An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety

IntroductionLung cancer has the highest rates of morbidity and mortality among all cancers. Patients with lung cancer inevitably confront psychosocial discomforts and progressively experience depression and anxiety that potentially impact the clinical outcomes [e.g., quality of life (QoL)]. These me...

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Main Authors: Juntian Lei, Jianyu Yang, Lei Dong, Jilai Xu, Jing Chen, Xiao Hou, Zhenmin Bai
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050471/full
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author Juntian Lei
Jianyu Yang
Lei Dong
Jilai Xu
Jing Chen
Xiao Hou
Zhenmin Bai
author_facet Juntian Lei
Jianyu Yang
Lei Dong
Jilai Xu
Jing Chen
Xiao Hou
Zhenmin Bai
author_sort Juntian Lei
collection DOAJ
description IntroductionLung cancer has the highest rates of morbidity and mortality among all cancers. Patients with lung cancer inevitably confront psychosocial discomforts and progressively experience depression and anxiety that potentially impact the clinical outcomes [e.g., quality of life (QoL)]. These mental disorders in patients with lung cancer may effectively be alleviated with prescribed Chinese traditional mind-body exercises. This study aimed to determine the effect of the exercise prescription containing Chinese traditional mind-body exercise on QoL, depression, and anxiety in patients with lung cancer.MethodsIn this study, 52 patients with non-small cell lung cancer (NSCLC) recruited from the China-Japan Friendship Hospital were divided into two groups, namely, the experimental group (N = 26) and the control group (N = 26). The experimental group was treated with an 8-week exercise prescription containing aerobic and resistance training. The control group received the usual care during the study period. The QoL, depression, and anxiety were separately investigated using EORTC QLQ-C30, EORTC QLQ-LC13, the Self-Rating Depression Scale (SDS), and the Self-Rating Anxiety Scale (SAS) at baseline and post-intervention. The scores of questionnaires were analyzed using the paired sample and independent sample t-tests to explore the intragroup and intergroup differences, respectively.ResultsThe EORTC QLQ-C30 scores for physical functioning, role functioning, emotional functioning, and global QoL in the experimental group at post-intervention were significantly higher than those at baseline. The EORTC QLQ-C30 scores for fatigue, pain, dyspnea, and insomnia in the experimental group at post-intervention were significantly lower than those at the baseline. The SDS scores (baseline: 57.74 ± 8.77 vs. post-intervention: 51.42 ± 7.31, p < 0.05) and the SAS scores (baseline: 56.63 ± 9.39 vs. post-intervention: 49.16 ± 7.83, p < 0.05) in the experimental group at post-intervention were significantly lower than those at baseline.ConclusionsThe 8-week exercise prescription containing moderate-intensity Baduanjin (5 days per week) can effectively alleviate QoL, depression, and anxiety in patients with NSCLC. Our exercise prescription is an effective supportive treatment for lung cancer patients with depression and anxiety.Clinical trial registrationChinese Clinical Trial Registry (ChiCTR1900025121).
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spelling doaj.art-5db69ac156d5441996ff0eb9b1142a3e2022-12-22T03:39:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10504711050471An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxietyJuntian Lei0Jianyu Yang1Lei Dong2Jilai Xu3Jing Chen4Xiao Hou5Zhenmin Bai6School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaChina-Japan Friendship Hospital, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaIntroductionLung cancer has the highest rates of morbidity and mortality among all cancers. Patients with lung cancer inevitably confront psychosocial discomforts and progressively experience depression and anxiety that potentially impact the clinical outcomes [e.g., quality of life (QoL)]. These mental disorders in patients with lung cancer may effectively be alleviated with prescribed Chinese traditional mind-body exercises. This study aimed to determine the effect of the exercise prescription containing Chinese traditional mind-body exercise on QoL, depression, and anxiety in patients with lung cancer.MethodsIn this study, 52 patients with non-small cell lung cancer (NSCLC) recruited from the China-Japan Friendship Hospital were divided into two groups, namely, the experimental group (N = 26) and the control group (N = 26). The experimental group was treated with an 8-week exercise prescription containing aerobic and resistance training. The control group received the usual care during the study period. The QoL, depression, and anxiety were separately investigated using EORTC QLQ-C30, EORTC QLQ-LC13, the Self-Rating Depression Scale (SDS), and the Self-Rating Anxiety Scale (SAS) at baseline and post-intervention. The scores of questionnaires were analyzed using the paired sample and independent sample t-tests to explore the intragroup and intergroup differences, respectively.ResultsThe EORTC QLQ-C30 scores for physical functioning, role functioning, emotional functioning, and global QoL in the experimental group at post-intervention were significantly higher than those at baseline. The EORTC QLQ-C30 scores for fatigue, pain, dyspnea, and insomnia in the experimental group at post-intervention were significantly lower than those at the baseline. The SDS scores (baseline: 57.74 ± 8.77 vs. post-intervention: 51.42 ± 7.31, p < 0.05) and the SAS scores (baseline: 56.63 ± 9.39 vs. post-intervention: 49.16 ± 7.83, p < 0.05) in the experimental group at post-intervention were significantly lower than those at baseline.ConclusionsThe 8-week exercise prescription containing moderate-intensity Baduanjin (5 days per week) can effectively alleviate QoL, depression, and anxiety in patients with NSCLC. Our exercise prescription is an effective supportive treatment for lung cancer patients with depression and anxiety.Clinical trial registrationChinese Clinical Trial Registry (ChiCTR1900025121).https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050471/fullexercise prescriptionlung cancerdepressionanxietyquality of life
spellingShingle Juntian Lei
Jianyu Yang
Lei Dong
Jilai Xu
Jing Chen
Xiao Hou
Zhenmin Bai
An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
Frontiers in Public Health
exercise prescription
lung cancer
depression
anxiety
quality of life
title An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
title_full An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
title_fullStr An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
title_full_unstemmed An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
title_short An exercise prescription for patients with lung cancer improves the quality of life, depression, and anxiety
title_sort exercise prescription for patients with lung cancer improves the quality of life depression and anxiety
topic exercise prescription
lung cancer
depression
anxiety
quality of life
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050471/full
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