Effects of live-remote exercise on quality of life and other health-related outcomes in cancer survivors: a randomised controlled trial

Journal of Cancer Survivorship, Год журнала: 2025, Номер unknown

Опубликована: Июнь 4, 2025

Язык: Английский

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Home-based exercise improves quality of life in breast and prostate cancer survivors: A meta-analysis

PLoS ONE, Год журнала: 2023, Номер 18(4), С. e0284427 - e0284427

Опубликована: Апрель 20, 2023

Background Breast (BCa) and prostate (PCa) cancer are two of the most common but survivable cancers. One important component survivorship that is impacted by treatment long term diminished quality life (QoL). Supervised exercise improves QoL subsequent outcomes not accessible for all survivors. Additionally, many factors influence including physical activity (PA), cardiorespiratory fitness (CRF), function, fatigue. However, COVID-19 pandemic has highlighted need to increase access beyond supervised facilities. Home-based may provide a feasible alternative survivors especially those living in rural communities. Objectives The primary aim investigate effects home-based training (Pre-training vs. Post-training) on BCa/PCa. A secondary PA, CRF, fatigue potential moderators (age, cancer-type, intervention duration type). trials (randomized crossover or quasi-experimental design) with adults (aged 18 years over) breast (not currently undergoing chemotherapy radiation treatment) were eligible inclusion. Data sources Electronic databases searched (inception-December 2022) studies which included adult BCa PCa chemotherapy/radiation), at least measured QoL, unsupervised, training. Appraisal synthesis methods Initially, 819 identified, from 17 (20 effects) involving 692 participants extracted. Effect sizes calculated as standardized mean differences (SMD). pooled using 3-level model restricted maximum likelihood estimation. Pooled SMD was used assess magnitude effect, where <0.2, 0.2, 0.5, 0.8 defined trivial, small, moderate, large respectively. Results resulted small improvements (SMD = 0.30, 95% CI 0.01, 0.60, p 0.042), PA 0.49, 0.26, 0.75, p<0.001) CRF 0.45, -0.01, 0.91, 0.056). Physical function 0.00, -0.21, 0.21, 1.000) -0.61, 95%CI -1.53, 0.32, 0.198) did change. Conclusions results BCa/PCa survivors, independent type, age. also enhancing survivorship. Therefore, an efficacious option improve who live communities lack

Язык: Английский

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Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

Current Oncology, Год журнала: 2023, Номер 30(8), С. 7366 - 7383

Опубликована: Авг. 3, 2023

Alberta Cancer Exercise (ACE) is an exercise oncology programme that transitioned from in-person to online delivery during COVID-19. The purpose of this work was understand participants' experiences in both modes. Specifically, survivors' facilitators and barriers, mode preference, experience with elements targeting behaviour change were gathered. A retrospective cohort design using explanatory sequential mixed methods used. Briefly, 57 participants completed a survey, 19 subsequent, optional interviews conducted. Most indicated preferring programmes (58%), followed by (32%), no preference (10%). There significantly fewer barriers (i.e., commute time) (p < 0.01), but also social support) exercising the programme. Four themes generated qualitative data surrounding participant Key differences highlighted more convenient relative socially supportive environment in-person. For future includes solely delivery, focusing on building support sense community will be critical optimising benefits. Beyond COVID-19 pandemic, results research remain relevant as we aim increase reach programming underserved populations individuals living cancer.

Язык: Английский

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Telemedicine Applications for Cancer Rehabilitation: A Scoping Review (Preprint)

JMIR Cancer, Год журнала: 2024, Номер 10, С. e56969 - e56969

Опубликована: Июль 30, 2024

Background Cancer is a significant public health issue worldwide. Treatments such as surgery, chemotherapy, and radiation therapy often cause psychological physiological side effects, affecting patients’ ability to function their quality of life (QoL). Physical activity crucial cancer rehabilitation, improving physical QoL reducing cancer-related fatigue. However, many patients face barriers accessing rehabilitation due socioeconomic factors, transportation issues, time constraints. Telerehabilitation can potentially overcome these by delivering remotely. Objective The aim the study identify how telemedicine used for with cancer. Methods This scoping review followed recognized frameworks. We conducted an electronic literature search on PubMed studies published between January 2015 May 2023. Inclusion criteria were reporting telerehabilitation interventions cancer, including randomized nonrandomized controlled trials, feasibility studies, usability studies. In total, 21 met included in final review. Results Our yielded 37 papers, Randomized trials comprised 47% (n=10) at 33% (n=7) 19% (n=4). Sample sizes typically 50 or fewer participants 57% (n=12) reports. Participants generally aged 65 years younger (n=17, 81%), balanced gender distribution. Organ-specific cancers focus 66% (n=14) while 28% (n=6) who posttreatment period. Web-based systems most technology (n=13, 61%), phone call SMS text messaging–based (n=9, 42%) mobile apps (n=5, 23%). Exercise programs mainly home based (n=19, 90%) aerobic 90%), resistance flexibility training (n=7, 33%). Outcomes improvements functional capacity, cognitive functioning, (n=10, 47%); reductions pain hospital length stay; enhancements fatigue, emotional well-being, anxiety. Positive effects (n=3, 14%), acceptability (n=8, 38%), cost-effectiveness (n=2, 9%) also noted. Functional outcomes frequently assessed 71%) tools like 6-minute walk test grip strength tests. Conclusions beneficial feasible, diverse approaches design, technologies, exercises, outcomes. Future research should developing standardized methodologies, incorporating objective measures, exploring emerging technologies virtual reality, wearable noncontact sensors, artificial intelligence optimize interventions. Addressing areas enhance clinical practice improve remote patients.

Язык: Английский

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Social Support Behaviours and Barriers in Group Online Exercise Classes for Adults Living with and beyond Cancer: A Qualitative Study

Current Oncology, Год журнала: 2023, Номер 30(4), С. 3735 - 3754

Опубликована: Март 28, 2023

Social support can be facilitated through exercise programs for people living with cancer, but there is limited research on how best to foster it in online oncology classes. This study examined current training that fitness professionals receive the provision and facilitation of social support, experiences cancer have supportive behaviours barriers providing obtaining group Calgary, Alberta, Canada. Guided by interpretive description methodology, materials were reviewed, observations professional classes (n = 10) conducted, adults beyond 19) 15) interviewed. These data collected from January 2021 June 2021. Analysis resulted identification three themes: Creating a welcoming environment, helping improve ability reach goals, learning provide facilitate online. A catalogue help hinder presented. The findings guidance when structuring inform developing strategies use considering wants needs participants, facilitating between participants similar interests, integrating into physical activity.

Язык: Английский

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Scoping Review of Videoconference Online Exercise Programs for Cancer Survivors in Community Settings

Translational Journal of the American College of Sports Medicine, Год журнала: 2024, Номер 9(2), С. 1 - 12

Опубликована: Март 14, 2024

ABSTRACT Context Given the rapid transition of many cancer-specific community-based exercise programs to videoconference-delivered online (VOE) during coronavirus disease 2019 pandemic, little is known about reach, effectiveness, adoption, implementation, and maintenance these programs. Objective The purpose this scoping review was synthesize practice-based information regarding VOE for cancer survivors in settings. Design To identify relevant programs, searches were conducted peer-reviewed articles published electronic databases listed Moving Through Cancer directory. Eligibility Criteria be included, had meet following criteria: 1) participants adult (>18 yr) survivors, 2) included one or more sessions addition any preprogram assessment/intake, 3) defined as a program with primary focus delivering service survivors. Study Selection A total 16 review. Main Outcome Measure Descriptions 4) 5) identified Results All studies described at least element reach (80%), adoption (86%), implementation (80%). Fewer reported on indicators efficacy/effectiveness (25%) individual-level (0%). Conclusions may viable engaging but needed understand Findings from reveal that work needed, particularly elements efficacy/effectiveness, maintenance. Research should continue order better what contributes successful effects

Язык: Английский

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Associations of changes in physical activity and well-being among cancer survivors during the COVID-19 pandemic

Advanced Exercise and Health Science, Год журнала: 2024, Номер unknown

Опубликована: Авг. 1, 2024

Meeting the physical activity (PA) guidelines (i.e., ≥ 150 min/week of aerobic PA and/or 2 days/week resistance training) is beneficial for cancer survivors' well-being. However, impact changes in participation during COVID-19 pandemic on well-being survivors remains unknown. Accordingly, purpose this study was to examine associations between and pandemic. Cancer participated a cross sectional, online survey globally. The 20-Item Short Form Survey modified Godin Leisure Time Exercise Questionnaire assessed PA, respectively. Separate analysis covariance examined across change categories: abstainers, adopters, relapsers maintainers. (N = 495; Mage=48.7 ± 15.5 years) were predominantly diagnosed with breast (28.8 %). abstainers had significantly worse functioning (−19.3 points, p < 0.01; −14.0 0.01), role (−16.6 0.02; −12.9 0.01) outcomes compared adopters maintainers, Whereas less pain (−13.4 (−11.1 as well better health perception than (14.2 (13.8 0.01). Age (≥50 years), time since diagnosis (≥5 treatment (<5 moderated relationship abstained or relapsed behavior poor outcomes. declines negatively impacted survivors. Declines heightened long-term who older age within 5 years treatment. Future research should identify barriers specific these

Язык: Английский

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Exercise as part of survivorship care in metastatic breast cancer: protocol for the randomized EMBody trial

BMC Cancer, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 12, 2024

Язык: Английский

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A Videoconference Physical Activity Intervention for Colorectal Cancer Survivors: A Pilot Randomized Controlled Trial

OBM Integrative and Complementary Medicine, Год журнала: 2023, Номер 08(04), С. 1 - 25

Опубликована: Дек. 20, 2023

Physical activity (PA) after a colorectal cancer (CRC) diagnosis can improve physical function and quality of life is associated with decreased mortality rates longer disease-free survival. The accelerated use videoconference technology during following the COVID-19 pandemic offers an opportunity to explore potential virtually supervised intervention help survivors CRC increase PA. A two-arm single blind pilot randomized controlled trial individuals who had completed treatment for within previous five-years (NCT03781154, 12/19/2018). 12-week consisted circuit-based, combined aerobic resistance exercise, twice per week approximately one-hour session, five social cognitive theory-based PA behavior change discussion sessions. All components were delivered in real-time via Zoom. Feasibility acceptability assessed, effects explored outcomes (activPAL™ accelerometers self-report), theory constructs (barriers self-efficacy outcome expectations), fitness (submaximal capacity, upper lower body muscular strength endurance). Twenty-nine eligible (55.2% women, <em>Mean</em> = 61 ± 11 years old, 22.0 15.1 months since diagnosis) (<em>n</em> 15) or education control 14). total <em>N</em> 25 study retention rate 86.7% arm 85.7% control. Adherence was >86%. highly acceptable ≥90% responding “yes” “definitely yes” that they enjoyed participating. Trends suggested participants greater improvements accelerometer measured steps day, daily minutes light PA, sedentary time, fitness. There no constructs, endurance improved both feasible among CRC, greatest magnitude difference observed time. fully powered needed determine efficacy increasing functioning.

Язык: Английский

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Resistance Training in Women Diagnosed with Breast Cancer: A Pilot Single Arm Pre–Post Intervention

Cancers, Год журнала: 2024, Номер 16(16), С. 2829 - 2829

Опубликована: Авг. 12, 2024

Background: Resistance training (RT) yields physical and psychological benefits for women living with beyond breast cancer (WBC). This study examined the feasibility of a virtually delivered 8-week socially supportive RT intervention among WBC assessed changes in activity body image. Methods: A pilot single-arm pre–post design was implemented. Forty-one were matched as exercise partners asked to complete two sessions per week—one qualified professional (QEP) one their peer. Data collected at baseline (T1), post-intervention (T2), 20 weeks post-baseline (T3). Results: The enrolment rate 42%, attendance QEP 63.8% 40.0% peer sessions, retention 87%. No adverse events reported. Total weekly minutes significantly (p < 0.05) increased by 42 minutes/week during decreased 25 min/week follow-up. Upper lower muscle strength 0.01) intervention. Increased associated favorable self-perceptions. Conclusions: feasible, safe, demonstrated preliminary evidence increasing time WBC. Virtually interventions can improve access

Язык: Английский

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