated along with paired t tests comparing baseline to end of month 4 time points. Mixed effects models were used for repeated measures analyses. Results Participants ( n = 32) had a mean age of 48 years ( SD = 10). Retention at the end of the intervention was 84%. Among those who completed the intervention ( n = 27), adherence was high (99.5% of visits with practitioners attended). Large improvements were seen in QLQ-C30 emotional functioning ( d = 0.84, P < 0.001), QLQ-C30 cognitive functioning ( d = 0.86, P < 0.001), GSDS ( d = –1.23, P < 0.001), and CES-D ( d = –1.21, P < 0.001). Moderate improvements were seen in QLQ-C30 global health ( d = 0.65, p = 0.003), LFS ( d = –0.68, P = 0.002), and PSS ( d = –0.75, P < 0.001). No adverse events were observed due to the intervention. Conclusion This 4-month Ayurvedic whole-systems multimodal nutrition and lifestyle intervention was feasible and acceptable for breast cancer survivors. Promise of clinical benefit was seen in terms of improvements in symptoms and QOL that warrants further investigation.

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Yoga has a solid effect on cancer-related fatigue in patients with breast cancer: a meta-analysis

Cited by 72 publications

References 24 publications

Exercise for fatigue in breast cancer patients: An umbrella review of systematic reviews

Exercise for fatigue in breast cancer patients: An umbrella review of systematic reviews

Alternative Treatments for Cancer Prevention and Cure [Part 1]

A 4-Month Whole-Systems Ayurvedic Medicine Nutrition and Lifestyle Intervention Is Feasible and Acceptable for Breast Cancer Survivors: Results of a Single-Arm Pilot Clinical Trial

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