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- Title
Impact of a Home-Based Walking Intervention on Outcomes of Sleep Quality, Emotional Distress, and Fatigue in Patients Undergoing Treatment for Solid Tumors.
- Authors
Wenzel, Jennifer A.; Griffith, Kathleen A.; Shang, JingJing; Thompson, Carol B.; Hedlin, Haley; Stewart, Kerry J.; DeWeese, Theodore; Mock, Victoria
- Abstract
Purpose. Exercise use among patients with cancer has been shown to have many benefits and few notable risks. The purpose of this study was to evaluate the impact of a home-based walking intervention during cancer treatment on sleep quality, emotional distress, and fatigue. Methods. A total of 138 patients with prostate (55.6%), breast (32.5%), and other solid tumors (11.9%) were randomized to a home-based walking intervention or usual care. Exercise dose was assessed using a five-item subscale of the Cooper Aerobics Center Longitudinal Study Physical Activity Questionnaire. Primary outcomes of sleep quality, distress, and fatigue were compared between the two study arms. Results. The exercise group (n = 68) reported more vigor (p = .03) than control group participants (n = 58). In dose response models, greaterparticipationinaerobicexercisewasassociatedwith11% less fatigue (p < .001), 7.5% more vigor (p = .001), and 3% less emotional distress (p = .03), after controlling for intervention group assignment, age, and baseline exercise and fatigue levels. Conclusion. Patients who exercised during cancer treatment experienced less emotional distress than those who were less active. Increasing exercise was also associated with less fatigue and more vigor. Home-based walking is a simple, sustainable strategy that may be helpful in improving a number of symptoms encountered by patients undergoing active treatment for cancer.
- Subjects
TUMOR treatment; TUMORS &; psychology; CANCER complications; DOSE-response relationship in biochemistry; EXERCISE therapy; FATIGUE (Physiology); RESEARCH funding; STATISTICAL sampling; SLEEP; STATISTICAL hypothesis testing; PSYCHOLOGICAL stress; WALKING; RANDOMIZED controlled trials; CONTINUING education units; DATA analysis software; PSYCHOLOGICAL factors
- Publication
Oncologist, 2013, Vol 18, Issue 4, p476
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1634/theoncologist.2012-0278