The Effectiveness of Yoga on Cancer-Related Fatigue: A Systematic Review and Meta-Analysis

Author: Jihong Song1, Tao Wang2, Yujie Wang3, Rong Li4, Sitian Niu5, Litao Zhuo5, Qian Guo1, Xiaomei Li1
1 Xi'an Jiaotong University Health Science Center.
2 Hainan Medical University.
3 Peking University.
4 Qilu Hospital of Shandong University.
5 Fujian Medical University.
Conference/Journal: Oncol Nurs Forum
Date published: 2021 Mar 1
Other: Volume ID: 48 , Issue ID: 2 , Pages: 207-228 , Special Notes: doi: 10.1188/21.ONF.207-228. , Word Count: 161

Problem identification:
The aim of this article is to evaluate the effectiveness of yoga on cancer-related fatigue (CRF) in patients undergoing chemotherapy and/or radiation therapy.

Literature search:
Relevant English and Chinese articles were retrieved from medical databases and included in this analysis. Standardized critical appraisal instruments from the Joanna Briggs Institute were adopted for the quality assessment.

Data evaluation:
16 randomized controlled trials met the inclusion criteria.

Yoga interventions had a positive effect in reducing CRF among patients undergoing chemotherapy and/or radiation therapy, but the adherence to yoga was low. Mixed types of yoga, in addition to supervised and self-practicing strategies, were associated with increased patient adherence and improved CRF.

Implications for practice:
Yoga appears to be a safe and effective exercise for the management of CRF during chemotherapy and/or radiation therapy; however, additional high-quality studies are needed to define an optimal yoga intervention strategy.

Keywords: chemotherapy; fatigue; meta-analysis; radiation therapy; systematic review; yoga.

PMID: 33600394 DOI: 10.1188/21.ONF.207-228