Navigation Links
Exercise and psychological counseling could ease cancer-related fatigue

Cancer patients suffering from symptoms of fatigue might find some relief through regular exercise and psychological counseling to deal with stress, according to a new review.

Fatigue is one of the most common symptoms of patients with cancer and those undergoing treatment with radiation and chemotherapy. According to the American Cancer Society, 90 percent of patients in cancer treatment experience fatigue that can range from mild lethargy to feeling completely wiped out.

The reviewers, led by Paul Jacobsen of the H. Lee Moffitt Cancer Center in Tampa, Fla., said that fatigue affects patients quality of life, with one-third feeling that it, interferes with their ability to work, relationships with others and physical and emotional well-being.

There has been growing interest in helping these patients manage the symptoms of exhaustion with nonpharmacological treatments, and the systematic review aimed to determine the effectiveness of psychological therapy and exercise in meeting the goal.

The review appears in the November issue of the journal Health Psychology. Each evidence-based review in this series centers on a specific psychological assessment or treatment conducted in the context of a physical disease process or risk reduction effort.

The reviewers evaluated 41 studies. Of these, 17 looked at activity-based interventions in which patients either performed supervised or home-based exercises three to five times a week, for exercise periods that ranged from 10 to 26 weeks. Some of these studies included patients undergoing or about to start cancer treatment, while others were comprised only patients who had completed treatment.

Twenty-four studies evaluated psychological interventions. There were a variety of types of interventions, including techniques such as weekly telephone counseling about how to conserve energy and group therapy to teach skills like stress management and relaxation training.

About half of the studies focused on patients who had breast cancer, while others included patients with more than one type of cancer, such as colorectal and prostate.

Jacobsen and his colleagues found that 44 percent of the activity-based trials and 50 percent of the psychological studies that were of good quality reported significant, if not earth shattering, results. Patients who received either of the two types of interventions reported less fatigue than patients in the control groups did, the researchers concluded.

The overall effects of both psychological and activity-based interventions on fatigue were modest, Jacobsen said. The effects of psychological interventions were sufficiently large, however, to say that they were unlikely to have occurred by chance alone using conventional definitions of statistical significance.

Jacobsen concluded the results only provide limited support for the use of these types of nonpharmacological treatments to manage cancer fatigue.

Steven Passik, associate attending psychologist at the Memorial Sloan-Kettering Cancer Center, said that although there is currently limited research that interventions such as counseling or exercise have a strong benefit on fatigue, patients prefer to try these methods rather than take more medications.

Some of the main barriers of managing cancer fatigue have proven to be a lack of communication from health care providers to patients about how to battle fatigue, as well as an overall reluctance of many patients to take any more drugs to treat the symptom, Passik said. So, more research like this study is needed to find what types of interventions work best for patients.

Jacobsen added that if cancer patients do choose to exercise during their treatments, they should take caution.

Patients should consult with their physicians before initiating an exercise regimen, he said. They should also let their physician know if they plan to continue to engage in regular exercise while undergoing taxing treatments like chemotherapy.


Contact: Lisa Esposito
Center for the Advancement of Health

Related medicine news :

1. Skinny people need to exercise too
2. Regular exercise prevents hip fractures
3. How much can exercise improve health?
4. Exercise to Prevent Early Breast Cancer
5. Oxygen Usage During Exercise Could Indicate Heart Problems
6. Right attitude makes you benefit from exercise
7. High-Carbohydrate diet plus exercise !
8. Exercises reduce risks of cancers
9. Exercise lowers Risk of Ovarian Cancer
10. Women need to exercise more to prevent obesity
11. Exercise is necessary in daily life
Post Your Comments:
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
(Date:6/25/2016)... ... , ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter ... bar too high can result in disappointment, perhaps even self-loathing. However, those who set ... , Research from reveals that behind the tendency to set low ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced ... attorneys chosen by their peers for this recognition are considered among the top 2 ... received special honors as members of this year’s Legal Elite Hall of Fame: ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain ... for a minimum wage raise to $12 an hour by 2020 and then adjusting it ... the lost value of the minimum wage, assure the wage floor does not erode again, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 Dehaier Medical Systems Ltd. (NASDAQ: ... develops, markets and sells medical devices and wearable sleep ... a strategic cooperation agreement with Hongyuan Supply Chain Management ... on June 20, 2016, to develop Dehaier,s new Internet ... agreement, Dehaier will leverage Hongyuan Supply Chain,s sales platform ...
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/24/2016)... June 24, 2016  Arkis BioSciences, a leading ... and more durable cerebrospinal fluid treatments, today announced ... Series-A funding is led by Innova Memphis, followed ... other private investors.  Arkis, new financing will accelerate ... the market release of its in-licensed Endexo® technology. ...
Breaking Medicine Technology: