Effect of walking on circadian rhythms and sleep quality of patients with lung cancer: a randomised controlled trial

Abstract

Background: Sleep disturbances and poor rest-activity rhythms, which can reduce the quality of life, are highly prevalent among patients with lung cancer.

Meta‐analysis: Exercise intervention for sleep problems in cancer patients

“…Two studies showed a significant effect for exercise effect on improving subjective sleep quality but had no significant effect on objective sleep quality (Chen et al, 2016;Rogers et al, 2017). Two studies showed a significant effect for exercise effect on improving subjective sleep quality but had no significant effect on objective sleep quality (Chen et al, 2016;Rogers et al, 2017).…”

“…Of the 1,833 cancer patients, 1,324 were women, and 509 were men, (study sample sizes ranged from 19 to 277; Over half of the studies were performed in America (n = 13; Brown et al, 2018;Cheville et al, 2013;Coleman et al, 2012;Hacker et al, 2011;Ligibel et al, 2016;Mock et al, 1997;Payne et al, 2008;Rogers et al, 2017Rogers et al, , 2015Rogers et al, , 2013Rogers et al, , 2009Sprod et al, 2010;Wenzel et al, 2013), three were performed in Taiwan (Chen et al, 2016;Tang et al, 2010;Wang et al, 2011), two were investigated in Canada (Adams et al, 2018;Courneya et al, 2012), and four trials each were conducted in the UK (Donnelly et al, 2011), Netherlands (Kampshoff et al, 2015), Germany (Schmidt et al, 2015) and Iran (Shobeiri, Masoumi, Nikravesh, Heidari Moghadam, & Karami, 2016). Of the 1,833 cancer patients, 1,324 were women, and 509 were men, (study sample sizes ranged from 19 to 277; Over half of the studies were performed in America (n = 13; Brown et al, 2018;Cheville et al, 2013;Coleman et al, 2012;Hacker et al, 2011;Ligibel et al, 2016;Mock et al, 1997;Payne et al, 2008;Rogers et al, 2017Rogers et al, , 2015Rogers et al, , 2013Rogers et al, , 2009Sprod et al, 2010;Wenzel et al, 2013), three were performed in Taiwan (Chen et al, 2016;Tang et al, 2010;…”

“…The most widely used instrument was the PSQI (used in 15 articles The objective sleep quality was measured in six articles, but only five articles reported computable data (Chen et al, 2016;Coleman et al, 2012;Rogers et al, 2017Rogers et al, , 2015Rogers et al, , 2013. Two different actigraphy brands, Ambulatory Monitoring and GT3X+ were used, and the results of sleep efficiency (the time it takes to fall asleep divided by total bedtime) and sleep onset latency would be pooled.…”

“…However, the effect reached statistical significance in only 10 (47.6%) RCTs (Brown et al, 2018;Chen et al, 2016;Cheville et al, 2013;Donnelly et al, 2011;Mock et al, 1997;Payne et al, 2008;Rogers et al, 2017;Shobeiri et al, 2016;Tang et al, 2010;Wang et al, 2011). However, the effect reached statistical significance in only 10 (47.6%) RCTs (Brown et al, 2018;Chen et al, 2016;Cheville et al, 2013;Donnelly et al, 2011;Mock et al, 1997;Payne et al, 2008;Rogers et al, 2017;Shobeiri et al, 2016;Tang et al, 2010;Wang et al, 2011).…”

“…Only four studies described pelvic stress fractures (Rogers et al, 2017), shortness of breath (Chen et al, 2016), dyspnoea (Wang et al, 2011) or unexplained non-serious problems (Rogers et al, 2013) in exercise participants. Only four studies described pelvic stress fractures (Rogers et al, 2017), shortness of breath (Chen et al, 2016), dyspnoea (Wang et al, 2011) or unexplained non-serious problems (Rogers et al, 2013) in exercise participants.…”