Pei Liu1, Jieshu You1, Wing T Y Loo1, Youzhi Sun1,2, Yanhua He1, Huiping Sit3, Lei Jia1, Meikuen Wong1, Zhiyu Xia4, Xiao Zheng1, Zhiyu Wang1, Neng Wang1, Lixing Lao1, Jianping Chen5. 1. School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong. 2. School of Basic Medicine, Jiangxi University of Traditional Chinese Medicine, Nanchang, 330004, Jiangxi, People's Republic of China. 3. Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Pokfulam, Hong Kong. 4. School of Public Health, Peking University, Beijing, 100191, People's Republic of China. 5. School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong. abchen@hku.hk.
Abstract
PURPOSE: This study was to evaluate the efficacy of a complementary Chinese treatment modality Guolin-Qigong (GLQG) for patients with breast cancer on the body-mind health. METHODS: A randomized controlled clinical trial was conducted among 158 women with breast cancer. Subjects were randomized to receive GLQG (test group) versus a physical stretching program (control group) following conventional treatment for breast cancer. GLQG and stretching interventions were performed twice a week over 24 weeks. The primary outcome was the change in quality of life (QoL). Secondary outcome measures included anxiety, depression, and clinical indicators. All participants were assessed at four time-points, at the beginning of the study (T1), after 12 weeks of the intervention (T2), immediately after 24-week intervention (T3), and at 48-week follow-up visit (T4). RESULTS:Improvements in QoL were evident in both groups but the test group fared better than the control group at the 12th week (P < 0.01) and particularly in emotional well-being (P < 0.01) and breast cancer-specific well-being (P < 0.001). The test group showed an improvement in anxiety levels (P < 0.01), whereas the control group showed improvements in depression (P < 0.05) but there was no significant difference between groups (P > 0.05). Both groups showed improvements in immunological function and the test group fared better than the control in TNF-α levels (P < 0.05). The results in subjects who practiced more than 4 times and 6 h per week were similar to that of all subjects; however, the improvement in anxiety in the GLQG group was more obvious. There are positive correlations between QoL and anxiety and depression. CONCLUSIONS: Both GLQG and physical stretching are beneficial during recovery following breast cancer. GLQC was more effective in terms of Qol improvements than physical stretching. Both programs brought improvements in anxiety or depression but had were comparable. GLQC group had a greater effect on immunological function than physical exercise.
RCT Entities:
PURPOSE: This study was to evaluate the efficacy of a complementary Chinese treatment modality Guolin-Qigong (GLQG) for patients with breast cancer on the body-mind health. METHODS: A randomized controlled clinical trial was conducted among 158 women with breast cancer. Subjects were randomized to receive GLQG (test group) versus a physical stretching program (control group) following conventional treatment for breast cancer. GLQG and stretching interventions were performed twice a week over 24 weeks. The primary outcome was the change in quality of life (QoL). Secondary outcome measures included anxiety, depression, and clinical indicators. All participants were assessed at four time-points, at the beginning of the study (T1), after 12 weeks of the intervention (T2), immediately after 24-week intervention (T3), and at 48-week follow-up visit (T4). RESULTS: Improvements in QoL were evident in both groups but the test group fared better than the control group at the 12th week (P < 0.01) and particularly in emotional well-being (P < 0.01) and breast cancer-specific well-being (P < 0.001). The test group showed an improvement in anxiety levels (P < 0.01), whereas the control group showed improvements in depression (P < 0.05) but there was no significant difference between groups (P > 0.05). Both groups showed improvements in immunological function and the test group fared better than the control in TNF-α levels (P < 0.05). The results in subjects who practiced more than 4 times and 6 h per week were similar to that of all subjects; however, the improvement in anxiety in the GLQG group was more obvious. There are positive correlations between QoL and anxiety and depression. CONCLUSIONS: Both GLQG and physical stretching are beneficial during recovery following breast cancer. GLQC was more effective in terms of Qol improvements than physical stretching. Both programs brought improvements in anxiety or depression but had were comparable. GLQC group had a greater effect on immunological function than physical exercise.
Entities:
Keywords:
Breast cancer; Guolin-Qigong; Immune function; Quality of life; RCT; Tumor marker
Authors: Lise Solberg Nes; Heshan Liu; Christi A Patten; Sarah M Rausch; Jeff A Sloan; Yolanda I Garces; Andrea L Cheville; Ping Yang; Matthew M Clark Journal: Lung Cancer Date: 2012-06-06 Impact factor: 5.705
Authors: Lesley Stafford; Fiona Judd; Penny Gibson; Angela Komiti; Michael Quinn; G Bruce Mann Journal: Gen Hosp Psychiatry Date: 2013-11-05 Impact factor: 3.238
Authors: Chenchen Wang; Christopher H Schmid; Ramel Rones; Robert Kalish; Janeth Yinh; Don L Goldenberg; Yoojin Lee; Timothy McAlindon Journal: N Engl J Med Date: 2010-08-19 Impact factor: 91.245
Authors: Michael J Campbell; Janet Scott; Holden T Maecker; John W Park; Laura J Esserman Journal: Breast Cancer Res Treat Date: 2005-05 Impact factor: 4.872
Authors: M J Brady; D F Cella; F Mo; A E Bonomi; D S Tulsky; S R Lloyd; S Deasy; M Cobleigh; G Shiomoto Journal: J Clin Oncol Date: 1997-03 Impact factor: 44.544
Authors: Alyson B Moadel; Chirag Shah; Judith Wylie-Rosett; Melanie S Harris; Sapana R Patel; Charles B Hall; Joseph A Sparano Journal: J Clin Oncol Date: 2007-09-04 Impact factor: 44.544
Authors: Laurien M Buffart; Jannique G Z van Uffelen; Ingrid I Riphagen; Johannes Brug; Willem van Mechelen; Wendy J Brown; Mai J M Chinapaw Journal: BMC Cancer Date: 2012-11-27 Impact factor: 4.430
Authors: Wendy Wing Yan So; Erin Yiqing Lu; Wai Ming Cheung; Hector Wing Hong Tsang Journal: Int J Environ Res Public Health Date: 2020-11-23 Impact factor: 3.390
Authors: María Del Carmen Carcelén-Fraile; Agustín Aibar-Almazán; Antonio Martínez-Amat; José Daniel Jiménez-García; Vânia Brandão-Loureiro; Patricia Alexandra García-Garro; Raquel Fábrega-Cuadros; Yulieth Rivas-Campo; Fidel Hita-Contreras Journal: Medicine (Baltimore) Date: 2022-09-30 Impact factor: 1.817