Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer

Author: Teresa Zetzl1, Agnes Renner2, Andre Pittig3,4, Elisabeth Jentschke2, Carmen Roch2, Birgitt van Oorschot2
Author Information:
1 Interdisciplinary Center, Palliative Medicine, University Hospital Würzburg, Josef-Schneider-Str. 11, B1, 97080, Würzburg, Germany. Zetzl_T@ukw.de.
2 Interdisciplinary Center, Palliative Medicine, University Hospital Würzburg, Josef-Schneider-Str. 11, B1, 97080, Würzburg, Germany.
3 Department of Psychology (Biological Psychology, Clinical Psychology, and Psychotherapy), University of Würzburg, Würzburg, Germany.
4 Center of Mental Health, University of Würzburg, Würzburg, Germany.
Conference/Journal: Support Care Cancer
Date published: 2020 Oct 7
Other: Special Notes: doi: 10.1007/s00520-020-05794-2. , Word Count: 236


Purpose:
Examine the effects of an 8-week yoga therapy on fatigue in patients with different types of cancer.

Methods:
A total of 173 cancer patients suffering from mild to severe fatigue were randomly allocated to yoga intervention (n = 84) (IG) versus waitlist control group (CG) (n = 88). Yoga therapy consisted of eight weekly sessions with 60 min each. The primary outcome was self-reported fatigue symptoms. Secondary outcomes were symptoms of depression and quality of life (QoL). Data were assessed using questionnaires before (T0) and after yoga therapy for IG versus waiting period for CG (T1).

Results:
A stronger reduction of general fatigue (P = .033), physical fatigue (P = .048), and depression (P < .001) as well as a stronger increase in QoL (P = .002) was found for patients who attended 7 or 8 sessions compared with controls. Within the yoga group, both higher attendance rate and lower T0-fatigue were significant predictors of lower T1-fatigue (P ≤ .001). Exploratory results revealed that women with breast cancer report a higher reduction of fatigue than women with other types of cancer (P = .016) after yoga therapy.

Conclusion:
The findings support the assumption that yoga therapy is useful to reduce cancer-related fatigue, especially for the physical aspects of fatigue. Women with breast cancer seem to benefit most, and higher attendance rate results in greater reduction of fatigue.

Trial registration:
German Clinical Trials Register DRKS00016034.

Keywords: Complementary alternative medicine; Depression; Fatigue; Mind-body intervention; Quality of life; Yoga.

PMID: 33026490 DOI: 10.1007/s00520-020-05794-2

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