The effect of mind-body exercise in lung cancer patients: a meta-analysis of RCTs

Author: Jinting Sun#1, Daoming Chen#2, Chunlan Qin3, Rui Liu4
Affiliation: <sup>1</sup> Department of Pulmonology, The First Affiliated Hospital of Soochow University, Suzhou, China. <sup>2</sup> Department of Operating Room, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. <sup>3</sup> School of Nursing, Medical College of Soochow University, Suzhou, China. <sup>4</sup> Department of Pulmonology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Conference/Journal: Support Care Cancer
Date published: 2023 Oct 23
Other: Volume ID: 31 , Issue ID: 12 , Pages: 650 , Special Notes: doi: 10.1007/s00520-023-08092-9. , Word Count: 250

This study aimed to evaluate the impact of mind-body exercise (yoga, tai chi, qigong, etc.) on lung cancer.

We performed a literature search of the electronic databases PubMed, Web of Science, Cochrane Library, Embase, CNKI, CBM, WanFang Data, and VIP from their inception to 16 May 2023. The primary outcome was the 6-min walk test (6MWT), while the secondary outcomes were anxiety levels and quality of life (QoL). Two independent reviewers performed the data extraction using a predefined protocol and assessed the risk of bias using the Cochrane risk of bias (ROB) tool for randomized controlled trials, with differences agreed by consensus. Meta-analysis was performed using RevMan 5.4 and Stata 15 software to analyze the extracted data.

This meta-analysis included a total of 11 studies involving 897 patients. The results indicated that compared to the usual care group, lung cancer patients in the mind-body exercise group could increase the 6-min walk distance (5 studies, 346 participants, WMD: 18.83, 95% CI (7.55, 30.10) P = 0.001), reduce anxiety levels (4 studies, 362 participants, SMD: - 1.51, 95% CI (- 1.74, - 1.27), P < 0.05), and enhance the overall quality of life (6 studies, 594 participants, SMD: 0.71, 95% CI (0.10, 1.31), P = 0.02). The overall certainty of the evidence for all outcomes was low; seven studies were judged to be at low risk of bias, and four studies were judged to be at moderate risk of bias.

Mind-body exercise could improve exercise capacity in lung cancer survivors, reduce anxiety, and positively affect overall quality of life.

Prospero registration number:

Keywords: Lung cancer patients; Meta-analysis; Mind–body exercise.

PMID: 37870600 DOI: 10.1007/s00520-023-08092-9