Yoga-Specific Enhancement of Quality of Life Among Women With Breast Cancer: Systematic Review and Exploratory Meta-Analysis of Randomized Controlled Trials

El-Hashimi, Daline; Gorey, Kevin M.

doi:10.1177/2515690x19828325

“…Fatigue is a common symptom in cancer survivors [24], and indeed PA is an effective treatment for post-cancer fatigue especially if supervised [25,26]. BC survivors who are experiencing fatigue should have access to a holistic and comprehensive approach to management of fatigue including PA supervised by an exercise physiologist, cognitive and behavioural strategies, and mindfulness and yoga-based interventions which show promise in alleviating post-BC fatigue [27,28]. Our findings also suggest a gap in translation of the evidence on exercise as a treatment for post-cancer fatigue with women who cited fatigue as a barrier to PA possibly not being referred to exercise physiologists, which might be derived from their lower self-reported PA levels.…”

Section: Discussionmentioning

confidence: 99%

Weight management barriers and facilitators after breast cancer in Australian women: a national survey

Ee

¹

,

Cave

²

,

Naidoo

³

et al. 2020

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Background: Breast cancer is the most common cancer in women worldwide. Weight gain after breast cancer is associated with poorer health outcomes. The aim of this study was to describe how Australian breast cancer survivors are currently managing their weight. Methods: Online cross-sectional survey open to any woman living in Australia who self-identified as having breast cancer, between November 2017 and January 2018. Results: We received 309 responses. Most respondents described their diet as good/excellent and reported moderate-high levels of weight self-efficacy. Despite this, the proportion of overweight/obesity increased from 47% at time of diagnosis to 67% at time of survey. More than three quarters of respondents did not receive any advice on weight gain prevention at the time of diagnosis. 39% of women reported being less active after cancer diagnosis, and and few weight loss interventions were perceived to be effective. Facilitators were structured exercise programs, prescribed diets, and accountability to someone else, while commonly cited barriers were lack of motivation/willpower, fatigue, and difficulty maintaining weight. Women who cited fatigue as a barrier were almost twice as likely to be doing low levels of physical activity (PA) or no PA than women who did not cite fatigue as a barrier. Conclusions: We report high levels of concern about weight gain after BC and significant gaps in service provision around weight gain prevention and weight management. Women with BC should be provided with support for weight gain prevention in the early survivorship phase, which should include structured PA and dietary changes in combination with behavioural change and social support. Weight gain prevention or weight loss programs should address barriers such as fatigue. More research is required on the effectiveness of diet and exercise interventions in BC survivors, particularly with regard to weight gain prevention.

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“…Fatigue is a common symptom in cancer survivors [24], and indeed PA is an effective treatment for post-cancer fatigue especially if supervised [25,26]. BC survivors who are experiencing fatigue should have access to a holistic and comprehensive approach to management of fatigue including PA supervised by an exercise physiologist, cognitive and behavioural strategies, and mindfulness and yogabased interventions which show promise in alleviating post-BC fatigue [27] [28]. Our ndings also suggest a gap in translation of the evidence on exercise as a treatment for post-cancer fatigue with women who cited fatigue as a barrier to PA possibly not being referred to exercise physiologists, which might be derived from their lower self-reported PA levels.…”

Section: Discussionmentioning

confidence: 99%

Weight management barriers and facilitators after breast cancer in Australian women: a national survey

Ee

¹

,

Cave

²

,

Naidoo

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Breast cancer is the most common cancer in women worldwide. Weight gain after breast cancer is associated with poorer health outcomes. The aim of this study was to describe how Australian breast cancer survivors are currently managing their weight. Methods: Online cross-sectional survey open to any woman living in Australia who self-identified as having breast cancer, between November 2017 and January 2018. Results: We received 309 responses. Most respondents described their diet as good/excellent and reported moderate-high levels of weight self-efficacy. Despite this, the proportion of overweight/obesity increased from 47% at time of diagnosis to 67% at time of survey. More than three quarters of respondents did not receive any advice on weight gain prevention at the time of diagnosis. 39% of women reported being less active after cancer diagnosis, and and few weight loss interventions were perceived to be effective. Facilitators were structured exercise programs, prescribed diets, and accountability to someone else, while commonly cited barriers were lack of motivation/willpower, fatigue, and difficulty maintaining weight. Women who cited fatigue as a barrier were almost twice as likely to be doing low levels of physical activity (PA) or no PA than women who did not cite fatigue as a barrier. Conclusions: We report high levels of concern about weight gain after BC and significant gaps in service provision around weight gain prevention and weight management. Women with BC should be provided with support for weight gain prevention in the early survivorship phase, which should include structured PA and dietary changes in combination with behavioural change and social support. Weight gain prevention or weight loss programs should address barriers such as fatigue. More research is required on the effectiveness of diet and exercise interventions in BC survivors, particularly with regard to weight gain prevention.

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“…It is one of the most prevalent complementary therapies used in breast cancer care, seems to be as effective as other exercise modalities for improving the QoL of women with breast cancer [598]. Wei, et al [599] reported significant improvement in lymphedema status, range of shoulder motion and spinal mobility after an 8-week yoga intervention [599]. Although, yoga could not improve HRQoL in patients with colorectal cancer [600] but research supports that yoga is a promising intervention for reducing fatigue and sleep disturbances in this patient group [601].…”

Section: Alternative Therapies and Mind-body Interventionsmentioning

confidence: 99%

Alternative Treatments for Cancer Prevention and Cure [Part 1]

Mohiuddin¹

2019

APCT

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Many lay people along with some so called "key opinion leaders" have a common slogan "There's no answer for cancer". Again, mistake delays proper treatment and make situation worse, more often. Compliance is crucial to obtain optimal health outcomes, such as cure or improvement in QoL. Patients may delay treatment or fail to seek care because of high out-of-pocket expenditures. Despite phenomenal development, conventional therapy falls short in cancer management. There are two major hurdles in anticancer drug development: dose-limiting toxic side effects that reduce either drug effectiveness or the QoL of patients and complicated drug development processes that are costly and time consuming. Cancer patients are increasingly seeking out alternative medicine and might be reluctant to disclose its use to their oncology treatment physicians. But there is limited available information on patterns of utilization and efficacy of alternative medicine for patients with cancer. As adjuvant therapy, many traditional medicines shown efficacy against brain, head and neck, skin, breast, liver, pancreas, kidney, bladder, prostate, colon and blood cancers. The literature reviews non-pharmacological interventions used against cancer, published trials, systematic reviews and meta-analyses.

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Yoga-Specific Enhancement of Quality of Life Among Women With Breast Cancer: Systematic Review and Exploratory Meta-Analysis of Randomized Controlled Trials

Cited by 47 publications

References 41 publications

Weight management barriers and facilitators after breast cancer in Australian women: a national survey

Weight management barriers and facilitators after breast cancer in Australian women: a national survey

Weight management barriers and facilitators after breast cancer in Australian women: a national survey

Alternative Treatments for Cancer Prevention and Cure [Part 1]

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