scholarly journals Implementing exercise in standard cancer care: Bizi Orain hybrid, clinical and implementation randomized trial study protocol to evaluate the effectiveness of a community-based exercise programme for people living with cancer (Preprint)

2020 ◽  
Author(s):  
Maria Soledad Arietaleanizbeaskoa ◽  
Erreka Gil Rey ◽  
Nere Mendizabal Gallastegui ◽  
Arturo García Álvarez ◽  
Ibon De La Fuente ◽  
...  
Keyword(s):  
Physical Activity ◽  
Overall Survival ◽  
Side Effects ◽  
Physical Function ◽  
Cancer Patients ◽  
Cancer Care ◽  
Exercise Programme ◽  
Programme Evaluation ◽  
Activity Level ◽  
Community Based

BACKGROUND Despite the established benefits of regular exercise for cancer patients to counteract the deleterious effects of the disease itself, and treatment-related side-effects, most of them do not engage in sufficient levels of physical activity and there is a paucity of data on the integration of efficacious exercise programmes that are accessible and generalizable to a large proportion of cancer patients into routine cancer care. This paper describes the implementation of Bizi Orain, a community-based exercise programme for people with cancer, and the protocol for the programme evaluation. OBJECTIVE To describe the implementation of a community-based exercise programme for cancer patients (“Bizi Orain”) and the protocol for programme evaluation. METHODS This will be a hybrid study, with a first experimental phase in which patients diagnosed with any type of cancer will be randomized to two parallel groups, one that immediately performs Bizi Orain, a 3-month supervised exercise programme (3 times a week) in addition to behavioural counselling in a primary healthcare setting, and the other, a reference group that starts the exercise programme 3 months later (delayed treatment). In a second observational phase, the entire cohort of participants will be followed-up for 5 years. Any person diagnosed with cancer in the previous 2 years is eligible for the programme. Evaluation of the programme involves uptake, safety, adherence and effectiveness assessed on the completion of the programme and at 3, 6, 12, 24, 36, 48 and 60 months of follow-ups. The primary outcomes of the experimental study, to be compared between groups, are physical function and patient-reported outcomes, whereas overall survival is the main endpoint of the prospective study. To analyse the association between changes in physical activity level and overall survival, longitudinal mixed-effects models will be used for repeated follow-up measures. RESULTS It is a protocol, so there are no results CONCLUSIONS Bizi Orain is the first population-based exercise programme in Spain that will offer more insight into the implementation of feasible, generalizable and sustainable supportive care services involving structured exercise to extend cancer patients’ survival, improve their physical function and quality of life, and reverse the side-effects of their disease and related treatments, thereby reducing the clinical burden. CLINICALTRIAL Clinical Trials.gov Identifier: NCT03819595. Date of registration: 18/01/2019

The impact of supervised exercise intervention on short-term postprogram leisure time physical activity level in cancer patients undergoing chemotherapy: 1- and 3-month follow-up on the body & cancer project

2006 ◽  
Vol 4 (1) ◽  
pp. 25-35 ◽  
Author(s):  
JULIE MIDTGAARD ◽  
ANDERS TVETERÅS ◽  
MIKAEL RØRTH ◽  
REINHARD STELTER ◽  
LIS ADAMSEN
Keyword(s):  
Physical Activity ◽  
Cancer Patients ◽  
Physical Activity Level ◽  
Leisure Time Physical Activity ◽  
Exercise Adherence ◽  
The Body ◽  
Activity Level ◽  
Supervised Exercise ◽  
Cancer Project

Background:Exercise is becoming an important component of cancer rehabilitation programs. A consistent finding across studies is that patients experience improved physical fitness and reduced fatigue. However, sustained physical activity is essential if the benefits are to be preserved over the course of cancer survivorship.Objective:This study examined self-reported short-term exercise adherence following a 6-week, supervised exercise program (muscle strength, cardiovascular fitness, relaxation, body awareness, and massage) in a heterogeneous group of 61 cancer patients (mean age 42.9 years, 82% oncological and 18% haematological) from the Body & Cancer Project.Methods:Semistructured interviews were used to quantitatively assess leisure time physical activity level 1 and 3 months after completion of the program. The study furthermore included 3-month follow-up assessment of psychological distress (Hospital Anxiety and Depression Scale—HADS). Patient statements were selected that best illustrated trends found in the statistical material.Results:There was a significant postprogram reduction in physical activity from 6 to 10 weeks and from 6 to 18 weeks. However, the patients (half of whom were still undergoing treatment at the time of follow-up) reported a higher physical activity level postprogram compared to their baseline levels. The analyses showed a positive association between the 3-month postprogram physical activity level and pre-illness physical activity level, treatment, and postprogram changes in depression.Significance of research:Given the significant decrease in postprogram PA level, especially in subjects still undergoing cancer treatment, the study suggests that continuous supervised programs may be required in order to encourage and support exercise adherence in this population. However, randomized clinical controlled trials and more follow-up studies are needed to establish the optimal program length and content for sustained exercise adherence in cancer patients.

Mitigating functional performance decrement in cancer patients undergoing treatment

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 9105-9105
Author(s):  
P. M. Anton ◽  
C. A. Dennehy
Keyword(s):  
Side Effects ◽  
Cancer Patients ◽  
Repeated Measures ◽  
Functional Performance ◽  
Balance Training ◽  
Activity Level ◽  
Control Group ◽  
Exercise Interventions ◽  
Post Surgery ◽  
Muscle Groups

9105 Background: It is well-documented that treatment side-effects cause physical and psychosocial de-conditioning in cancer patient. Decrease in functional performance (FP), as measured by activities of daily living (ADL), is a major contributor to a decline in patient quality of life (QOL). Relatively little information is available on the effects of a specific exercise regimen targeting muscle groups/energy systems involved in FP. Methods: 30 male and female cancer patients receiving treatment were randomly assigned to either the experimental (EX) or control (C) groups. EX participated in two exercise sessions per week for 17 weeks. Sessions included a combination of aerobic, resistance, flexibility, and balance training. C did not participate in any structured exercise. Data were collected post-diagnosis (1), post- surgery (2), at 9 weeks post-diagnosis (3), and at 17 weeks post-diagnosis (4). Measurements included resting heart rate (RHR), fatigue, physical activity level (PA), QOL, and the FP tasks of: treadmill walking (TRED), stair climb/descent (STAIR), lifting/carrying (CARRY), sit to stand (STAND), and balance (REACH). Results: Factor analysis yielded four variables: FP1 = [(0.5 × TRED) - (0.5 × RHR)]; FP2 = [(STAIR) + (CARRY) + (STAND)]/3]; FP3 = [(0.333 × QOL) + (0.333 × PA) - (0.333 × FT)]; FP4 = REACH. Repeated-measures ANOVA with within-subjects contrasts detected significant differences between groups. No significant differences existed at 1 or from 1 to 2. Significant differences were found on all variables from 1 to 4, 1 to 3 and 3 to 4 (p < 0.001) (significant improvement for experimental group vs. significant decline for control group). Mean changes for the experimental vs. control groups from 1 to 4 are as follows: FP1 (+65.5 vs. -29.5); FP2 (-5.3 vs. +3.6); FP3 (+1.8 vs. -3.4); FP4 (+1.7 vs. -0.81). Conclusions: Specifically-designed exercise interventions promote positive adaptations that elicit significant improvement in ADL, QOL, and decrease fatigue. Prescriptive exercise is a viable therapy during treatment for mitigating side effects and avoiding de-conditioning. No significant financial relationships to disclose.

scholarly journals Acupuncture as a complementary therapy for cancer care: acceptability and preferences of patients and informal caregivers

2020 ◽  
Author(s):  
Tessa Lefebvre ◽  
Laura Tack ◽  
Virginie Blieck ◽  
Lieselot Cool ◽  
Hans Pottel ◽  
...  
Keyword(s):  
Side Effects ◽  
Cancer Patients ◽  
Cancer Care ◽  
Informal Caregivers ◽  
Participation Rate ◽  
Complementary Therapy ◽  
Care Clinic ◽  
Supportive Cancer Care ◽  
Number Of Patients ◽  
To Receive

Abstract Background: Acupuncture provides a possible complementary therapy which can be used alongside or following cancer treatment to relieve side-effects for cancer patients and survivors, such as pain and depression. Equally, it can provide relief from symptoms such as anxiety and sleep disturbance, which are recognised as significant issues among caregivers of those with cancer. The aim of this study was to explore the acceptability and preferences of cancer patients, disease survivors and their informal caregivers in relation to acupuncture.Methods: A questionnaire was developed to explore acceptability and preferences of cancer patients, disease survivors and their caregivers in relation to acupuncture, including motivations to use acupuncture, preferred symptoms to be addressed, and practical issues (location; cost).Results: A participation rate of 94.5% was obtained, with 116 participating patients and survivors, and 54 caregivers. Acceptability of acupuncture was around 1/3 for patients (34.5%; 40/116) and almost half for informal caregivers (48.0%; 26/54). In terms of preferences, the day care clinic was the favoured location for patients (52.5%; 21/40) to undergo acupuncture, while there was no specific preference on location observed for caregivers. A large number of patients indicated they would be willing to pay to receive the complementary therapy (60%; 24/40). Symptoms of fatigue, feeling listless, and pain were most often identified as complaints patients and survivors would use acupuncture for (60.0%, 57.5%, and 47.5% respectively). For informal caregivers, 48.0% (26/54) expressed an interest in using acupuncture for their pain, stress and sleeping difficulties.Conclusions: This study indicates that many cancer patients, disease survivors and informal caregivers would accept acupuncture as a complementary therapy. They could further identify many symptoms they felt this therapy could relieve. This openness to acupuncture, and expressed preferences provide the foundations for this complementary therapy to be incorporated into holistic and supportive cancer care, both for patients and those supporting them.

scholarly journals What clinical, functional, and psychological factors before treatment are predictors of poor quality of life in cancer patients at the end of chemotherapy?

2017 ◽  
Vol 63 (11) ◽  
pp. 978-987
Author(s):  
Ariella Sebastião Mangia ◽  
Nara Lisiane de Oliveira Coqueiro ◽  
Fernanda Cabral Azevedo ◽  
Hiago Tomaz da Silva Araujo ◽  
Elizandra de Oliveira Amorim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Risk Factors ◽  
Cancer Patients ◽  
Functional Capacity ◽  
Activity Level ◽  
Psychological State ◽  
Walking Distance ◽  
Curative Intent

Summary Objective: To correlate physical activity level (PAL), functional capacity and psychological state with quality of life (QoL) in cancer patients undergoing chemotherapy (CT). Method: Observational cohort study. Patients (n=121) with any primary cancer site with indications of chemotherapy with palliative or curative intent were evaluated at three moments: 1) patient admission (week 0), before chemotherapy; 2) week 8; 3) end of CT. Data were collected regarding QoL, PAL, clinical data, functional capacity (short walking distance test, sitting-rising test, isometric manual gripping force), and anxiety and depression tests. Results: There was significant improvement at the end of CT for: level of physical activity; walk test (> 500 meters); sitting-rising test (> 20x). There was a significant reduction in the prevalence of moderate/severe depression. The prevalence of high QoL showed a significant increase in evaluation 3 (42.4% vs. 40.0% vs. 59.2%, p=0.02). Education up to high school level, low PAL, walking < 300 meters, sitting and rising < 20 times, having depression (moderate to severe) and QoL that was not high at the start of treatment (week 0) all proved to be risk factors for low quality of life at week 16. Conversely, early staging, curative intent chemotherapy and low-grade symptoms were shown to be protective factors. Conclusion: Performing less than 20 movements in the sitting-rising test and low PAL at the start of chemotherapy represent independent risk factors for low quality of life at the end of chemotherapy.

scholarly journals Vitamin D Insufficiency Is Associated with Lower Physical Function in Patients with Heart Failure and Diabetes

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
M. R. Lopes ◽  
Paula A. B. Ribeiro ◽  
Priscila Ledur ◽  
Gabriela C. Souza ◽  
Nadine Clausell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Vitamin D ◽  
Physical Function ◽  
Vitamin D Deficiency ◽  
Handgrip Strength ◽  
Activity Level ◽  
Exercise Intolerance ◽  
Diabetic Patients ◽  
Patients With Heart Failure

Vitamin D deficiency is frequent among patients with heart failure (HF) and diabetes, disorders associated with exercise intolerance and muscle weakness. This study aims to search for associations between vitamin D sufficiency and physical function indexes in patients with HF and diabetes. A cross-sectional study of 146 HF patients, 39.7% with diabetes, at a Brazilian tertiary outpatient clinic was performed. Patients underwent clinical evaluation, 6-minute walk test (6 MWT), handgrip strength, physical activity level (IPAQ), and biochemical evaluations including serum 25-hydroxyvitamin D. Classification was done according to vitamin D status (≥30 ng/dL, sufficient) and presence/absence of diabetes in vitamin sufficient, no diabetes (DS-C,n=25), vitamin sufficient, diabetes (DS-DM,n=18), vitamin deficient, no diabetes (DD-C,n= 63), and vitamin deficient, diabetes (DD-DM,n=40). Patients age was 55.4 ± 8 yrs; 70.5% had vitamin D deficiency. Clinical characteristics were similar among groups. Total time expended in physical activity was similar among groups(P=0.26). DS-C covered higher distances in the 6 MWT (392 ± 60 m)versusDD-DM (309 ± 116 m);P=0.024. Handgrip strength was similar among groups but tended to lower levels in DD-DM(P=0.074)even after being adjusted to physical activity(P=0.069). Vitamin D deficiency can influence physical function in HF diabetic patients.

scholarly journals Obstructions and the Recognition of Cancer Inpatient Physical Activity Based on Exercise Experience

2020 ◽  
Vol 17 (15) ◽  
pp. 5482
Author(s):  
Jeon Sangwan ◽  
Yi Eunsurk ◽  
Kim Jiyoun
Keyword(s):  
Physical Activity ◽  
Cancer Patients ◽  
Physical Activity Level ◽  
Activity Level ◽  
Activity Levels ◽  
Factors Affecting ◽  
Exercise Participation ◽  
Healing Environments ◽  
Group 2 ◽  
Major Factors

The purpose of this study was to analyze and understand the mechanisms of physical activity obstructions in hospitalized cancer patients by investigating their physical activity levels, previous exercise experience levels, and exercise recognition. A survey was conducted for 194 hospitalized cancer patients using a questionnaire. In addition, we performed exploratory factor analysis, frequency analysis, reliability analysis, and hierarchical multiple regression analysis, using SPSS Statistics for Windows, Ver. 23.0. The results were as follows: (1) The physical activity level of the previous exercise participation experience (EPE) group had a greater effect on physical activity obstructions compared with the non-experience (NE) group. (2) The results for the effects of exercise recognition on the physical activity level and physical activity obstructions indicated that exercise recognition in the two groups increased the relative effects on physical activity obstructions in all variables except for the physical obstructions of the EPE group. Consequently, the physical activity level, exercise experience level, and exercise recognition in those patients were confirmed to be the major factors affecting their physical activity obstruction. Therefore, in this study, we provided quantitative data required for establishing healing environments based on motion.

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